Exploring patients' reasons for declining contact in a cognitive behavioural therapy randomised controlled trial in primary care
Exploring patients' reasons for declining contact in a cognitive behavioural therapy randomised controlled trial in primary care
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DOI：
10.3399/bjgp12x641492
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发表时间：
2012-05-01
影响因子：
5.9
通讯作者：
Turner, Katrina
中科院分区：
文献类型：
--
作者：
Barnes, Maria;Wiles, Nicola;Turner, Katrina
背景：招募个体参加精神健康试验的困难是有据可查的。一些研究已经收集了信息，从那些拒绝参加研究，以了解背后的原因，这一decision.Aim：探讨患者的原因，拒绝被联系的一项研究的有效性的认知行为疗法作为一种治疗depression.Design和setting：问卷调查和电话采访的一般做法，在英格兰和Scotland.Method：患者完成了一份简短的问卷调查，他们的原因不参加研究。半结构化的电话采访进行了有目的的样本，以进一步探讨原因declining.Results：4552例患者响应最初的邀请参加研究，涉及谈话疗法，1642（36%）拒绝接触。最常选择的拒绝原因是患者不想参加研究（n = 951）和/或不想接受谈话治疗（n = 688）（可能有一种以上的回答）。在拒绝者中，451名患者同意接受采访，了解他们拒绝的原因。电话采访了25名患者。访谈数据的定性分析表明，四个主要主题的原因不参与：以前的咨询经验，负面情绪的治疗遭遇，认为不合格，误解的research.Conclusion：收集信息，那些拒绝参加研究提供了信息的可接受性的治疗正在研究。它还可以突出对干预和研究的担忧和误解，这可以由研究人员或招募全科医生解决。这可能会改善研究的招募，从而最终增加证据基础。
Background:The difficulties of recruiting individuals into mental health trials are well documented. Few studies have collected information from those declining to take part in research, in order to understand the reasons behind this decision.Aim:To explore patients' reasons for declining to be contacted about a study of the effectiveness of cognitive behavioural therapy as a treatment for depression.Design and setting:Questionnaire and telephone interview in general practices in England and Scotland.Method:Patients completed a short questionnaire about their reasons for not taking part in research. Semi-structured telephone interviews were conducted with a purposive sample to further explore reasons for declining.Results:Of 4552 patients responding to an initial invitation to participate in research involving a talking therapy, 1642 (36%) declined contact. The most commonly selected reasons for declining were that patients did not want to take part in a research study (n = 951) and/or did not want to have a talking therapy (n = 688) (more than one response was possible). Of the decliners, 451 patients agreed to an interview about why they declined. Telephone interviews were completed with 25 patients. Qualitative analysis of the interview data indicated four main themes regarding reasons for non-participation: previous counselling experiences, negative feelings about the therapeutic encounter, perceived ineligibility, and misunderstandings about the research.Conclusion:Collecting information about those who decline to take part in research provides information on the acceptability of the treatment being studied. It can also highlight concerns and misconceptions about the intervention and research, which can be addressed by researchers or recruiting GPs. This may improve recruitment to studies and thus ultimately increase the evidence base.