Willison Donald J, Richards Dawn P, Orth Alison, Harris Heather, Marlin Susan
1 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
2 Clinical Trials Ontario, Toronto, Ontario, Canada.
Ther Innov Regul Sci. 2019 Sep;53(5):669-677. doi: 10.1177/2168479018805433. Epub 2018 Oct 29.
Little is known about the Canadian public's perspective regarding clinical trials.
We surveyed 1602 Ontario and British Columbia residents to ascertain their understanding of and willingness to participate in clinical trials.
Clinical trials are regarded positively with overall perceptions that they provide societal and personal benefits. Most respondents were somewhat (49%) or very willing (19%) to participate in a clinical trial. This increased with age and level of education. It was also greater among those with poor or very poor health, those with multiple chronic conditions, and those who had previously been invited into a clinical trial, all of which were correlated with age. Still, there was room for improvement in awareness and understanding of clinical trials. Forty-three percent of those surveyed felt not very informed or not at all informed and 37% had no opinion regarding clinical trials. Respondents would most often turn to their treating physician if considering participating in a clinical trial and least often to social media.
While Canadians' views about clinical trials are generally positive, they are somewhat muted and a significant minority feels poorly or not at all informed. They are less willing to participate in clinical research than Americans and are roughly equivalent to Europeans. While clinicians are the top choice for learning about clinical trials, they have little or no training and little time for this role. As we move toward integrating clinical trials into the practice setting, these issues of time, training, and resources must be addressed.
对于加拿大公众对临床试验的看法,我们知之甚少。
我们对1602名安大略省和不列颠哥伦比亚省居民进行了调查,以确定他们对参与临床试验的理解和意愿。
临床试验得到了积极的评价,总体上人们认为它们能带来社会和个人利益。大多数受访者有点愿意(49%)或非常愿意(19%)参与临床试验。这一比例随着年龄和教育程度的提高而增加。在健康状况差或非常差、患有多种慢性病以及之前被邀请参加过临床试验的人群中这一比例也更高,而所有这些都与年龄相关。不过,在对临床试验的认知和理解方面仍有提升空间。43%的受访者觉得了解得不太充分或完全不了解,37%的人对临床试验没有看法。如果考虑参与临床试验,受访者最常向他们的主治医生咨询,而向社交媒体咨询的最少。
虽然加拿大人对临床试验的看法总体上是积极的,但这种看法有些平淡,而且相当一部分人觉得了解不足或完全不了解。他们参与临床研究的意愿低于美国人,与欧洲人大致相当。虽然临床医生是了解临床试验的首选对象,但他们接受这方面的培训很少或没有,而且用于此角色的时间也很少。随着我们朝着将临床试验融入实际医疗环境的方向发展,时间、培训和资源等问题必须得到解决。