Pragmatic design and inclusion of patient–partner representatives improves participant experience in clinical research Journal Articles uri icon

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abstract

  • Abstract Objectives: Patient engagement in the design and implementation of clinical trials is necessary to ensure that the research is relevant and responsive to patients. The PREP-IT trials, which include 2 pragmatic trials that evaluate different surgical preparation solutions in orthopaedic trauma patients, followed the patient-centered outcomes research (PCOR) methodology throughout the design, implementation, and conduct. We conducted a substudy within the PREP-IT trials to explore participants' experiences with trial participation. Methods: At the final follow-up visit (12 months after their fracture), patients participating in the PREP-IT trials were invited to participate in the substudy. After providing informed consent, participants completed a questionnaire that asked about their experience and satisfaction with participating in the PREP-IT trials. Descriptive statistics are used to report the findings. Results: Four hundred two participants participated in the substudy. Most participants (394 [98%]) reported a positive experience, and 376 (94%) participants felt their contributions were appreciated. The primary reasons for participation were helping future patients with fracture (279 [69%]) and to contribute to science (223 [56%]). Two hundred seventeen (46%) participants indicated that their decision to participate was influenced by the minimal time commitment. Conclusions: Most participants reported a positive experience with participating in the PREP-IT trials. Altruism was the largest motivator for participating in this research. Approximately half of the participants indicated that the pragmatic, low-participant burden design of the trial influenced their decision to participate. Meaningful patient engagement, a pragmatic, and low-burden protocol led to high levels of participant satisfaction.

authors

  • Pogorzelski, David
  • Wells, Jeffrey L
  • Marvel, Debra
  • Palmer, Jana E
  • Mullins, C Daniel
  • Medeiros, Michelle
  • Gallant, Jodi L
  • Spicer, Ella
  • Bergin, Patrick F
  • Gitajn, I Leah
  • Mullin, Devin S
  • Gaski, Greg E
  • Hymes, Robert
  • Bzovsky, Sofia
  • Slobogean, Gerard P
  • Sprague, Sheila Ann

publication date

  • December 2023