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Table 1 Table summarising the rating scale criteria used for each of the quality assessments

From: Understanding how therapeutic exercise prescription changes outcomes important to patients with persistent non-specific low back pain: a realist review protocol

Quality appraisal

Rating scale criteria

Richness

5 = Conceptually rich: studies with well-grounded and clearly described theories and concepts

4 = Conceptually thick: studies with a rich description of a programme, but without explicit reference to the theory underpinning it

3 or less = conceptually thin: studies with weak programme descriptions where discerning theory would have been problematic [26]

Relevance

5 = directly relevant if they focussed on low back pain, exercise prescription, therapeutic alliance, and the patient’s perspective

4 = mostly relevant if they had one theme less than above

3 = not directly relevant if the articles focused only on exercise or low back pain (not both) without additional information on patient perspectives or therapeutic alliance

Rigour

“Are the methods used to generate the relevant data are credible and trustworthy”

5 = well-conducted RCT, well-conducted SR of RCTs

4 = well-conducted quantitative studies, SR of other study types, well-conducted qualitative studies or mixed-method studies

3 = RCT with concerns of bias, quantitative analysis with some concerns over methods

2 = poor methodology (of any of the above) or not generalisable (case reports/case series)

1 = non-research

  1. SR systematic reviews, RCT randomised controlled trials