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参与心理健康临床试验的挑战和解决方案: Count Me In 2.0
Oládayò Bífárìn1,2, Terry Bryant3,4, Michelle Harvey4
1Mersey Care NHS Foundation Trust, Liverpool, England, UK oladayo.bifarin@merseycare.nhs.uk.
BMJ mental health
|January 19, 2026
概括
在英国,心理健康临床试验的招聘正在通过Count Me In (CMI) 选择退出模式得到改善. 为了获得更好的数据和包容性患者接触,需要进一步的改进,以确保多样化的试验人群.
科学领域:
- 临床研究方法论临床研究方法论
- 心理健康服务研究 心理健康服务研究
- 临床试验中的健康公平.
背景情况:
- 英国心理健康研究面临招聘障碍,仅占批准试验的3.3%.
- 临床医生守门制约了患者的意识和参与心理健康研究.
- 现有的招聘模式努力确保多样化和代表性的试验人群.
研究的目的:
- 评估英国心理健康试验中Count Me In (CMI) 选择退出招聘模型的有效性.
- 确定CMI方法的改进领域,以提高患者招募和试验多样性.
- 倡导临床试验的进展,为心理健康研究的招聘策略.
主要方法:
- 在牛津和利物浦市区实施" Count Me In (CMI) "选择性招聘模式.
- 直接与患者联系,讨论研究机会,促进共同决策.
- 在CMI框架内分析招聘数据和患者参与度.
主要成果:
- 该CMI方法旨在通过直接参与患者来克服招聘障碍.
- 该模型旨在在参与研究的决策过程中赋予患者权力.
- 早期实施表明了将研究参与纳入常规临床护理的潜力.
结论:
- 为了获得最佳影响,需要超越原始CMI模型的进步.
- 加强数据采集和包容性患者外展机制对于改善参与至关重要.
- 未来的代必须优先考虑在心理健康研究中确保多样化和代表性的试验人群.
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