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首页> 外文期刊>Contemporary Clinical Trials Communications >Impact of informed consent content and length on recruitment of older adults into a community based primary prevention trial
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Impact of informed consent content and length on recruitment of older adults into a community based primary prevention trial

机译:知情同意书的内容和长度对招募老年人参加基于社区的初级预防试验的影响

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摘要

Aims To compare recruitment, refusal and randomisation rates of older adults into a general practice-based clinical trial with two versions (varied format, content and language) of the Participant Information and Consent Form (PICF). Methods This prospective PICF study was conducted within the STAREE (STAtins in Reducing Events in the Elderly) clinical trial. Participants phone screened between October 2015 to February 2016 formed Group 1 and were mailed the extended PICF version and participants phone screened between October 2016 to February 2017 formed Group 2 and were mailed the shortened PICF version. Participants who attended a subsequent baseline screening visit were guided through a comprehensive informed consent process. Results During the screening phase of the trial, the likelihood of refusing trial participation was lower in Group 2 compared to Group 1 equating to an overall 23% reduction in risk (RR 0.77, P?=?0.005, 95% CI 0.62–0.95). Group 2 had a 6.4% higher randomisation rate compared with Group 1 (65.3% versus 58.9% respectively) but this difference was not statistically significant. Factors associated with trial participation were male gender, age between 70 and 75 years and living alone (all p?
机译:目的将参加者信息和同意书(PICF)的两种版本(格式,内容和语言不同)比较成年基于成年人的招募,拒绝和随机化率。方法这项前瞻性PICF研究是在STAREE(老年人减少事件中的他汀类药物)临床试验中进行的。在2015年10月至2016年2月之间筛选的参与者电话形成第1组,并通过邮件发送扩展的PICF版本;在2016年10月至2017年2月之间筛选的参与者电话形成第2组,并通过邮件发送了较短的PICF版本。参加了随后的基线筛查访问的参与者将通过全面的知情同意程序进行指导。结果在试验的筛选阶段,与第1组相比,第2组拒绝试验参与的可能性更低,这意味着总体上降低了23%的风险(RR 0.77,P <= 0.005,95%CI 0.62-0.95)。 。与第1组相比,第2组的随机化率高6.4%(分别为65.3%和58.9%),但是这种差异在统计学上没有统计学意义。与试验参与有关的因素是男性,年龄在70-75岁之间以及独自生活(所有p <0.05.0.05)。结论尽管避免冗长而复杂的PICF文件可能有助于初期试验的开展,但它还需要其他策略加以补充,以支持正在进行的试验对随机化及其他方面的兴趣。参与者在整个筛选阶段都拒绝了试验参与,这表明PICF只是影响个人参与该临床试验决定的几个因素中的一个因素。强调 ?建议使用简短的临床试验文件。 ?避免冗长而复杂的临床试验文件可能有助于提高老年人的试验参与率。 ?寻求增加老年人参与研究的策略,以获取更多针对特定年龄段的公共卫生数据。

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