试点试验特征,试点后设计修改,以及全面试验的可行性
Xiangji Ying1, Stephan Ehrhardt1
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
JAMA network open
|September 14, 2023
概括
试点试验可以为随后的全面试验提供信息,但设计变化并不总是提高可行性. 在试点研究中保持掩盖和使用可行性进展标准与更大的试验中更好的查成功有关.
科学领域:
- 临床试验方法论 临床试验方法论
- 医疗保健服务研究 医疗服务研究
背景情况:
- 试点试验经常为随后的全面试验提供设计修改的信息.
- 这些修改对更大的试验可行性的影响仍然不确定.
研究的目的:
- 为了比较试点和全面试验之间的可行性估计.
- 确定试点试验特征和试点后的修改,与完全规模试验中同等或更好的可行性相关.
主要方法:
- 一项队列研究分析了在2005年至2018年之间发表的249对试点和全面试验.
- 通过比较成功查概率,入学率和保留概率来评估可行性.
- 可行性指标被认为是同等或改进的,如果全规模试验估计在试验试验估计的10%以内.
主要成果:
- 与试点试验相比,43%的全面试验显示了更好的查概率,77%的入学率提高,82%的保留概率提高.
- 使用可行性进展标准并保持参与者或从业者掩盖的试点试验与查成功的增加有关.
- 增加研究地点提高了入学率,而添加干预内容或转向主动对照等修改降低了留学概率.
结论:
- 试点试验的特点和试点后的修改对全面试验的可行性产生了不同的影响.
- 在试点试验中实施掩盖,正如计划进行全面试验一样,是有益的.
- 增加参与者负担的修改可能会降低全面试验的可行性,需要试验人员和资助者仔细考虑.
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