However, it is worth noting that many of the measures used a three-point Likert scale (e.g., PSC, SDQ).
Because of the disparate outcomes measures used, a single characteristic could not be determined to decide which implementation methodology was best or most-effective.
12 The MERSQI framework provides a measure of trial size (single or multiple institutions), validity of assessment instruments used, and the Kirkpatrick level of outcome measures used (a taxonomy for classifying training programmes).
In terms of measures used, a number of variables found to be associated with QoL in previous studies, for example, neurocognitive deficits, social support, coping style and anxiety, were not assessed in this sample.
Further, given that the strategic planning and metacognitive monitoring measures used a free-response format, and because participants were permitted to provide multiple, codeable responses to each question, we transformed the categorical responses to a metric scale to facilitate interpretation.
Analyses for other secondary measures used a mixed-model repeated-measures procedure similar to that used for the primary efficacy measure and were conducted on the ITT analysis set.
