开发有弹性的临床试验:在流行病期间推出"恢复健康"试验的经验教训
Emma K Ho1, Manuela L Ferreira2, Paul Hodges3
1The University of Sydney, Sydney Musculoskeletal Health, School of Health Sciences, Charles Perkins Centre, Faculty of Medicine and Health, Sydney, NSW, Australia; The University of Sydney, Sydney Musculoskeletal Health, The Kolling Institute, School of Health Sciences, Faculty of Medicine and Health, Sydney, NSW, Australia.
Contemporary clinical trials
|August 31, 2023
概括
COVID-19大流行扰乱了公共卫生随机对照试验 (RCT). 调整试验设计和使用远程方法改善了招聘和参与者安全,为未来的弹性研究提供了教训.
科学领域:
- 公共卫生 公共卫生
- 临床试验 临床试验
- 流行病学 流行病学
背景情况:
- 由于COVID-19的流行,随机对照试验 (RCT) 的执行发生了重大干扰,特别是那些专注于公共卫生服务的试验.
- 澳大利亚的Get Back to Healthy试验作为一个案例研究来检查这些干扰.
研究的目的:
- 为澳大利亚公共卫生服务中的RCT提供与流行病相关的挑战.
- 总结实施的应急战略的影响.
- 描述未来试验行为所学到的关键教训.
主要方法:
- 描述性总结所遇到的挑战.
- 分析应急战略的有效性.
- 确定从试验经验中学到的关键教训.
主要成果:
- 由于服务暂停,招聘速度缓慢是主要的挑战,通过扩大资格标准来缓解,这改善了招聘率.
- 还注意到过渡到远程同意和数据收集,增加了参与者安全监测的复杂性,以及潜在的统计挑战.
- 关键的教训包括适应性试验设计的必要性,参与远程方法的好处,加强安全监测的重要性以及预测统计复杂性的重要性.
结论:
- 从这项试验中吸取的经验教训可以为开发更有弹性的RCT提供信息,特别是在公共卫生服务中.
- 这些见解对于应对影响研究连续性的当前和未来公共卫生危机有价值.
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