scholarly journals A clinical study from patient’s perspective: Motivation, Expectations, and Perception

2017 ◽  
Vol 95 (8) ◽  
pp. 751-757 ◽  
Author(s):  
Evgeny S. Kulikov ◽  
I. A. Deev ◽  
O. S. Kobyakova ◽  
O. I. Zvonareva ◽  
O. S. Fedorova ◽  
...  

Introduction. Pharmaceutical market and clinical trials (CTs) industry are growing rapidly in Russia, but little is known about perceptions of patients involved in medical experimentation, about their expectations regarding trial participation, and associated fears and reservations. Material and methods. A multicenter cross-sectional study was conducted in different cities of the Russian Federation. Patients who had previous experience in CTs (or were enrolled in a CT at the time of this study) were asked to complete a questionnaire. Results. Likert-style questions were used to evaluate factors influencing the perception of CTs by the patients. The most important factors to decide whether to participate in the clinical trial or not for the patients included professional monitoring services, regular condition monitoring, better medical care, and free treatment. Three most significant factors that have adverse effect on the interest to participate in the study were: the risk of side effects, study of new medication and the risk of getting into the placebo group. The most important motivating factors to continue CTs for the patients were as follows permanent monitoring of condition, personal relationships with medical researchers, improvement of physical condition, as well as free medical examinations and medical assistance. Conclusion. Results of the study showed that expectations, motivations and experiences of patients participating in clinical trials in Russia are comparable with the world's data. The findings suggest more significant role of the researcher in almost all aspects of patient participation. After the end of the study the majority of respondents were still in contact with doctors.

2021 ◽  
Vol 21 (1) ◽  
pp. 135-145
Author(s):  
Gabriel Lucas Morais Freire ◽  
Adson Alves Silva ◽  
José Fernando Vila Nova Moraes ◽  
Nathan Leonardo Gomes Costa ◽  
Daniel Vicentini Oliveira ◽  
...  

La práctica del deporte ha sido considerada una de las principales herramientas para el desarrollo de habilidades para la vida entre los jóvenes participantes en el deporte. Este estudio transversal investigó el papel predictivo de la edad y el tiempo de práctica en el desarrollo de habilidades para la vida entre 207 practicantes de futsal masculinos, con edades comprendidas entre 12 y 17 años, del estado de Pernambuco, Brasil. Los instrumentos utilizados fueron la Escala de habilidades para la vida deportiva y un cuestionario semiestructurado. El análisis de los datos se realizó a través del Análisis de varianza multivariante, la correlación de Spearman y la Regresión múltiple (p <.05). Los resultados mostraron una diferencia significativa (p <.05; rango η2 .036-.142) en todas las habilidades para la vida según el grupo de edad, evidenciando puntuaciones más altas para los adolescentes mayores. Además, los adolescentes más experimentados mostraron puntajes más altos en la meta sentada (p = .001, η2 = .074); resolución de problemas (p = .013, η2 = .042), comunicación (p = .003, η2 = .054) y habilidades para la vida total (p = .002, η2 = .057). Hubo una correlación significativa (p <.05) y positiva entre la edad y casi todas las subescalas de habilidades para la vida. La regresión múltiple reveló que solo la edad presentaba predicciones positivas hacia las habilidades para la vida. Se puede concluir que la edad es un predictor del desarrollo de habilidades para la vida entre los jóvenes practicantes de fútbol sala. The practice of sports has been considered one of the main tools for the life skills development among youth sport participants. This cross-sectional study investigated the predicting role of age and time of practice in the development of life skills among 207 male futsal practitioners, aged between 12 and 17 years, from the state of Pernambuco, Brazil. The instruments used were the Life Skills Scale for Sports and a semi-structured questionnaire. Data analysis was conducted through Multivariate Analysis of Variance, Spearman’s correlation and Multiple Regression (p<.05). The results showed significant difference (p<.05; η2 range .036-.142) in all life skills according to age group, evidencing higher scores for older adolescents. Further, more experienced adolescents showed higher scores at goal seating (p=.001, η2=.074); problems solving (p=.013, η2=.042), communication (p=.003, η2=.054) and total life skills (p=.002, η2=.057). There was significant (p<.05) and positive correlation between age and almost all life skills subscales. Multiple regression revealed only age presented positive prediction toward life skills. It can be concluded that age is a predictor of life skills development among youth futsal practitioners. A prática esportiva tem sido considerada uma das principais ferramentas para o desenvolvimento de habilidades para a vida entre jovens praticantes de esportes. Este estudo transversal investigou o papel preditivo da idade e do tempo de prática no desenvolvimento de habilidades para a vida em 207 praticantes de futsal do sexo masculino, com idades entre 12 e 17 anos, do estado de Pernambuco, Brasil. Os instrumentos utilizados foram a Escala de Habilidades para a Vida Esportiva e um questionário semiestruturado. A análise dos dados foi realizada por meio da Análise Multivariada de Variância, correlação de Spearman e Regressão Múltipla (p <0,05). Os resultados mostraram diferença significativa (p <0,05; η2 variando de 0,036 a 0,142) em todas as habilidades para a vida de acordo com a faixa etária, evidenciando escores mais altos nos adolescentes mais velhos. Além disso, os adolescentes mais experientes apresentaram pontuações mais altas nos assentos para as metas (p = 0,001; η2 = 0,074); resolução de problemas (p = 0,013, η2 = 0,042), comunicação (p = 0,003, η2 = 0,054) e habilidades totais para a vida (p = 0,002, η2 = 0,057). Houve correlação significativa (p <0,05) e positiva entre idade e quase todas as subescalas de habilidades para a vida. A regressão múltipla revelou que apenas a idade apresentou predição positiva em relação às habilidades para a vida. Pode-se concluir que a idade é um preditor do desenvolvimento de habilidades para a vida entre jovens praticantes de futsal.


