Using the TIDieR checklist to describe the intervention of the Sedation and Weaning in Children (SANDWICH) trial

Nurs Crit Care. 2023 May;28(3):396-403. doi: 10.1111/nicc.12810. Epub 2022 Jun 22.

Abstract

Background: Published reports of complex interventions in randomized controlled trials often lack sufficient detail to allow trial replication and adoption into practice.

Aim: The aim of this paper is to describe our experience of using the Template for Intervention Description and Replication (TIDieR) checklist in reporting a recent trial of sedation and ventilation weaning in critically ill children (the Sedation and Weaning in Children [SANDWICH] trial).

Methods: The TIDieR 12-point checklist has been used to detail and describe the specific SANDWICH trial intervention and methods of implementation.

Results/discussion: Overall, we found the checklist a useful tool to direct and ensure consistency of reporting of our complex intervention used in a multi-centre clinical trial. We experienced some minor limitations in classifying training materials and delivery mode into one item because of the overlapping nature of this component.

Conclusion: Using the TIDieR checklist to report complex interventions tested in trials provides a structured, systematic way of describing necessary detail. This allows clinicians to understand the theory behind the intervention, how it should be delivered, and the resources required.

Relevance to clinical practice: The SANDWICH intervention had a significant beneficial effect on reducing time on ventilation for children. The detailed description of the team-based intervention will aid replication, implementation and monitoring of fidelity in other paediatric intensive care units.

Keywords: child; complex intervention; intensive care; mechanical ventilation; neonate; paediatric.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Checklist*
  • Child
  • Humans
  • Intensive Care Units, Pediatric
  • Research Design*
  • Research Report