Document Detail


Consulting parents about the design of a randomized controlled trial of osteopathy for children with cerebral palsy.
MedLine Citation:
PMID:  21244590     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background  Although the UK Department of Health has advocated the involvement of service users and carers in health research for several years, there is little evidence about their contribution to the design of randomized controlled trials (RCTs). Objective  To demonstrate how consulting parents about the design of a study, including which outcomes to use, led to the design and successful delivery of a RCT of osteopathy for children with cerebral palsy (CP). Design  Semi-structured interviews were carried out with 20 parents of children with CP and other neurological conditions, asking them to choose between four different trial designs, to talk about noticeable changes in their child's condition and their views about payment for trial treatment. Setting and participants  The parents interviewed were all members of Cerebra, a charity for 'brain-injured' children and young people. All interviews were carried out at the parents' homes. Results  Parents had mixed views about possible trial designs; however, a waitlist design which allowed all children eventually to receive the treatment emerged as a clear favourite. Parents did not focus on isolated outcomes, but suggested a range of factors relevant to their child's quality of life. They expressed a clear preference for the costs of treatment to be funded by the trial. Conclusions  Involvement of parents helped design a trial which was acceptable to families and addressed outcomes that mattered to them. By consulting parents about the design of the research, the subsequent trial achieved excellent recruitment and retention rates.
Authors:
Vanessa Edwards; Katrina Wyatt; Stuart Logan; Nicky Britten
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-18
Journal Detail:
Title:  Health expectations : an international journal of public participation in health care and health policy     Volume:  -     ISSN:  1369-7625     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815926     Medline TA:  Health Expect     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 Blackwell Publishing Ltd.
Affiliation:
Research Fellow in Child Health Senior Lecturer in Child Health Cerebra Professor of Paediatric Epidemiology Professor of Applied Healthcare Research, Cerebra Research Unit, Peninsula Medical School, University of Exeter, Exeter, UK.
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