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Patients' perspectives on planned interventions tested in the Otago MASTER feasibility trial: an implementation-based

Daniel Cury Ribeiro1, Amanda Wilkinson2, Vander Gava3

  • 1Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.

Brazilian Journal of Physical Therapy
|June 27, 2024
PubMed
Abstract

Insights

Patient experiences in clinical trials are crucial for improving recruitment and adherence. Understanding patient preferences for interventions, like tailored exercise, can enhance trial design and outcomes.

Area of Science:

  • Clinical research methodology
  • Patient-centered care
  • Health services research

Background:

  • Patient perspectives are vital for effective clinical trial design and execution.
  • Participant experiences influence trial retention and adherence, impacting data validity.
  • Aligning trials with patient needs and preferences can improve recruitment and adherence.

Purpose of the Study:

  • To investigate patient perceptions of trial interventions through qualitative interviews.
  • To evaluate the patient experience within the Otago MASTER feasibility trial.

Main Methods:

  • Thematic analysis of semi-structured interviews with 16 participants from a feasibility trial.
  • Participants were allocated to tailored or standardized exercise groups.

Main Results:

  • Participants joined trials for healthcare access and research contribution.
  • Patients valued personalized interventions, clinician interaction, and empathetic environments.
  • Barriers and facilitators to participation were identified, offering insights for future trial design.

Conclusions:

  • Patient engagement in trials can improve self-management and self-efficacy.
  • Personalized care and clinician interaction are highly valued by participants.
  • Addressing identified barriers is essential for the reliability and validity of future clinical trial results.
Keywords:
Clinical trialExercise therapyPainProcess evaluationShoulder

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