Patient and public involvement in numerical aspects of trials: a mixed methods theory-informed survey of trialists' current practices, barriers and facilitators.
Patient and public involvement in numerical aspects of trials: a mixed methods theory-informed survey of trialists' current practices, barriers and facilitators.
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DOI：
10.1136/bmjopen-2020-046977
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发表时间：
2021-03-18
期刊：
影响因子：
2.9
通讯作者：
Gillies K
中科院分区：
文献类型：
--
作者：
Goulao B;Poisson C;Gillies K
我们的目的是找出如果试验参与者涉及患者和公众在试验的数值方面，如何以及什么是这样做的障碍和facilitators.We开发了一个调查的基础上的理论域框架。我们使用混合方法来分析数据并确定重要领域。针对英国试验单位的在线调查。在英国临床试验中工作的利益相关者，18岁或以上，懂英语并同意参加研究。试验者在试验的数值方面涉及患者和公众的行为及其决定因素。共收到187份答卷。大多数为女性（70%）、试验管理者（67%）以及参与试验数字方面的公众和患者合作伙伴（60%）。我们发现，缺乏知识，试验者对公众和患者合作伙伴的技能，能力和动机的看法，稀缺的资源，缺乏强化和缺乏指导是让公众和患者合作伙伴参与试验的数字方面的障碍。更多的培训、指导和资金可以帮助试验者在数字方面让患者和公共合作伙伴参与进来，尽管他们不确定公共和患者合作伙伴参与的动机。未来的研究应侧重于确定公众和患者合作伙伴的动机，并制定战略，以改善沟通的数字方面。
We aimed to find out if trialists involve patients and the public in numerical aspects of trials, how and what are the barriers and facilitators to doing it. We developed a survey based on the Theoretical Domains Framework. We used a mixed methods approach to analyse the data and to identify important domains. Online survey targeting UK-based trial units. Stakeholders working in UK-based clinical trials, 18 years old or over, understand English and agree to take part in the study. Trialists’ behaviour of involving patients and the public in numerical aspects of trials and its determinants. We included 187 respondents. Majority were female (70%), trial managers (67%) and involved public and patient partners in numerical aspects of trials (60%). We found lack of knowledge, trialists’ perception of public and patient partners’ skills, capabilities and motivations, scarce resources, lack of reinforcement, and lack of guidance were barriers to involving public and patient partners in numerical aspects of trials. Positive beliefs about consequences were an incentive to doing it. More training, guidance and funding can help trialists involve patient and public partners in numerical aspects, although they were uncertain about public and patient partners’ motivation to be involved. Future research should focus on identifying public and patient partners’ motivations and develop strategies to improve the communication of numerical aspects.
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