Drop-out, adherence, and compliance in randomized controlled trials of exercise training in multiple sclerosis: Short report

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Abstract

We documented reporting and rates of drop-out, adherence, and compliance from 40 randomized controlled trials (RCTs) included in our meta-analysis on safety of exercise training (ET) in MS. We adopted definitions and metrics of adherence and compliance provided by the MoXFo adherence group. Drop-out was reported in 100% of the RCTs and approximated 10% for intervention and control conditions. Adherence and compliance were reported in approximately 50% and 10% of the RCTs, respectively, and approximated 80% and 70%, respectively. Standardized metrics for reporting adherence and compliance are important in future RCTs for understanding the impact on outcomes and translation of research evidence into practice.

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Motl, R. W., Russell, D. I., Pilutti, L. A., Metse, A. P., Marck, C. H., Chan, B., … Learmonth, Y. C. (2024). Drop-out, adherence, and compliance in randomized controlled trials of exercise training in multiple sclerosis: Short report. Multiple Sclerosis Journal, 30(4–5), 605–611. https://doi.org/10.1177/13524585241229332

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