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A survey of research nurses and study coordinators involved in haemophilia clinical trials highlights their role in enhancing retention and patient experience through individualised support, good communication, timely coordination and trusted relationships.
A survey of research nurses and study coordinators involved in haemophilia clinical trials highlights their role in enhancing retention and patient experience through individualised support, good communication, timely coordination and trusted relationships.

Participant demographics and beliefs on the retention of patients in clinical trials

N (%)
Participant role (N=87*)
Haemophilia Nurse 35 (40.2)
Haemophilia Study Coordinator 38 (43.7)
Both 14 (16.1)
Number of participants in clinical trials (N=75)
1-5 35 (46.6)
6-10 27 (36.0)
11-20 7 (9.3)
21-30 3 (4.0)
31-40 1 (1.3)
41-50 2 (2.6)
Number of participants lost to clinical trials in preceding three years (N=70)
None 33 (42.8)
1-5 26 (33.7)
6-10 9 (11.6)
11+ 2 (0.02)
Do you think COVID-19 has impacted on patient participation in clinical trials? (N=79)
Yes 22 (28%)
No 57 (72%)
Do you think your participants would leave studies prematurely if you didn’t make extra efforts to retain them? (N=72)
Yes 40 (55.5)
No 8 (11.1)
Not sure 24 (33.3)
Why do you think trial participants leave drug studies prematurely? (N=64; multiple answers possible, ranked highest to lowest)
Loss of interest 32 (50.0)
The study goes on for too long 25 (39.0)
Too many visits (virtual or at centre) 24 (37.5)
Visits are too time-consuming 22 (34)
Lack of time 21 (32.8)
Too much data collection (diary, quality of life assessments, etc.) 19 (29.6)
Participation did not meet expectations 18 (28.1)
Too difficult to comply with protocol requirements long term 17 (26.5)
Timing of visits – would like evening hours/weekend – due to work/life situation 14 (21.8)
Using electronic diary 13 (20.3)
Too many blood tests 12 (18.75)
There are unnecessary visits (e.g. dispensing visits) 8 (12.5)
No compensation (travel) 7 (10.9)
No updates on study results 3 (4.6)

Roles of Research Nurses and Study Coordinators in clinical trials

N (%)
What do you do to keep participants trial compliant? (N=67; multiple answers possible, ranked highest to lowest)
Make the participant feel valued 56 (83.5)
Keeping an open dialogue/good relationship 56 (83.5)
Organise visits to fit with the patient‘s schedule 53 (79.1)
Ensure patient has understood study information 47 (70.1)
Discuss any concerns about complaints/side effects reported by patient 45 (67.1)
Allowing an environment for patient to ask questions 44 (65.6)
Discuss the diary data – make patients to know the data is important 39 (58.2)
Show blood results 36 (53.7)
Show global results and progress of the study 36 (53.7)
Updating on individual participants trial information e.g. adverse events 28 (41.7)
What do you do to facilitate retention? (N=71; multiple answers possible, ranked highest to lowest)
Use technologies to communicate, support and remind (e.g. visits/diary entry) by text (SMS) email, etc. 41 (57.7)
Provide updated study information 32 (45.0)
Ensure timely coordination of study visit (patients do not have to wait) 30 (42.2)
Coordinate all trial activities with routine clinical care 23 (32.3)
Awareness education by re-training 21 (29.5)
Goal setting 20 (28.1)
Allow flexibility to accommodate participants’ needs 18 (25.3)
Motivational interviewing 18 (25.3)
Shared decision making 17 (23.9)
Promote peer-to-peer support 13 (18.3)

j.jhp-2023-0017.tab.003

QUESTION ANSWER
Which country are you from? Drop-down list
Are you a …. Tick box:
◯ Haemophilia nurse;
◯ Haemophilia study coordinator;
◯ Both
Where do you mostly work? Tick box:
◯ Haemophilia centre;
◯ Clinical trials unit
Do you think retention in haemophilia clinical drug studies is an issue? Tick box:
◯ Yes;
◯ No
How many participants do you have in haemophilia drug trials at this moment? Tick box:
◯ 1-5;
◯ 6-10;
◯ 11-20;
◯ 21-30;
◯ 31-40;
◯ 41-50
How many participants have dropped out of haemophilia drug trials at your centre due to retention issues within the past 3 years? Tick box:
◯ 0;
◯ 1-5;
◯ 5-10;
◯ More
Please indicate participants' reasons for dropping out of the trial Free text:
Why do you think trial participants leave drug studies prematurely? (Please tick all that apply) Tick box: (multiple answers possible)
◯ Participation did not meet expectations
◯ Loss of interest/motivation
◯ The study goes on for to long
◯ Lack of time
◯ Too many visits (virtual or at centre)
◯ Visits are too time consuming
◯ There are unnecessary visits (e.g. dispensing visits)
◯ Timing of visits – would like evening hours/weekend – due to work/life situation
◯ Too much data collection (diary, quality of life assessments, etc.)
◯ Using electronic diary
◯ Too difficult to comply with protocol requirements long term
◯ Too many blood tests
◯ No compensation (travel)
◯ No updates on study results
Do you think COVID-19 has impacted on patient participation in clinical trials? Tick box:
◯ Yes;
◯ No
What do you do to keep participants trial compliant? (Please tick all that apply) Tick box: (multiple answers possible)
◯ Show blood results
◯ Show global results and progress of the study
◯ Make the participant feel valued
◯ Keeping an open dialogue/good relationship
◯ Ensure patient has understood study information
◯ Allowing an environment for patient to ask questions
◯ Organise visits to fit with the patient’s schedule
◯ Discuss the diary data – make patients know the data is important
◯ Discuss any concerns about complaints/side effects reported by patient
◯ Updating on individual participants trial information e.g. AEs
◯ Updating on global SAEs and reconsenting
What do you do to facilitate retention? (Please tick all that apply) Tick box: (multiple answers possible)
◯ Motivational interviewing
◯ Shared decision-making
◯ Goal setting
◯ Use technologies to communicate, support and remind (e.g. visits/diary entry) by text (SMS) e-mail, etc.
◯ Promote peer-to-peer support
◯ Ensure timely coordination of study visit (patients do not have to wait)
◯ Allow flexibility to accommodate participants’ needs
◯ Provide updated study information
◯ Coordinate all trial activities with routine clinical care
◯ Awareness education by re-training
Do you think your participants would leave studies prematurely if you didn’t make extra efforts to retain them? Tick box:
◯ Yes;
◯ No;
◯ Not sure
Do you think you get enough support from sponsors to improve study retention? Five-point Likert scale:
◯ I completely agree;
◯ I agree a bit;
◯ I am not sure;
◯ I disagree a bit;
◯ I completely disagree
eISSN:
2055-3390
Język:
Angielski
Częstotliwość wydawania:
Volume Open
Dziedziny czasopisma:
Medicine, Basic Medical Science, other, Clinical Medicine, Pharmacy, Pharmacology