2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 4055-4055
Author(s):  
Pelin Cinar ◽  
Anitra W. Talley ◽  
Jimmy Hwang ◽  
Daniel Paul Dohan ◽  
Margaret A. Tempero

4055 Background: Recruitment of oncology patients into clinical trials continues to be a challenge as <5% of patients are accrued. Low accrual rates may be due to reduced awareness of trial availability and eligibility by physicians/patients. Our objective was to study the attitudes of patients with pancreatic cancer (PC) regarding clinical trial participation and to identify possible barriers to recruitment. Methods: In this cross-sectional study, we collaborated with Pancreatic Cancer Action Network (PanCAN) and invited patients with PC or their caregivers to complete a survey. The survey that was developed consisted of 22 questions and inquired about patients’ previous clinical trial enrollment experiences and their views on participation. The surveys were collected over a 6-month period via the PanCAN website and regional meetings. Comparison analyses between groups were done by Chi-square and Fisher’s test using STATA software. Results: Of the390 surveys received, 149 were included in the final analyses. 30% of the patients were offered to participate in a trial by their physicians. When asked to participate, 62% of the patients agreed. Of the patients who were not enrolled in a clinical trial, 61% were offered to participate in a trial but did not agree. This suggests that these patients were eligible to participate but declined. Conclusions: Majority of the patients with pancreatic cancer were not offered to participate in clinical trials by their physicians but would have agreed if asked. While low clinical trial recruitment rates for PC may be multifactorial, further research may focus on the important role of physicians in clinical trial recruitment efforts. [Table: see text]


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Afaf A. M. Shaheen ◽  
Hajar Alhajri ◽  
Noura Alrajeeb ◽  
Ruba Almoammar ◽  
Arwa Alyousef ◽  
...  

Abstract Background Physiotherapy (PT) is a distinguished developing profession. It has a crucial role in treating temporomandibular disorders (TMD) as an effective intervention to reduce pain and improve TMD symptoms. Not all dentists are aware of the importance of collaboration with physiotherapists (PTs).Therefore, this study aimed to assess the level of dentists’ awareness about the role of PT in treating TMD, identify dentists’ willingness to collaborate with PTs, and create collaboration awareness. This cross-sectional study included Saudi dentists in Riyadh. An online survey was used to assess dentist’s awareness and their readiness to collaborate with PTs. Results Out of 1500 dentists, only 162 participated in the survey. About 46.9% of dentists were aware that PT can treat TMD. Generally, there was lack of awareness about the benefits of PT among dentists (61.8%), and 59.9% was not aware that the evidence suggested that PT can improve TMD symptoms. Only 29% referred patients to PT. Upon the completion of the survey, almost all dentists (97.5%) were likely to refer patients with TMD to PT, and 90.7% of them showed interest to learn more about collaborating with PTs. Conclusion The study concluded that, although 46.9% of the dentists are aware about the role of PT in treating TMD, there is a lack of awareness about the benefits of PT among the majority of them. The study helped to extend the awareness of surveyed dentists about the collaboration and multidisciplinary approach.


2021 ◽  
Vol 10 (2) ◽  
pp. 53-58
Author(s):  
Marjeta Kovac ◽  
◽  
Bojan Leskosek ◽  
Gregor Jurak ◽  
Miha Marinsek ◽  
...  

