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Patients' perspectives on planned interventions tested in the Otago MASTER feasibility trial: an implementation-based process evaluation study.
Ribeiro, Daniel Cury; Wilkinson, Amanda; Gava, Vander; Lamb, Sarah E; Abbott, J Haxby.
Afiliação
  • Ribeiro DC; Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand. Electronic address: daniel.curyribeiro@curtin.edu.au.
  • Wilkinson A; Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand; Department of Nursing, University of Otago, Christchurch, New Zealand.
  • Gava V; Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil.
  • Lamb SE; University of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
  • Abbott JH; Department of Surgical Sciences, University of Otago Medical School, Dunedin, New Zealand.
Braz J Phys Ther ; 28(4): 101086, 2024.
Article em En | MEDLINE | ID: mdl-38936312
ABSTRACT

BACKGROUND:

Patients are key stakeholders of clinical research, and their perspectives are relevant for researchers when planning and conducting clinical trials. Numerous aspects of trial process can influence participants' experiences. Their experiences within a trial can impact retention rates. Poor treatment adherence may bias treatment effect estimates. One way to improve recruitment and adherence is to design trials that are aligned with patients' needs and preferences. This study reports a process evaluation of the Otago MASTER feasibility trial.

OBJECTIVES:

Our aims were to investigate the patients' perceptions of the trial interventions through individual interviews.

METHODS:

Twenty-five participants were recruited for the feasibility trial and were allocated to two groups tailored or standardised exercise. Sixteen participants agreed to take part in individual semi-structured interviews. Interviews were transcribed verbatim, and all interviews were analysed thematically using an iterative approach.

RESULTS:

Our key findings suggest

participants:

(1) took part in the study to access healthcare services and contribute to research; (2) valued interventions received; (3) reported certain barriers and facilitators to participate in the trial; and (4) highlighted areas for improvement when designing the full trial.

CONCLUSION:

Participants volunteered to access healthcare and to contribute to research. Participants valued the personalised care, perceived that their engagement within the trial improved their self-management and self-efficacy behaviour, valued the time spent with clinicians, and the empathetic environment and education received. Facilitators and barriers will require careful consideration in the future as the barriers may impact reliability and validity of future trial results.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Participação do Paciente Limite: Humans Idioma: En Revista: Braz J Phys Ther Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Participação do Paciente Limite: Humans Idioma: En Revista: Braz J Phys Ther Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil