Single-case experimental designs (SCEDs) to assess intervention effectiveness in rehabilitation: a practical guide

Krasny-Pacini, A. and Evans, J. (2018) Single-case experimental designs (SCEDs) to assess intervention effectiveness in rehabilitation: a practical guide. Annals of Physical and Rehabilitation Medicine, 61(3), pp. 164-179. (doi: 10.1016/j.rehab.2017.12.002) (PMID:29253607)

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Abstract

Single-Case experimental designs (SCED) are experimental designs aiming at testing the effect of an intervention using a small number of patients (typically one to three), using repeated measurements, sequential (± randomized) introduction of an intervention and method-specific data analysis, including visual analysis and specific statistics. The aim of this paper is to familiarise professionals working in different fields of rehabilitation with SCEDs and provide practical advice on how to design and implement a SCED in clinical rehabilitation practice. Research questions suitable for SCEDs and the different types of SCEDs (e.g., alternating treatment designs, introduction/withdrawal designs and multiple baseline designs) are reviewed. Practical steps in preparing a SCED design are outlined. Examples from different rehabilitation domains are provided throughout the paper. Challenging issues such as the choice of the repeated measure, assessment of generalisation, randomization, procedural fidelity, replication and generalizability of findings are discussed. Simple rules and resources for data analysis are presented. The utility of SCEDs in physical and rehabilitation medicine (PRM) are discussed.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Evans, Professor Jonathan
Authors: Krasny-Pacini, A., and Evans, J.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:Annals of Physical and Rehabilitation Medicine
Publisher:Elsevier
ISSN:1877-0657
ISSN (Online):1877-0665
Published Online:15 December 2017
Copyright Holders:Copyright © 2017 Elsevier Masson SAS
First Published:First published in Annals of Physical and Rehabilitation Medicine 61(3): 164-179
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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