A checklist to assess the quality of reports on spa therapy and balneotherapy trials was developed using the Delphi consensus method: the SPAC checklist.

Authors: Kamioka H (1) , Kawamura Y (2) , Tsutani K (3) , Maeda M (4) , Hayasaka S (5) , Okuizumi H (6) , Okada S (7) , Honda T (8) , Lijima Y (9)
Affiliations:
(1) Faculty of Regional Environment Science, Tokyo University of Agriculture (2) Oyamada Memorial Spa Hospital, Japan (3) Department of Drug Policy and Management, Graduate School of Pharmaceutical Sciences, The University of Tokyo (4) Department of Rehabilitation, International University of Health and Welfare Graduate School, Japan (5) Faculty of Sports and Health Science, Department of Health Science, Daito Bunka University (6) Mimaki Onsen (Spa) Clinic (7) Physical Education and Medicine Research Foundation, Tomi, Nagano, Japan (8) Fellow of the Japanese Society for the Promotion of Science (9) The Shinano Mainichi Shimbun
Source: Complement Ther Med. 2013 Aug;21(4):324-32.
DOI: 10.1016/j.ctim.2013.05.002 Publication date: 2013 E-Publication date: June 10, 2013 Availability: abstract Copyright: Copyright © 2013 Elsevier Ltd. All rights reserved.
Language: English Countries: Not specified Location: Not specified Correspondence address: Kamioka H : Faculty of Regional Environment Science, Tokyo University of Agriculture, Japan. h1kamiok@nodai.ac.jp

Keywords

Article abstract

OBJECTIVE:

The purpose of this study was to develop a checklist of items that describes and measures the quality of reports of interventional trials assessing spa therapy.

METHODS:

The Delphi consensus method was used to select the number of items in the checklist. A total of eight individuals participated, including an epidemiologist, a clinical research methodologist, clinical researchers, a medical journalist, and a health fitness programmer. Participants ranked on a 9-point Likert scale whether an item should be included in the checklist.

RESULTS:

Three rounds of the Delphi method were conducted to achieve consensus. The final checklist contained 19 items, with items related to title, place of implementation (specificity of spa), care provider influence, and additional measures to minimize the potential bias from withdrawals, loss to follow-up, and low treatment adherence.

CONCLUSION:

This checklist is simple and quick to complete, and should help clinicians and researchers critically appraise the medical and healthcare literature, reviewers assess the quality of reports included in systematic reviews, and researchers plan interventional trials of spa therapy.

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