在COVID-19期间在DYAD专注的电子健康干预中招聘和保留的挑战和方法:随机对照试验
Chunxuan Ma1, Rachel H Adler1, Daria B Neidre1
1School of Nursing, University of Texas Health Science Center, San Antonio, TX, United States.
Journal of medical Internet research
|December 3, 2024
概括
这项研究成功地招募并保留了前列腺癌临床试验的患者-合作伙伴二合一,尽管存在大流行,但实现了高的入学和随访率. 关键战略包括电子健康干预和在线调查.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在以家庭为基础的随机对照试验 (RCT) 中,招募和保留是重大挑战.
- 以癌症为重点的RCT通常依赖于当地医疗机构的便利样本.
- 这项研究通过检查前列腺癌研究中患者-合作伙伴对象的基于人口的方法来解决这些挑战.
研究的目的:
- 评估在随机对照试验 (RCT) 中对患者-伴侣二合一的招募和保留.
- 测试一项旨在改善前列腺癌患者及其伴侣生活质量的双重eHealth干预措施.
- 确定影响该群体保留的因素.
主要方法:
- 进行了一项双臂并行组随机对照试验 (RCT).
- 参与者是最近因局部性前列腺癌接受治疗的男性,通过全州癌症登记处招募.
- 患者与伴侣对象完成了基线评估,并随机分配;随访调查在4,8和12个月进行.
主要成果:
- 这项研究成功招募了280个双节 (85.11%的招生率),并在12个月后保留了221个双节 (78.93%的保留率).
- 认同"其他种族"的参与者更有可能退出 (OR 2.78),而年长的参与者更不可能退出 (OR 0.96).
- 招募和保留发生在COVID-19大流行期间.
结论:
- 实现了高的招聘和保留率,与类似的二次性干预研究中的水平相当或超过.
- 一个专门的研究小组和具体的策略,包括电子健康干预和在线调查,促进了成功.
- 这些发现表明,即使在流行病期间,在基于人口的RCT中招募和保留dyads的可行性.
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