School of Health Sciences, College of Health, Medicine and Wellbeing & Priority Research Centre for Stroke and Brain Injury, The University of Newcastle, Callaghan, Australia.
Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri Lanka.
BMC Med Res Methodol. 2021 Oct 10;21(1):209. doi: 10.1186/s12874-021-01390-y.
Recruitment to stroke clinical trials is challenging, but consumer registers can facilitate participation. Researchers need to understand the key factors that facilitate trial involvement and improve consumer partnerships to identify what research topics important to stroke and transient ischemic attack (TIA) survivors and their carers. We aimed to examine i) the experience of being involved in a stroke research register, and ii) the priorities for stroke research from the perspective of stroke survivors.
Online and paper-based surveys were sent directly to members of a stroke register and disseminated online. Multiple choice questions were reported as counts and percentages and open-ended questions were thematically analysed using Braun and Clarke's 6-stage process.
Of 445 survey respondents, 154 (38%) were a member of the Stroke Research Register. The most frequently reported reason for research participation was to help others in the future. Respondents reported they were less likely to take part in research if the research question was not relevant to them, if transport was an issue, or because they lacked time. The most important research problems reported were targeting specific impairments including recovery of movement, fatigue, and aphasia, improvement of mental health services, and increased support for carers.
Recruitment to trials may be improved by research registers if an inclusive research culture is fostered, in which consumers feel valued as members of a community, have direct and timely access to research findings and the opportunity to be meaningfully involved in research around the problems that consumers find most important.
招募中风临床试验参与者具有挑战性,但消费者登记处可以促进参与。研究人员需要了解促进试验参与的关键因素,并改善消费者合作关系,以确定对中风和短暂性脑缺血发作(TIA)幸存者及其照顾者重要的研究课题。我们旨在研究 i)参与中风研究登记的经验,以及 ii)从中风幸存者的角度来看中风研究的重点。
在线和纸质调查直接发送给中风登记处的成员,并在网上传播。多项选择题以计数和百分比报告,开放性问题使用 Braun 和 Clarke 的 6 阶段过程进行主题分析。
在 445 名调查参与者中,有 154 名(38%)是中风研究登记处的成员。参与研究的最常见原因是为了将来帮助他人。受访者表示,如果研究问题与他们无关、交通有问题或因为他们缺乏时间,他们不太可能参与研究。报告的最重要的研究问题是针对特定的障碍,包括运动恢复、疲劳和失语症,改善心理健康服务,以及增加对照顾者的支持。
如果培育出包容性的研究文化,使消费者感到自己是社区成员的一部分,能够直接、及时地获得研究结果,并有机地参与解决消费者认为最重要的问题的研究,那么研究登记处可能会提高试验的招募效果。