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A checklist to assess Trustworthiness in RAndomised Controlled Trials (TRACT checklist)
Open accessPreprint — published as 10.1186/s41073-023-00130-8 · Paper page
Abstract
Objectives: To develop a checklist to screen, for trustworthiness, papers reporting the results of randomised controlled trials (RCTs). Design: A screening tool was developed using the four-stage approach proposed by Moher et al. This included defining the scope, reviewing the evidence base, suggesting a list of items from piloting, and holding a consensus meeting as part of a Delphi method. The initial checklist was set-up by a core group who had been involved in the assessment of dubious RCTs for several years. We piloted this in a Delphi panel of several stakeholders, including health professionals, reviewers, journal editors, policymakers, researchers and evidence-synthesis specialists. Each member was asked to score three articles with the checklist and the the results were then discussed in two Delphi sessions. Results: The Trustworthiness in RAndomised Clinical Trials (TRACT) checklist includes seven domains that are applicable to every RCT: governance, author group, plausibility of intervention usage, timeframe, drop-out rates, baseline characteristics and outcomes. Each domain contains two or three signalling questions that can be answered as either no concerns, some concerns/no information, or major concerns. If a study is assessed and found to have significant concerns, then editors or reviewers should consider a more thorough investigation, including assessment of original individual participant data. Conclusions: The TRACT checklist is the first checklist developed in a formal process to detect trustworthiness issues in RCTs. It might help editors, publishers and researchers to screen for such issues in submitted or published RCTs in a transparent and replicable manner.
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Metadata
- Authors
- Mol, B. W., Lai, S., Rahim, A., Bordewijk, E. M., Wang, R., Eekelen, R. V., Gurrin, L. C., Thornton, J. G., Wely, M. V., & Li, W.
- Affiliations
- University of Aberdeen (GB)
- Monash University (AU)
- Amsterdam UMC Location University of Amsterdam (NL)
- Amsterdam UMC, location AMC
- The University of Melbourne (AU)
- University of Nottingham (GB)
- Corresponding author
- Gurrin, Lyle C
- Venue
- Research Integrity and Peer Review
- Publisher
- Research Square Platform LLC
- Published
- 2023-01-11
- Volume
- 8
- Issue
- 1
- Pages
- 6-6
- ISSN
- 2058-8615 (ISSN-L)
- PMC
- PMC10280869
- OpenAlex
- W4381250920
- Cited by
- 149
- References
- 24
- Citations by year
- 2026: 46 · 2025: 47 · 2024: 42 · 2023: 14
- FWCI
- 27.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Research Integrity and Peer Review (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Health Sciences › Nursing › Issues, ethics and legal aspects › Pharmaceutical industry and healthcare
- Social Sciences › Education › Academic integrity and plagiarism
- Keywords
- trustworthiness assessment, randomized controlled trials, screening tool, research integrity, questionable research practices, peer review, individual patient data, dropout rates
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