2014
DOI: 10.1016/j.jval.2014.02.012
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Patient-Centeredness in the Design of Clinical Trials

Abstract: Evidence from clinical trials should contribute to informed decision making and a learning health care system. People frequently, however, find participating in clinical trials meaningless or disempowering. Moreover, people often do not incorporate trial results directly into their decision making. The lack of patient centeredness in clinical trials may be partially addressed through trial design. For example, Bayesian adaptive trials designed to adjust in a pre-specified manner to changes in clinical practice… Show more

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Cited by 78 publications
(77 citation statements)
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“…In addition, payers are looking for evidence from studies on patient perspectives to support deliberations around the value proposition of new therapies, and some have established organizations, including the Patient Centred Outcomes Research Institute in the United States, to ensure such evidence is generated. [17][18][19] In this article, we describe one approach to incorporating patients' perspectives into the design of cardiovascular clinical trials involving composite end points.…”
mentioning
confidence: 99%
“…In addition, payers are looking for evidence from studies on patient perspectives to support deliberations around the value proposition of new therapies, and some have established organizations, including the Patient Centred Outcomes Research Institute in the United States, to ensure such evidence is generated. [17][18][19] In this article, we describe one approach to incorporating patients' perspectives into the design of cardiovascular clinical trials involving composite end points.…”
mentioning
confidence: 99%
“…Although this has been recognized and recommended for many years, the lay representation on research ethics committees has often been limited or nonexistent [26]. Such representation should, for neonatal studies, include resource parent voices.…”
Section: Historymentioning
confidence: 99%
“…However, patients might suggest that these blood draws could be done at an external lab close to the patient's neighborhood and this lab could then relay the results to the research site, significantly reducing the time and travel burden on patients [20]. Using such approaches to make the trial more patient-centered could potentially help reduce patient drop out from CER trials [21].…”
Section: Conducting the Studymentioning
confidence: 99%