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Expanding Clinical Trials Designs to Extend Equitable Hearing Care
Rolvix Patterson1, Marissa Schuh2, Matthew L Bush2
1Department of Head and Neck Surgery and Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Ear and Hearing
|June 20, 2022
Summary
Clinical trials are vital for advancing hearing healthcare. Utilizing diverse trial designs and community involvement can improve research reach and health equity for all populations.
Area of Science:
- Hearing healthcare research
- Clinical trial design
- Health equity
Background:
- Clinical trials are essential for translating scientific discoveries into improved hearing healthcare outcomes and quality of life.
- Current healthcare research, including hearing healthcare, faces challenges with diverse participation, recruitment of underserved populations, and effective dissemination of findings.
- Expanding trial designs and focusing on implementation are crucial for addressing these gaps.
Purpose of the Study:
- To explore the role and value of various clinical trial designs (randomized controlled, cluster randomized, stepped wedge, mixed methods) in addressing health equity in hearing healthcare.
- To emphasize the importance of community and stakeholder involvement in clinical trials.
- To examine dissemination and implementation frameworks and designs, such as hybrid trial designs, for clinical trials.
Main Methods:
- Review of clinical trial designs including randomized controlled trials, cluster randomized trials, stepped wedge designs, and mixed methods approaches.
- Discussion on integrating community and stakeholder engagement strategies.
- Exploration of dissemination and implementation frameworks and hybrid trial designs.
Main Results:
- Diverse clinical trial designs can be employed to address health equity in hearing healthcare.
- Community and stakeholder involvement are critical components for successful and equitable research.
- Hybrid trial designs and implementation frameworks facilitate the broader application of research findings.
Conclusions:
- Adopting a wider array of clinical trial designs can help extend hearing healthcare discoveries to more diverse populations.
- Integrating community engagement and robust dissemination strategies is key to achieving health equity in hearing healthcare research.
- Further research utilizing varied trial designs and implementation science is needed to advance hearing healthcare for all.
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