Cox Karen
Faculty of Medicine and Health Sciences, University of Nottingham, Medical School Room B50, Nottingham, UK.
Soc Sci Med. 2003 Mar;56(5):921-34. doi: 10.1016/s0277-9536(02)00100-4.
This paper discusses two different approaches to assessing quality of life in the context of cancer clinical trial participation. Drawing on empirical evidence from a study of patients' experiences of phase I and II anti-cancer drug trial participation, the paper demonstrates how different methods of collecting data about an individual's quality of life (questionnaires and interviews) can lead to alternative conclusions about patients' trial experience and the impact of trial involvement on their quality of life. Data obtained from the quality of life questionnaires interestingly revealed no statistically significant differences in any of the scores over time while in-depth interviews uncovered something of the psychological, emotional and social impact of taking part in a clinical trial from the perspective of the patient. The paper concludes by reflecting on some of the methodological issues that arise when assessing the quality of life of patients with a life threatening disease in clinical trials.
本文讨论了在癌症临床试验参与背景下评估生活质量的两种不同方法。借鉴一项关于患者参与I期和II期抗癌药物试验经历的实证研究证据,本文展示了收集个体生活质量数据的不同方法(问卷调查和访谈)如何能得出关于患者试验经历以及试验参与对其生活质量影响的不同结论。从生活质量问卷中获得的数据有趣地显示,随着时间推移,任何一项得分在统计学上均无显著差异,而深入访谈则从患者角度揭示了参与临床试验所带来的一些心理、情感和社会影响。本文最后反思了在临床试验中评估患有危及生命疾病患者的生活质量时出现的一些方法学问题。