The People's Trial: supporting the public's understanding of randomised trials.


Journal

Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253

Informations de publication

Date de publication:
09 Mar 2022
Historique:
received: 26 04 2021
accepted: 26 12 2021
entrez: 10 3 2022
pubmed: 11 3 2022
medline: 12 3 2022
Statut: epublish

Résumé

Randomised trials are considered the gold standard in providing robust evidence on the effectiveness of interventions. However, there are relatively few initiatives to help increase public understanding of what randomised trials are and why they are important. This limits the overall acceptance of and public participation in clinical trials. The People's Trial aims to help the public learn about randomised trials, to understand why they matter, and to be better equipped to think critically about health claims by actively involving them in all aspects of trial design. This was done by involving the public in the design, conduct, and dissemination of a randomised trial. Using a reflexive approach, we describe the processes of development, conduct, and dissemination of The People's Trial. Over 3000 members of the public, from 72 countries, participated in The People's Trial. Through a series of online surveys, the public designed a trial called The Reading Trial. They chose the question the trial would try to answer and decided the components of the trial question. In December 2019, 991 participants were recruited to a trial to answer the question identified and prioritised by the public, i.e. 'Does reading a book in bed make a difference to sleep in comparison with not reading a book in bed?' We report the processes of The People's Trial in seven phases, paralleling the steps of a randomised trial, i.e. question identification and prioritisation, recruitment, randomisation, trial conduct, data analysis, and sharing of findings. We describe the decisions we made, the processes we used, the challenges we encountered, and the lessons we learned. The People's Trial involved the public successfully in the design, conduct, and dissemination of a randomised trial demonstrating the potential for such initiatives to help the public learn about randomised trials, to understand why they matter, and to be better equipped to think critically about health claims. ClinicalTrials.gov NCT04185818 . Registered on 4 December 2019.

Sections du résumé

BACKGROUND BACKGROUND
Randomised trials are considered the gold standard in providing robust evidence on the effectiveness of interventions. However, there are relatively few initiatives to help increase public understanding of what randomised trials are and why they are important. This limits the overall acceptance of and public participation in clinical trials. The People's Trial aims to help the public learn about randomised trials, to understand why they matter, and to be better equipped to think critically about health claims by actively involving them in all aspects of trial design. This was done by involving the public in the design, conduct, and dissemination of a randomised trial.
METHODS METHODS
Using a reflexive approach, we describe the processes of development, conduct, and dissemination of The People's Trial.
RESULTS RESULTS
Over 3000 members of the public, from 72 countries, participated in The People's Trial. Through a series of online surveys, the public designed a trial called The Reading Trial. They chose the question the trial would try to answer and decided the components of the trial question. In December 2019, 991 participants were recruited to a trial to answer the question identified and prioritised by the public, i.e. 'Does reading a book in bed make a difference to sleep in comparison with not reading a book in bed?' We report the processes of The People's Trial in seven phases, paralleling the steps of a randomised trial, i.e. question identification and prioritisation, recruitment, randomisation, trial conduct, data analysis, and sharing of findings. We describe the decisions we made, the processes we used, the challenges we encountered, and the lessons we learned.
CONCLUSION CONCLUSIONS
The People's Trial involved the public successfully in the design, conduct, and dissemination of a randomised trial demonstrating the potential for such initiatives to help the public learn about randomised trials, to understand why they matter, and to be better equipped to think critically about health claims.
TRIAL REGISTRATION BACKGROUND
ClinicalTrials.gov NCT04185818 . Registered on 4 December 2019.

Identifiants

pubmed: 35264220
doi: 10.1186/s13063-021-05984-1
pii: 10.1186/s13063-021-05984-1
pmc: PMC8905031
doi:

Banques de données

ClinicalTrials.gov
['NCT04185818']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

205

Subventions

Organisme : Health Research Board
ID : KEDS-2018-012
Pays : Ireland

Informations de copyright

© 2022. The Author(s).

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Auteurs

Elaine Finucane (E)

School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland. elainemay.finucane@nuigalway.ie.
Health Research Board-Trials Methodology Research Network, School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland. elainemay.finucane@nuigalway.ie.
Evidence Synthesis Ireland, School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland. elainemay.finucane@nuigalway.ie.

Ann O'Brien (A)

School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
Health Research Board-Trials Methodology Research Network, School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
J.E. Cairnes School of Business & Economics, National University of Ireland Galway, Galway, Ireland.

Shaun Treweek (S)

Health Services Research Unit, Health Sciences Building, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, UK.

John Newell (J)

School of Mathematics, Statistics and Applied Mathematics, National University of Ireland Galway, Galway, Ireland.

Kishor Das (K)

School of Mathematics, Statistics and Applied Mathematics, National University of Ireland Galway, Galway, Ireland.

Sarah Chapman (S)

Cochrane UK, hosted by Oxford University Hospitals NHS Foundation Trust and funded by the National Institute for Health Research, Oxford, UK.

Paul Wicks (P)

Wicks Digital Health, Lichfield, England, UK.

Sandra Galvin (S)

School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
Health Research Board-Trials Methodology Research Network, School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.

Patricia Healy (P)

School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.

Linda Biesty (L)

School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.

Katie Gillies (K)

Health Services Research Unit, Health Sciences Building, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, UK.

Anna Noel-Storr (A)

Radcliffe Department of Medicine, University of Oxford, Oxford, UK.

Heidi Gardner (H)

Health Services Research Unit, Health Sciences Building, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, UK.

Mary Frances O'Reilly (MF)

Formerly - Nursing and Midwifery Planning and Development Unit, West Mid-West, Merlin Park University Hospital, Galway, Ireland.

Declan Devane (D)

School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
Health Research Board-Trials Methodology Research Network, School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
Evidence Synthesis Ireland, School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
Cochrane Ireland, National University of Ireland Galway, Galway, Ireland.

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