This cross-sectional study was designed to analyse the differences between the subject-specific competenc- es of Slovenian and Italian physical education (PE) teachers. The participants, 669 Slovenian and 484 Italian PE teachers, evaluated their professional competences with a self-administered questionnaire on a four-level Likert scale. A t-test for independent samples indicates differences in the self-evaluations of the majority of sub- ject-specific competences between both groups. However, in almost all items, Slovenian PE teachers evaluate their competences higher. A multivariate analysis of variance, used to identify the role of some socio-demo- graphic factors (state, gender, years of service), shows that the state has the highest impact on the differences between self-efficiency of both groups (p<0.001, Eta2=0.531). The greatest differences (Cohen's d > 0.8) are observed on those competences that relate to some of the narrower aspects of PE didactics. The reasons for the perceived differences can be found in some historical and social events, length of education, the different orientation of PE teacher education programmes, and the different responses of both countries to educational policies. The present study outcomes may aid in updating initial PE teacher training and designing a creative system of continuous professional development.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028589
Author(s):  
Shiyu Jiang ◽  
Peng Liu ◽  
Sheng Yang ◽  
Jianliang Yang ◽  
Dawei Wu ◽  
...  

ObjectivesPatients’ stress and satisfaction concerning cancer clinical trials (CCT) may affect study accrual and quality. Our study aimed to evaluate stress and satisfaction in CCT and the influencing factors.DesignCross-sectional analysis done by a questionnaire after informed consent.SettingCancer Hospital, Chinese Academy of Medical Sciences.Participants199 CCT participants. Primary and secondary outcome measures self-assessed stress and satisfaction in CCT.ResultsAmong 199 participants, 83.9% would join CCT again; 72.9% had enough time to decide on trial participation; 73.9% claimed complete awareness of CCT; 3.5% doubted CCT’s significance and scientific quality; 33.2% deemed CCT time-consuming; 73.9% scored satisfaction ≥9/10; and 25.6% claimed moderate to severe stress. Positive factors for satisfaction were enough decision time (OR=0.36, p=0.0003), better impressions of doctors (OR=0.41, p=0.047) and less time-consuming trials (OR=0.43, p<0.0001). Individuals with more prior uninsured medical expenses (OR=1.23, p=0.026), less time consumption (OR=2.35, p<0.0001) and more tests in CCT (OR=0.64, p=0.035) were less likely to experience stress. Phase III study participants bore less stress than phase II (OR=0.29, p=0.032) but more than phase I (OR=1.18, p=0.009).ConclusionsOur study addressed factors influencing CCT participants’ stress and satisfaction. We suggested measures to improve patients’ experiences in CCT.Trial registration numberNCT03412344; Pre-results.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ali Jasem Buabbas ◽  
Saad Aldousari ◽  
Adel K. Ayed ◽  
Maryam Safar ◽  
Omar Alkandari

Abstract Background With the magnitude and severity of the COVID-19 pandemic, the usual face-to-face consultation within a clinical setting is no longer feasible. Thus, this led to the need for alternate means to provide adequate patient care for surgical patients. This is where the role of smartphones comes into play, in which it is thus of paramount importance. This research study aimed to assess the usefulness of smartphones in surgical practice during COVID-19 pandemic. Methods This cross-sectional study is based on a questionnaire distributed among surgeons in different levels of practice working at Kuwait governmental hospitals during the COVID-19 pandemic. The questionnaire was developed via Google Docs to collect data for the current study. Results Out of 600 surgeons, 180 have responded to the questionnaire, giving a response rate of 30%. Of these, 42.8%, 85.5%, and 58.9% were aged between 35 and 44 years, were male, and Kuwaiti nationals, respectively. Almost all of the respondents (99.5%) were using smartphones for hospital-related work. The most common uses of the smartphones involved texting (70%), and viewing or taking images and videos using built-in cameras (60%) either in the emergency department, outpatient clinics, wards, or operating rooms. The majority of the respondents (88%) rated the use of smartphones in practice as important. Conclusion This study revealed that using smartphones in surgical practice was prevalent among the respondent surgeons in Kuwait during the pandemic. The majority of them considered using smartphones in practice to be important, due to its benefits in facilitating doctor–doctor and patient–doctor communication, reviewing the literature, and making clinical decisions. Guidelines are required for proper and legal use of smartphone devices in medical practice. Accordingly, recommendations are suggested.


