Evidence map›Paper›PMID 30201022›Full record

ArticleTrials2018

Doing trials within trials: a qualitative study of stakeholder views on barriers and facilitators to the routine adoption of methodology research in clinical trials.

Jo Rick, Mike Clarke, Alan A Montgomery, Paul Brocklehurst, Rachel Evans, Peter Bower

Abstract read
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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.

Jo RickNorth West Hub for Trials Methodology, Manchester Academic Health Science Centre, University of Manchester, Williamson Building, Manchester, M13 9PL, UK.
Mike ClarkeNorthern Ireland Methodology Hub, Centre for Public Health, Queens University, Belfast, BT12 6BJ, UK.
Alan A MontgomeryNottingham Clinical Trials Unit Faculty of Medicine and Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, NG7 2UH, UK.
Paul BrocklehurstNWORTH Clinical Trials Unit, Bangor University, Bangor, LL57 2PZ, UK.
Rachel EvansNWORTH Clinical Trials Unit, Bangor University, Bangor, LL57 2PZ, UK.
Peter BowerNorth West Hub for Trials Methodology, Manchester Academic Health Science Centre, University of Manchester, Williamson Building, Manchester, M13 9PL, UK. peter.bower@manchester.ac.uk.ORCID http://orcid.org/0000-0001-9558-3349

Funding

Medical Research Council G0901530Medical Research Council G1002325Medical Research Council MR/L004933/1Medical Research Council MR/L004933/2MRC Network of Hubs for Trials Methodology Research MR/ L004933/1- N64
6 · The paper itself

Abstract

backgroundRandomised controlled trials are the cornerstone of evidence-based health care, yet many trials struggle with recruitment and retention. All too often the methodologies employed to address these problems are not evidence-based, as rigorous methodological research on these issues is rare. The current research sought to identify barriers to the routine implementation of methodology research around recruitment and retention.

methodsAll registered UK clinical trials unit directors were sent a short questionnaire and invited to interview. Representatives of funding bodies and other stakeholders were also approached. Interviews were recorded and the content analysed.

resultsData were grouped into four themes: acceptance of the need for methodological research; trial funding and development; trial processes; and organisational factors. The need to improve the evidence base for trials methodology is well established, but numerous barriers to implementation were perceived.

conclusionsThe knowledge and expertise required to routinely implement methodology research exists within the current research structures, and there are clear opportunities to develop the evidence base. However, for this to be achieved there is also a need for clear strategic coordination within the sector and promotion of the necessary resources.

Indexed as

Patient SelectionCooperative BehaviorEvidence-Based MedicineHumansInterdisciplinary CommunicationInterviews as TopicOrganizational ObjectivesPatient DropoutsPolicy MakingQualitative ResearchRandomized Controlled Trials as TopicResearch PersonnelResearch Support as TopicSample SizeStakeholder ParticipationUnited KingdomMethodology researchRCTsSWATS

Identifiers

PMID30201022
PMCPMC6131831

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.