Evidence map›Paper›PMID 25947202›Full record

Trial reportTrials2015

Challenges to undertaking randomised trials with looked after children in social care settings.

Gillian Mezey, Fiona Robinson, Rona Campbell, Steve Gillard, Geraldine Macdonald, Deborah Meyer, Chris Bonell, Sarah White

Open access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 5% of its field
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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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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

8 authors at 4 institutions in 3 countries.

Gillian MezeyPopulation Health Research Institute (PHRI), St Georges University of London, Cranmer Terrace, London, SW17 ORE, England. gmezey@sgul.ac.uk.
Fiona RobinsonPopulation Health Research Institute (PHRI), St Georges University of London, Cranmer Terrace, London, SW17 ORE, England. fclare@sgul.ac.uk.
Rona CampbellSchool of Social and Community Medicine, Bristol University, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, England. rona.campbell@bristol.ac.uk.
Steve GillardPopulation Health Research Institute (PHRI), St Georges University of London, Cranmer Terrace, London, SW17 ORE, England. sgillard@sgul.ac.uk.
Geraldine MacdonaldSchool of Sociology, Social Policy and Social Work, Queen's University Belfast, 6 College Park, Belfast, BT7 1LP, Ireland. geraldine.macdonald@qub.ac.uk.
Deborah MeyerPopulation Health Research Institute (PHRI), St Georges University of London, Cranmer Terrace, London, SW17 ORE, England. debsmeyeris@gmail.com.
Chris BonellSocial Science Research Unit, Faculty of Children and Learning, Institute of Education 20 Bedford Way, London, WC1H 0AL, England. c.bonell@ioe.ac.uk.
Sarah WhitePopulation Health Research Institute (PHRI), St Georges University of London, Cranmer Terrace, London, SW17 ORE, England. swhite@sgul.ac.uk.
Population Health Research Institute · CASt George's, University of London · GBUniversity College Dublin · IEUniversity of Bristol · GB

Funding

British Heart FoundationCancer Research UKMedical Research Council MR/K023233/1Medical Research Council MR/K025643/1Wellcome TrustWellcome Trust WT087640MA
6 · The paper itself

Abstract

backgroundRandomised controlled trials (RCTs) are widely viewed as the gold standard for assessing effectiveness in health research; however many researchers and practitioners believe that RCTs are inappropriate and un-doable in social care settings, particularly in relation to looked after children. The aim of this article is to describe the challenges faced in conducting a pilot study and phase II RCT of a peer mentoring intervention to reduce teenage pregnancy in looked after children in a social care setting.

methodsInterviews were undertaken with social care professionals and looked after children, and a survey conducted with looked after children, to establish the feasibility and acceptability of the intervention and research design.

resultsBarriers to recruitment and in managing the intervention were identified, including social workers acting as informal gatekeepers; social workers concerns and misconceptions about the recruitment criteria and the need for and purpose of randomisation; resource limitations, which made it difficult to prioritise research over other demands on their time and difficulties in engaging and retaining looked after children in the study.

conclusionsThe relative absence of a research infrastructure and culture in social care and the lack of research support funding available for social care agencies, compared to health organisations, has implications for increasing evidence-based practice in social care settings, particularly in this very vulnerable group of young people.

Indexed as

Child CareSocial WorkChildHumansPilot Projects

Identifiers

PMID25947202
PMCPMC4486703
OpenAlexW1597644119

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.