Praxical.Psych

Reporting guidelines: which one, and why they exist

Checklists that make a study reportable, reproducible, and reviewable. Most journals now require one.

Reporting guidelines exist because a large proportion of published research could not be evaluated, replicated or included in a synthesis, for the mundane reason that essential information was missing. They are not a quality standard for the study; they are a completeness standard for the report. A badly designed trial reported to CONSORT is still a badly designed trial — but at least you can tell.

DesignGuidelineWhat it is for
Randomised trialCONSORT (+ extensions for non-pharmacological and social interventions)Flow diagram, randomisation, blinding, all outcomes pre-specified
Trial protocolSPIRITWhat you will do, published before you do it
Systematic review / meta-analysisPRISMA 2020Search strategy, screening, flow diagram, risk-of-bias assessment
Review protocolPRISMA-P; register on PROSPEROPre-specification of a review
Observational studySTROBECohort, case-control and cross-sectional reporting
Qualitative researchCOREQ (interviews/focus groups) or SRQRReflexivity, sampling, analysis, coding, trustworthiness
Single case reportCARETimeline, intervention, outcomes, patient perspective, consent
Single-case experimental designSCRIBEPhase design, replication, visual and statistical analysis
Quality improvementSQUIRE 2.0Context, intervention, iterations, unintended consequences
Diagnostic accuracySTARDReference standard, blinding, flow, 2×2 table
Economic evaluationCHEERSPerspective, horizon, discounting, sensitivity analysis
Any psychology manuscriptAPA JARS (Quantitative / Qualitative / Mixed)The APA’s own reporting standards

Psychotherapy-specific things the generic checklists under-specify

  • Therapist characteristics: how many, what training, what supervision, what allegiance. Therapist effects exceed treatment effects, and most trials report nothing about them.
  • Treatment fidelity AND competence: whether the protocol was followed, and whether it was delivered well. These are different and both are usually missing.
  • The comparator, described in enough detail to know whether it was bona fide.
  • Deterioration and adverse events. Psychotherapy trials have historically not reported harms at all, which is a serious and now widely criticised omission.
  • Attrition by arm, with reasons, and how missing data were handled.
  • Allegiance of the investigators, declared rather than inferred.

Sources

  • Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. BMJ, 340, c332

    guideline
  • Page, M. J., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71

    guideline
  • Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ). International Journal for Quality in Health Care, 19(6), 349–357

    guideline
  • Gagnier, J. J., et al. (2013). The CARE guidelines: Consensus-based clinical case reporting guideline development. BMJ Case Reports

    guideline

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Before you begin

What Praxical.Psych is, and is not

Praxical.Psych is an educational tool. It teaches the theory, evidence base and clinical method of psychotherapy at the level of an advanced survey course, and it lets you rehearse a complete session in a simulator.

It is not medical, clinical, psychological or legal advice. It cannot diagnose or treat anyone, and it does not state the law where you practise — requirements differ by jurisdiction and change. Nothing here creates a clinician–patient or solicitor–client relationship.

  • Every patient, transcript and case in this app is fictional — a composite written for teaching. None depicts a real person.
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