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PREVENTION TRIAL RECRUITMENT--PATIENT AND DOCTOR FACTORS

预防试验招募——患者和医生因素

基本信息

批准号：
2545434
负责人：
Karen Freund
金额：
$ 8.97万
依托单位：
BOSTON MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
1996
资助国家：
美国
起止时间：
1996-09-30 至 1999-03-31
项目状态：
已结题

项目摘要

DESCRIPTION: (Applicant's Description) In order for recruitment into cancer prevention trials to be successful, the barriers that both primary care and specialty providers perceive must be understood. Strategies must be employed to overcome these barriers, focusing on physicians more likely to recruit patients to trials, and using recruitment methods acceptable to these providers. This proposal examines the factors associated with recruitment to prevention trials using the Breast Cancer Prevention Trial (BCPT) as the framework, and using two components to assess the issues unique in primary care and specialty practice. Primary care providers will be surveyed using a self-administered questionnaire which seeks to a) identify perceived barriers to prevention and clinical trials enrollment b) identify strategies to overcome these barriers through identifying acceptable methods of engaging primary providers into recruitment efforts, c) determine using an innovative factorial experiment, the independent and joint effects of physician factors, including race, age, gender, geographic location, and specialty training, and patient factors including age, race, socioeconomic status, comorbidity and mobility, that influence a physician's decision to recruit to the BCPT. Assessment of barriers and attitudes of the specialist will be accomplished through a secondary data analysis of data collected by an interviewer-administered questionnaire based on a videotape enacted scene of a patient-physician interaction. This data analysis will assess the same physician and patient factors, using a factorial design, to address barriers for the specialist to enrolling patients into prevention trials, and the patient and physician factors associated with recruitment into these trials. The results of this study will allow us to a) design new recruitment strategies, based on profiles of physicians most likely to recruit women, especially elderly and minority women to prevention trials, and b) strategies most likely to be accepted with these physicians' practices.

描述：（申请人的描述）为了招募到癌症中，预防试验要取得成功，初级保健和专业服务提供商必须了解。战略必须雇用来克服这些障碍，重点是医生更有可能招募患者参加试验，并使用可接受的招募方法，这些供应商。本提案审查了与下列方面有关的因素：使用乳腺癌预防试验招募预防试验（BCPT）作为框架，并使用两个组成部分来评估问题在初级保健和专业实践中独一无二。初级保健提供者将使用自填问卷进行调查，目的是a）识别预防和临床试验招募的感知障碍B）确定克服这些障碍的战略，使主要提供者参与招聘工作的可接受方法， c）使用创新的析因实验，确定独立和医生因素的联合作用，包括种族、年龄、性别、地理地点和专业培训，以及患者因素，包括年龄，种族，社会经济地位，共同体和流动性，影响医生的决定招募BCPT。评估障碍和态度专家将通过二级数据分析完成，通过访谈者管理的问卷调查收集的数据，一个病人和医生互动的录像带场景。该数据分析将评估相同的医生和患者因素，使用析因设计，以解决专家入组的障碍患者进入预防试验，患者和医生因素与这些试验的招募有关。本研究结果将使我们能够a）根据以下人员的情况设计新的招聘战略：医生最有可能招募妇女，特别是老年人和少数民族妇女参加预防试验，以及B）最有可能被接受的战略这些医生的做法。