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Recruiting general practitioners and older patients with multimorbidity to randomized trials.
McCarthy, Caroline; Pericin, Ivana; Smith, Susan M; Moriarty, Frank; Clyne, Barbara.
Afiliación
  • McCarthy C; HRB Centre for Primary Care Research, Department of General Practice, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.
  • Pericin I; School of Social Work and Social Policy, Trinity College Dublin, Dublin 2, Ireland.
  • Smith SM; HRB Centre for Primary Care Research, Department of General Practice, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.
  • Moriarty F; Department of Public Health and Primary Care, Trinity College, Dublin 2, Ireland.
  • Clyne B; HRB Centre for Primary Care Research, Department of General Practice, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.
Fam Pract ; 40(5-6): 810-819, 2023 12 22.
Article en En | MEDLINE | ID: mdl-37014975
Randomized controlled trials (RCTs) often exclude older people with multiple medical conditions. The aim of this study was to explore how and why participants took part in a primary care based RCT that included 51 general practitioners (GPs) and 404 older patients prescribed ≥15 medicines. The RCT was designed to assess the usefulness of a supported medication review. The study team assessed information that was already collected as part of the RCT, to describe the process of inviting and enrolling GPs and older people. This included information on the numbers invited and enrolled and interviews from a smaller sample of GPs (18) and older people (27). The study successfully enrolled the required number of participants but it took 26 months more than planned. 37% of invited GPs and 25% of invited patients took part. GPs felt the research was important but they identified lack of time and resources as barriers to participation. Older people predominantly took part because they trusted their GP but some were wary of having medicines taken away and were put off by trial documentation. It is important that RCTs including older people with multiple medical conditions carefully plan recruitment and pay careful attention to trial documentation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina General / Médicos Generales Tipo de estudio: Clinical_trials / Qualitative_research Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Fam Pract Año: 2023 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina General / Médicos Generales Tipo de estudio: Clinical_trials / Qualitative_research Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Fam Pract Año: 2023 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Reino Unido