Review Article

Quality of Reporting of Randomized Clinical Trials in Tai Chi Interventions—A Systematic Review

Table 1

Reporting quality of randomized trials testing the efficacy of Tai Chi interventions, using a modified CONSORT checklist, for studies published between 2003 and 2007.

Paper section & topicItemReporting criterionNumbera (%)

Title & Abstract1-1Does the title identify the report as a RCT?20 (65)
1-2Does the abstract have a structured format?27 (87)
Introduction2Do authors provide the scientific background and the scientific rationale for their report?31 (100)
 Background
Methods3-1Are eligibility (inclusion and/or exclusion) criteria provided?31 (100)
 Participants3-2Do authors describe settings where the data were collected?9 (29)
 Interventionsb4Are the precise details of interventions described?b7 (23)
 Objectives5Are study objectives or hypotheses specified?29 (94)
 Outcomes6-1Are outcome variables clearly defined?28 (90)
6-2Are any particular methods used to enhance the quality of the measurements?13 (42)
 Sample size7-1Do authors explain how the sample size was determined?13 (42)
7-2Is attrition taken into account in the sample size calculation?7 (54)c
 Randomization: Sequence generation8-1Is there a description of the method used to generate the random allocation sequence?15 (48)
8-2Is there any restriction of randomization provided?14 (45)
 Randomization: Allocation concealment9-1Is the method used to implement the random allocation sequence described?5 (16)
9-2Do authors clarify whether the sequence was concealed until interventions were assigned?9 (29)
 Randomization: Implementation10-1Do authors report who generated the allocation sequence?8 (26)
10-2Do authors report who enrolled participants?7 (23)
10-3Do authors report who assigned participants to their groups?7 (23)
 Blinding (Masking)11Do author report whether or not outcome assessors were blinded to group assignment?14 (45)
 Statistical methods12Is there a description of the statistical methods used to compare groups for outcome variables?29 (94)
Results13-1Is there a diagram showing participant flow in the trial?15 (48)
 Participant flow13-2Do authors report the numbers of participants randomly assigned?20 (65)
13-3Do authors report the numbers of participants receiving intended treatment?12 (40)
13-4Do authors report the numbers of participants completing the study protocol?23 (74)
13-5Do authors report the numbers of participants analyzed for the primary outcome?16 (52)
 Recruitment14-1Is the period of recruitment defined including starting and ending dates?7 (23)
14-2Is the period of follow-up defined including starting and ending dates?3 (10)
 Baseline data15Are baseline demographic and clinical characteristics of each group presented?28 (90)
 Numbers analyzed16-1Do authors report the numbers of participants in each group included in each analysis?19 (61)
16-2Do author state that whether the analysis was by “intention-to-treat”?12 (39)
16-3Are the results presented in absolute numbers?23 (77)
 Outcomes and estimation17-1Is there a summary of results for each group?28 (90)
17-2For each outcome variable, is the estimated effect size reported?26 (84)
17-3For each outcome variable, is the effect size's precision (e.g., 95% confidence interval) reported?24 (77)
 Ancillary analyses18Do authors report any other analyses performed including subgroup analyses and adjusted analyses, indicating those pre-specified and those exploratory? (e.g., adjusted P, post hoc or a posteriori)10 (32)
 Adverse events19Is there any information on adverse events in each intervention group provided?12 (39)
Discussion20-1Do authors address study hypotheses/objectives in their interpretation of the results?30 (97)
 Interpretation20-2Do authors describe sources of potential bias or imprecision in their interpretation of the results?26 (84)
 Generalizability21Do authors discuss the generalizability (external validity) of the trial findings?14 (45)
 Overall evidence22Do authors discuss the results in the context of current evidence?17 (58)

aNumber of studies that satisfied reporting criterion.
bThe adequate reporting of interventions in a Tai Chi clinical trial is assessed against a mini-checklist (Table2). If more than seven items in this mini checklist were reported by a trial, reporting of Tai Chi interventions was considered adequate.
cSeven out of thirteen studies included attrition in their sample size justification.