癌症临床药物试验中的患者沟通和经验:在专门的临床试验单位进行混合方法研究
Rowan Forbes Shepherd1, Ashleigh Bradford2, Marian Lieschke3
1Department of Health Services Research and Implementation Science, Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne, VIC, 3000, Australia. rowan.forbesshepherd@petermac.org.
Trials
|June 13, 2023
概括
在癌症临床试验中,有效的沟通至关重要. 患者报告满意度很高,但强调了改善沟通的关键领域,特别是随机化和副作用管理.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 患者体验 患者体验
背景情况:
- 复杂的癌症治疗需要患者,医生和研究人员之间的清晰沟通,以实现最佳的临床试验管理.
- 对于临床试验期间的沟通实践和随着时间的推移而演变的患者体验,人们的理解有限.
- 这项研究探讨了不同时间点在临床药物试验中的患者沟通经验.
研究的目的:
- 探索临床药物试验中的患者经验,重点关注与试验人员的沟通.
- 确定临床试验参与不同阶段的关键沟通实践和患者报告的结果.
主要方法:
- 一种混合方法的方法,结合了在线调查和临床药物试验中的患者的定性访谈.
- 根据试验持续时间,患者被分为新 (113周),中 (1426周) 和长期 (≥52周) 队列.
- 对面试数据的专题分析和对调查答案的描述性统计数据被整合用于解释.
主要成果:
- 在所有试验阶段,患者对信息提供和沟通的满意度高 (超过90%).
- 长期患者 (46%) 比新参与者 (29%) 和中期参与者 (26%) 更多.
- 书面信息可能是压倒性的;口头沟通是高度重视的招生和副作用管理,需要特别注意随机化,副作用报告和试验结束过渡.
结论:
- 患者表达了高度的满意度,但发现了需要增强的关键沟通"紧点".
- 改进沟通策略可以积极影响癌症临床试验中的患者招募,留住和整体满意度.
- 有效的沟通实践对于成功的临床试验管理和患者福祉至关重要.
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