时间,金钱和减肥:一项定性研究,探讨患者对空腹外科手术随机化与密集非手术减肥计划的观点
Sofie Amalie Tomova-Olsen1, Marius Brostrøm Kousgaard2, Katrine Tranberg Jensen2
1Centre for General Practice, the Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark. sofie.olsen@sund.ku.dk.
Trials
|April 4, 2025
概括
对减肥手术试验的招聘是具有挑战性的. 解决患者对等待时间,药物费用和计划努力的担忧可以改善参与临床试验的情况.
科学领域:
- 医学研究方法论医学研究方法论.
- 质量健康研究 质量健康研究
- 临床试验的设计
背景情况:
- 随机对照试验 (RCT) 对医学进步至关重要,但在招募参与者方面面临挑战.
- 该LightBAR试验 (NCT06309238) 调查了减肥手术与密集减肥计划的对比.
- 一项定性研究探讨了LightBAR试验的招聘障碍.
研究的目的:
- 确定LightBAR临床试验参与者招募的障碍和促进者.
- 了解患者对随机化,手术干预和密集减肥计划的看法.
主要方法:
- 这是一项定性研究,涉及9名来自减肥手术等候名单的患者.
- 焦点小组使用片场景来探索参与障碍和促进者.
- 专题分析用于分析聚焦小组和采访中的定性数据.
主要成果:
- 长期等待手术的时间降低了随机选择的意愿.
- 对减肥药费用和计划参与力度的担忧是显著的.
- 患者根据个人信仰对手术风险/益处与计划有效性进行了权衡.
结论:
- 根据患者的情况定制招聘策略对于改善试验参与至关重要.
- 关于试验影响的清晰,以患者为中心的沟通可以提高招聘成功.
- 解决患者的具体问题是克服减肥干预试验招募障碍的关键.
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