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运用临床转化科学奖资源优化的针刺随机对照试验的双盲法。

Double-blinding of an acupuncture randomized controlled trial optimized with clinical translational science award resources.

机构信息

Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.

Office of Research Facilitation, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.

出版信息

Clin Trials. 2020 Oct;17(5):545-551. doi: 10.1177/1740774520934910. Epub 2020 Jul 10.

Abstract

BACKGROUND

Clinical trial articles often lack detailed descriptions of the methods used to randomize participants, conceal allocation, and blind subjects and investigators to group assignment. We describe our systematic approach to implement and measure blinding success in a double-blind phase 2 randomized controlled trial testing the efficacy of acupuncture for the treatment of vulvodynia.

METHODS

Randomization stratified by vulvodynia subtype is managed by Research Electronic Data Capture software's randomization module adapted to achieve complete masking of group allocation. Subject and acupuncturist blinding assessments are conducted multiple times to identify possible correlates of unblinding.

RESULTS

At present, 48 subjects have been randomized and completed the protocol resulting in 87 subject and 206 acupuncturist blinding assessments.

DISCUSSION

Our approach to blinding and blinding assessment has the potential to improve our understanding of unblinding over time in the presence of possible clinical improvement.

摘要

背景

临床试验文章通常缺乏对参与者随机分组、隐藏分配以及对受试者和研究者进行分组盲法的方法的详细描述。我们描述了一种系统的方法,用于在一项针对针灸治疗外阴痛的双盲 2 期随机对照试验中实施并衡量盲法的成功,该试验旨在测试针灸的疗效。

方法

根据外阴痛亚型进行分层随机化,由研究电子数据捕获软件的随机化模块管理,该模块经过改编以实现完全掩盖分组分配。对受试者和针灸师的盲法评估进行多次,以确定可能导致不盲法的相关因素。

结果

目前,已有 48 名受试者被随机分组并完成了方案,共进行了 87 次受试者和 206 次针灸师的盲法评估。

讨论

我们的盲法和盲法评估方法有可能在存在可能的临床改善的情况下,随着时间的推移,提高我们对不盲法的理解。

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Protocol for double-blind RCT of acupuncture for vulvodynia.外阴痛针灸双盲随机对照试验方案
Contemp Clin Trials Commun. 2022 Nov 2;30:101029. doi: 10.1016/j.conctc.2022.101029. eCollection 2022 Dec.

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Evaluation and Treatment of Vulvodynia: State of the Science.外阴痛的评估和治疗:科学现状。
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Protocol for double-blind RCT of acupuncture for vulvodynia.外阴痛针灸双盲随机对照试验方案
Contemp Clin Trials Commun. 2022 Nov 2;30:101029. doi: 10.1016/j.conctc.2022.101029. eCollection 2022 Dec.
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本文引用的文献

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Random Guess and Wishful Thinking are the Best Blinding Scenarios.随机猜测和一厢情愿是最佳的盲法方案。
Contemp Clin Trials Commun. 2016 Aug 15;3:117-121. doi: 10.1016/j.conctc.2016.05.003. Epub 2016 May 7.
6
Acupuncture is all placebo and here is why.针灸完全是安慰剂,原因如下。
Headache. 2015 Mar;55(3):465-9. doi: 10.1111/head.12524. Epub 2015 Feb 6.
9
Acupuncture is theatrical placebo.针灸是戏剧性的安慰剂。
Anesth Analg. 2013 Jun;116(6):1360-3. doi: 10.1213/ANE.0b013e31828f2d5e.
10
Blinding measured: a systematic review of randomized controlled trials of acupuncture.盲法测量:针灸随机对照试验的系统评价。
Evid Based Complement Alternat Med. 2013;2013:708251. doi: 10.1155/2013/708251. Epub 2013 Mar 3.

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