研究人员对集群随机试验中偏差风险的看法:一种定性面试研究
Christina L Easter1, Caroline Kristunas2, Sheila Greenfield3
1Department of Applied Health Sciences, University of Birmingham, Birmingham, UK c.l.easter@bham.ac.uk.
BMJ open
|November 6, 2025
概括
研究人员不知道或颠覆集群随机试验 (CRT) 中的偏差缓解措施. 需要改善教育和协作,以防止偏见,并提高CRT发现的有效性.
科学领域:
- 临床试验方法论 临床试验方法论
- 研究偏见缓解研究偏见缓解
- 定性研究方法 定性研究方法
背景情况:
- 集群随机试验 (CRT) 容易受到差异性参与者识别和招募的偏见的影响,威胁到研究的有效性.
- 在CRT研究人员中,对偏见缓解策略的认识和应用仍然不清楚.
研究的目的:
- 探索CRT研究人员对偏见缓解措施的认识和感知的重要性.
- 确定在CRT中实施偏见控制策略的障碍.
主要方法:
- 一个使用半结构面试的定性研究.
- 来自英国,澳大利亚和美国的24名参与者 (统计学家,调查人员,试验协调员) 接受了采访.
主要成果:
- 参与者对偏见的认识各不相同,有些人表现出误解或肤浅的理解.
- 后勤挑战和不同的团队结构影响了偏见缓解的实施.
- 研究优先考虑参与者利益而不是可概括的知识的认知,以及CRT的规范化产生较低水平的证据,有助于偏见.
结论:
- 迫切需要确保CRT没有偏见,因为缓解措施通常是未知的,不切实际的或颠覆的.
- 建议加强教育和协作团队合作,以改善偏见意识和实施.
- 文化转变是必要的,以防止潜意识的偏见在招聘和挑战CRTs生产低质量的证据的看法.
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