启动国际多站点临床试验的考虑因素
Laura Beth Kalvas1, Mallory A Perry-Eaddy, Amy Cassidy2
1Nationwide Children's Hospital, Columbus, OH, USA.
Nursing research
|April 9, 2025
概括
启动多站点随机对照试验 (RCT) 需要仔细规划,特别是在国际上. 国际网站的激活时间比美国网站要长,因此需要调整时间表以成功注册学科.
科学领域:
- 护理研究 护理研究
- 临床试验 临床试验
- 基于证据的实践.
背景情况:
- 多站点随机对照试验 (RCT) 对于产生护理干预措施的高水平证据至关重要.
- 国际多站点RCT面临重大后勤挑战,特别是及时招募受试者.
- 资助者期望快速招募受试者,通常是在试验资助的第一年内.
研究的目的:
- 概述启动多站点RCT的基本要素.
- 为正在转向多站点研究的护士调查人员提供实用指南.
- 分享从一个大型国际儿科重症监护RCT中学到的经验教训.
主要方法:
- 一个多站点RCT创业活动的逐步审查.
- 使用PROSpect国际儿科重症护理RCT作为一个例子.
- 分析颁奖前后活动,组织结构和推出时间表.
主要成果:
- 54个国际站点在两年内启动了启动活动;28%的人在第一年开始选.
- 科目招生在第一个资助年度结束前开始.
- 与美国网站 (平均219天) 相比,国际网站的启动时间要长得多 (平均448天).
结论:
- 多站点RCT虽然复杂,但产生高质量的证据,并且可以通过系统的组织来管理.
- 调整国际试验地点激活时间表对于减轻试验失败的风险至关重要.
- 简化多站点RCT启动过程对于护士调查员至关重要.
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