Recruiting participants to a randomized controlled trial testing an intervention in palliative cancer care - The perspectives of health care professionals
| Autor: | Ida Goliath, Yvonne Wengström, Joakim Öhlén, Kristofer Årestedt, Maja Holm, Anette Alvariza, Carl Johan Fürst |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Palliative cancer care medicine.medical_specialty Palliative care Attitude of Health Personnel Health Personnel education Family caregivers Intervention Nursing law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Ambulatory care law Intervention (counseling) Neoplasms Health care medicine Humans 030212 general & internal medicine Aged Aged 80 and over Oncology (nursing) business.industry Patient Selection Omvårdnad Palliative Care General Medicine Middle Aged Focus group Health care professionals Caregivers 030220 oncology & carcinogenesis Family medicine Female Recruitment business |
| Popis: | Purpose The recruitment of participants to randomized controlled trials (RCTs) in palliative cancer care by health care professionals is often unsuccessful, which could result in failure to achieve study power. The purpose of this paper is to describe how health care professionals experienced recruiting patients and family caregivers to an RCT in palliative cancer care. Methods The study had a qualitative explorative design. Ten palliative home care settings were involved in the RCT and data were generated through focus group discussions and interviews with health care professionals who were responsible for the recruitment. The transcripts were analyzed with interpretive descriptive principles. Results The experiences of the health care professionals reveal that communicating the RCT-design to patients and family caregivers was a challenging part of the recruitment but was considered a process of learning over time. The delicate situation that participants were living under added to the challenge and health care professionals believed that the randomized design was contrary to their normal approach to always offer the best possible support. Conclusions The results contribute valuable knowledge for future trials in palliative cancer care. To promote successful recruitment, health care professionals may be in need of more training to improve their communication skills and it may be necessary to consider other research designs than the RCT. |
| Databáze: | OpenAIRE |
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