Evidence map›Paper›PMID 21176229›Full record

ArticleBMC medical research methodology2010

Involving users in the design of a randomised controlled trial of an intervention to promote early presentation in breast cancer: qualitative study.

Lindsay J L Forbes, Carol McNaughton Nicholls, Louise Linsell, Jenny Graham, Charlotte Tompkins, Amanda J Ramirez

Abstract read
In one paragraph

Article in BMC medical research methodology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Interventions for raising breast cancer awareness in women.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Changing Author Guidelines to Include Patient and Public Involvement.International journal of therapeutic massage & bodywork · 2019
    Article
  8. Article
  9. Review
  10. Consumer involvement in cancer research: example from a Cancer Network.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lindsay J L ForbesKing's College London Promoting Early Presentation Group, St Thomas' Hospital, London SE1 7EH, UK. lindsay.forbes@kcl.ac.uk.
Carol McNaughton Nicholls
Louise Linsell
Jenny Graham
Charlotte Tompkins
Amanda J Ramirez

Funding

Cancer Research UK
6 · The paper itself

Abstract

backgroundThe purpose of this study was to explore women's views of the design of a large pragmatic cost-effectiveness randomised controlled trial of the policy of offering a health professional-delivered intervention to promote early presentation with breast symptoms in older women and thereby improve survival, with a view to informing protocol development. The trial will recruit over 100,000 healthy women aged 67+, and outcome data will be collected on those who develop breast cancer. The scale of the trial and the need for long-term follow-up presented a number of design challenges in relation to obtaining consent, ascertaining and contacting participants who developed breast cancer, and collecting outcome data.

methodsQualitative study involving 69 women participating in 7 focus groups and 17 in-depth interviews. 15 women had a previous diagnosis of breast cancer and 54 did not.

resultsThe women held strong views and had a good understanding of the rationale of the design of clinical trials. The women recognised that in a very large trial with long-term follow-up it was necessary to incorporate design features to make the trial feasible and efficient. Most strikingly, they supported the idea of opt-out consent and identifying women with breast cancer using routine datasets.

conclusionsThis model of user involvement engaged women well with the design challenges of the trial and led to improvements to the protocol. The study strengthens the case for user involvement, in particular through focus groups and in-depth interviews, in the design of trials.

Indexed as

Health EducationHealth Knowledge, Attitudes, PracticeRandomized Controlled Trials as TopicBreast NeoplasmsFemaleHumansMammographyPatient ParticipationQualitative ResearchResearch Design

Identifiers

PMID21176229
PMCPMC3023725

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.