2018 ◽  
Vol 18 (1) ◽  
pp. 54 ◽  
Author(s):  
Hussain Al-Lawati ◽  
Khalid Al-Baimani ◽  
Mahra Al-Zadjali ◽  
Nasra Al-Obaidani ◽  
Ziyana Al-Kiyumi ◽  
...  

Objectives: Clinical trials are prospective studies on human subjects designed to answer various clinical questions. However, only a limited number of clinical trials have been conducted in Oman. This study aimed to assess the knowledge and attitudes of Omani patients and their relatives towards participating in clinical trials. Methods: This cross-sectional study was conducted between October 2015 and March 2016 among 174 patients and relatives attending the Haematology and Oncology Outpatient Clinics and Day Care Unit of the Sultan Qaboos University Hospital, Muscat, Oman. A self-administered questionnaire was designed to elicit participants’ knowledge of and attitudes towards participation in clinical trials. Results: A total of 100 patients and relatives agreed to take part in the study (response rate: 57.5%). The male-to-female ratio was 1:1.2. Only 31.3% of the studied population knew what clinical trials were and only 6.5% had themselves previously participated in a clinical trial. The majority agreed or strongly agreed that they would participate in clinical trials related to their own condition (59.2%). Overall, 89.7% expected to be informed about potential clinical trials by their treating physicians. Conclusion: Omanis had a low level of knowledge of clinical trials and a very low rate of previous participation in such trials, despite a moderate level of interest. Patients should therefore be educated and informed of ongoing clinical trials in order to improve participation rates for clinical trials conducted in Oman.


Author(s):  
Raghav Gupta ◽  
Sanjeev Mahajan ◽  
Tejbir Singh ◽  
Shyam S. Deepti

Background: Television is not only a source of entertainment but also a major source of information including that related to health content. So this study was conducted to know the role of television in awareness about health programs and their utility.Methods:In this cross-sectional study, 1000 respondents (500 urban and 500 rural) were studied in 5 rural and 5 urban from field practice area of Government Medical College, Amritsar. They were interviewed with the help of pretested and semi-structured questionnaire.Results: Almost all the respondents had watched television with 94% respondents in rural and 100% in urban. Those respondents who did not watched were due to non availability of television sets. Majority 3/4 of the respondents spent half to 2 hour per day watching television. Almost 2/3 of total respondents were aware about health related programs being shown on television and out of these 79.00% were actually watching these programs. 42.16% respondents were aware about health related advertisements. Respondents using these products 91.20% followed through self awareness whereas 8.80% were motivated by someone.Conclusions:Television viewing is almost a universal phenomenon but still in areas where it is more needed very few were being aware about health related content being shown on television and even those who were aware were not watching these programs.


2021 ◽  
Author(s):  
Paola Mosconi ◽  
Anna Roberto ◽  
Nicoletta Cerana ◽  
Nicoletta Colombo ◽  
Florence Didier ◽  
...  

Abstract BackgroundAlthough there are several initiatives by research groups, regulatory authorities, and scientific associations to engage citizens/patients in clinical research, there are still obstacles to participation. Among the main discouraging aspects are incomplete understanding of the concepts related to the clinical trial, and the scant, sometimes confused, explanations given. The aim of this observational, cross-sectional multicenter study is to investigate knowledge, attitudes and trust in clinical research.We conducted a survey among women with ovarian cancer at their first follow-up visit or first therapy session, treated in centers belonging to the Mario Negri Gynecologic Oncology (MaNGO) and Multicenter Italian Trials in Ovarian Cancer (MITO) groups. A questionnaire on knowledge, attitudes and experience was assembled ad hoc after a literature review and a validation process involving patients of the Alliance against Ovarian Cancer (ACTO).ResultsFrom 25 centers 348 questionnaire were collected; 73.5% of responders were 56 years or older, 54.8% had a high level of education, more than 80% had no experience of trial participation. Among participants 59% knew what clinical trials are and 71% what the informed consent is. However more than half did not know the meaning of the term randomization. More than half (56%) were in favor of participating in a clinical trial, but 35% were not certain. Almost all responders acknowledged the doctor’s important role in decision-making. Patients associations were recognized as playing a powerful role in the design and planning of clinical trials. ConclusionsThis study helps depict the knowledge and attitudes of women with ovarian cancer in relation to clinical trial, suggesting initiatives aimed at improving trials’ culture, literacy and compliance, and fresh ways of communication between doctors and patients.


2020 ◽  
Vol 35 (2) ◽  
pp. 100-104
Author(s):  
Maksudur Rahman ◽  
Mohammad Abdullah Al Mamun ◽  
MAK Azad Chowdhury ◽  
Abu Sayeed Munsi

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104


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