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首页> 外文期刊>Journal of Clinical Epidemiology >Training health professionals to recruit into challenging randomized controlled trials improved confidence: the development of the QuinteT randomized controlled trial recruitment training intervention
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Training health professionals to recruit into challenging randomized controlled trials improved confidence: the development of the QuinteT randomized controlled trial recruitment training intervention

机译：培训卫生专业人员招募挑战随机对照试验的提高信心：Quintet随机对照试验招聘培训干预的发展

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ObjectivesThe objective of this study was to describe and evaluate a training intervention for recruiting patients to randomized controlled trials (RCTs), particularly for those anticipated to be difficult for recruitment. Study Design and SettingOne of three training workshops was offered to surgeons and one to research nurses. Self-confidence in recruitment was measured through questionnaires before and up to 3?months after training; perceived impact of training on practice was assessed after. Data were analyzed using two-samplet-tests and supplemented with findings from the content analysis of free-text comments. ResultsSixty-seven surgeons and 32 nurses attended. Self-confidence scores for all 10 questions increased after training [range of mean scores before 5.1–6.9 and after 6.9–8.2 (scale 0–10, all 95% confidence intervals are above 0 and allP-values <0.05)]. Awareness of hidden challenges of recruitment following training was high—surgeons' mean score 8.8 [standard deviation (SD), 1.2] and nurses' 8.4 (SD, 1.3) (scale 0–10); 50% (19/38) of surgeons and 40% (10/25) of nurses reported on a 4-point Likert scale that training had made “a lot” of difference to their RCT discussions. Analysis of free text revealed this was mostly in relation to how to convey equipoise, explain randomization, and manage treatment preferences. ConclusionSurgeons and research nurses reported increased self-confidence in discussing RCTs with patients, a raised awareness of hidden challenges and a positive impact on recruitment practice following QuinteT RCT Recruitment Training. Training will be made more available and evaluated in relation to recruitment rates and informed consent.
机译：本研究的客观目的是描述和评估招募患者对随机对照试验（RCT）的培训干预，特别是对于预计难以招募的人来说。三个培训研讨会的研究设计和旨在为外科医生提供给护士。通过之前和最多3个月的问卷来衡量招聘的自信;培训对实践的影响得到评估。使用双模测试进行分析数据，并补充来自自由文本评论的内容分析的结果。结果七十七位外科医生和32名护士参加了。所有10个问题的自信分数在训练后增加了[5.1-6.9之前的平均分数和6.9-8.2（尺度0-10后，所有95％置信区间高于0和allp-values <0.05）]。培训后招聘隐患的认识是高外科医生的意思8.8 [标准差（SD），1.2]和护士8.4（SD，1.3）（0-10级）; 50％（19/38）的外科医生和40％（10/25）护士报告了4点的李克特规模，培训对他们的RCT讨论产生了“很多”的差异。自由文本分析显示，这主要是关于如何传达Equipoise，解释随机化和管理治疗偏好的关系。结论采访和研究护士报告称，对患者讨论RCT的自信心，提高了隐性挑战的意识，并对QUINTET RCT招聘培训进行了招聘实践的积极影响。培训将更加可用，并在招聘利率和知情同意方面进行评估。

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