在试验创新网络中分散的临床试验:价值,策略和经验教训
Daniel F Hanley1,2, Gordon R Bernard3,4, Consuelo H Wilkins3,4,5
1Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Journal of clinical and translational science
|September 1, 2023
概括
分散的临床试验利用远程技术来提高效率和参与者访问. 需要进一步的研究,以确保在这些不断变化的研究模式中公平地纳入各种人群.
科学领域:
- 临床研究 临床研究
- 翻译科学 翻译科学
- 数字健康数字健康
背景情况:
- 冠状病毒疾病-2019流行病加速了分散的临床试验 (DCT) 的采用.
- 远程工具和方法提供了提高试验效率和减少参与者负担的潜力.
- 自2016年以来,试验创新网络 (TIN) 在提供DCT战略建议方面发挥了重要作用.
研究的目的:
- 探索临床研究中去中心化方法的应用和影响.
- 在DCT实施中确定成功的领域和需要改进的领域.
- 评估DCT改善多样性和包容性的潜力.
主要方法:
- 试验创新网络对400多个研究研究建议进行商.
- 关于DCT元素的建议,包括eConsent,远程干预和社交媒体招聘.
- 评估各种分散试验组件的有效性.
主要成果:
- 分权化方法在促进传统环境之外的参与方面表现出有希望.
- 诸如eConsent和远程提醒等元素已经成功实施.
- 远程招聘和患者监测需要进一步评估和改进.
- 混合试验模型代表了远程方法的初始优化步骤.
结论:
- 分散的临床试验为城乡多样性提供了潜在的好处,但需要进一步研究关于种族和民族包容性的问题.
- 在边缘化社区内建立信任并确保技术获取对于包容性DCT参与至关重要.
- 需要对远程方法进行持续评估和改进,以最大限度地提高DCT的价值.
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