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Learning from OCTET - exploring the acceptability of clinical trials management methods
Catherine Arundel1, Judith Gellatly2
1Department of Health Sciences, University of York, York, UK. catherine.arundel@york.ac.uk.
Background:
Conducting research can be time consuming, difficult and challenging. Guidance and pragmatic advice focussing on randomised controlled trial conduct are available but do not necessarily constitute comprehensive guidance. A successful trial is one that recruits to time and target and collects high-quality data within the originally agreed budget. Standardised trial management tools have outlined key project management elements for a successful trial as a method of ensuring good practice in research trials: initiation, planning, execution, monitoring and closure. Lessons are also frequently learnt during the development and conduct of trials but rarely shared for the benefit of others. For the wider research team, the key focus will always be on the execution and delivery of a study. The aim of this study was to evaluate the acceptability of clinical trials management methods, focussing on study execution and monitoring, as implemented in the National Institute for Health Research Health Technology Assessment Programme-funded Obsessive Compulsive Treatment Efficacy Trial (OCTET).
Methods:
Workshops, questionnaires and semi-structured interviews were used to explore acceptability of trial management methods with members of the OCTET Trial research team. Nine members participated in the focus group, 10 completed a questionnaire and 20 were interviewed as part of qualitative work for the main OCTET study. Data was collected and analysed using thematic analysis.
Results:
Six key themes were identified: support; communication; processes; resources; training and ethos. Clear and open communication, enthusiasm and accessibility of the trial managers and chief investigator were consistently noted as an important facet of the successful running of the trial. Clear resources and training materials were also found to be crucial in helping staff to work within the trial setting. Constructive suggestions were also made for improvement of these resources; for example, including both checklists and flowcharts within trial processes.
Conclusion:
Organisation, openness and positivity are crucial for executing a trial successfully, whilst clear and focussed processes and resources are essential in monitoring and controlling the trial progress. Although derived from a single study, these findings are likely to be applicable to the successful conduct of all trials. Trial managers should consider developing these elements when setting up a study.
Trial Registration:
Clinical Trial Registry, ID: ISRCTN73535163 . Registered prospectively on 5 April 2011.
Insights
Successful clinical trial management relies on organization, open communication, and positivity. Clear processes and resources are essential for effective monitoring and control in research trials.
Area of Science:
- Clinical research management
- Trial operations
- Health Technology Assessment
Background:
- Research trials require effective management for timely recruitment and quality data collection.
- Existing guidance for randomized controlled trials is often not comprehensive.
- Lessons learned during trial conduct are infrequently shared.
Purpose of the Study:
- To evaluate the acceptability of clinical trial management methods.
- Focus on study execution and monitoring within the OCTET trial.
- Assess trial management practices in a Health Technology Assessment Programme-funded study.
Main Methods:
- Qualitative methods including workshops, questionnaires, and semi-structured interviews.
- Thematic analysis of data collected from the OCTET Trial research team.
- Exploration of trial management acceptability with 20 participants.
Main Results:
- Six key themes emerged: support, communication, processes, resources, training, and ethos.
- Clear communication, accessible trial managers, and enthusiasm were vital for trial success.
- Adequate resources and training materials, alongside suggestions for process improvements (checklists, flowcharts), were identified as crucial.
Conclusions:
- Organizational, open, and positive approaches are key to successful trial execution.
- Well-defined processes and resources are critical for trial monitoring and control.
- Findings offer insights applicable to the successful conduct of all research trials.
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