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临床试验参与者的长期随访:老年受试者试验后反应的预测因素。

Long-term follow-up of clinical trial participants: Predictors of post-trial response in older subjects.

机构信息

Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States of America.

Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States of America.

出版信息

Contemp Clin Trials. 2024 Aug;143:107579. doi: 10.1016/j.cct.2024.107579. Epub 2024 May 22.

Abstract

BACKGROUND AND OBJECTIVE

The post-trial follow-up (PTFU) phase of a clinical trial can provide important information on maintenance of intervention effects. However, approaches for the PTFU are rarely described. This short communication describes our process for PTFU that involved recontacting older subjects who participated in a clinical trial between 2015 and 2019. We also describe correlates of response to our PTFU survey.

METHODS

The parent clinical trial aimed to reduce depression symptoms among older spousally-bereaved adults. We attempted to recontact our sample during the early stages of the COVID-19 pandemic. Using logistic regression, we examined physical health, depression symptoms, cognitive status, and disability as correlates of participant response to the PTFU phase.

RESULTS

Forty-two percent of participants responded to the PTFU survey. Disability - or the inability to participate in major life tasks and social roles - was significantly associated with response. Participants with greater disability were less likely to respond to the PTFU survey.

CONCLUSIONS

Older adults with disabilities may need alternative and supportive strategies for engaging in the PTFU phase.

CLINICAL TRIALS REGISTRATION

NCT02631291.

摘要

背景和目的

临床试验的随访阶段(PTFU)可以提供关于干预效果维持的重要信息。然而,很少有描述 PTFU 方法的报道。本简短通讯描述了我们对 2015 年至 2019 年间参与临床试验的老年受试者进行 PTFU 的过程。我们还描述了对我们的 PTFU 调查的响应的相关性。

方法

主要临床试验旨在减少丧偶老年人的抑郁症状。我们试图在 COVID-19 大流行的早期阶段重新联系我们的样本。使用逻辑回归,我们研究了身体健康、抑郁症状、认知状态和残疾与参与者对 PTFU 阶段的反应的相关性。

结果

42%的参与者对 PTFU 调查做出了回应。残疾——即无法参与主要生活任务和社会角色——与响应显著相关。残疾程度较大的参与者不太可能对 PTFU 调查做出回应。

结论

残疾的老年人可能需要替代和支持性策略来参与 PTFU 阶段。

临床试验注册

NCT02631291。

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