کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3814621 | 1246026 | 2006 | 11 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Patients or research subjects? A qualitative study of participation in a randomised controlled trial of a complex intervention Patients or research subjects? A qualitative study of participation in a randomised controlled trial of a complex intervention](/preview/png/3814621.png)
ObjectiveTo explore participants’ understandings regarding treatment decisions, made within an efficacy randomised controlled trial (RCT) of decision-support tools.MethodsQualitative study: interviews (audio-recorded) with participants. Participants were interviewed 3–5 days after using a decision-support tool (n = 30) and again at 3 months (n = 26). Transcripts were analysed using a constant comparative approach.ResultsParticipants’ understandings were shaped by the ways in which they made sense of their participation. Participants made attributions about their trial identity that fell on a continuum. At one end we found participants who identified as ‘experienced medical volunteers’, and at the other those who identified as ‘real patients’. In the participants’ accounts, a trial identity of ‘patient’ accompanied an expectation that the decision-support tools offered a means of making treatment decisions. ‘Volunteers’, however, saw the interventions as tasks to be completed for the purposes of the trial team.ConclusionIn our study, trial identity shaped participants’ understandings regarding treatment decisions and all other aspects of the trial.Practice implicationsDifferent understandings regarding the appropriate response to trial tasks may affect behaviour and therefore outcomes in some trials. Further research is required to unravel the relationship between trial identities, understanding and behaviour.
Journal: Patient Education and Counseling - Volume 62, Issue 2, August 2006, Pages 260–270