Describing randomisation: patients' and the public's preferences compared with clinicians' practice
2002

Patients' and Public's Preferences for Explaining Randomisation

Sample size: 741 publication Evidence: moderate

Author Information

Author(s): V. Jenkins, L. Leach, L. Fallowfield, K. Nicholls, A. Newsham

Primary Institution: Cancer Research (UK) Psychosocial Oncology Group, Brighton & Sussex Medical School, University of Sussex

Hypothesis

Is there a preferred way to describe the randomisation process that may facilitate discussions about clinical trials of cancer therapy?

Conclusion

The study found that patients and the public preferred clearer, less technical descriptions of randomisation compared to those commonly used by clinicians.

Supporting Evidence

  • Patients and the public preferred statements that were clear and concise.
  • The analogy of 'tossing a coin' was widely disliked among participants.
  • Clinicians often used descriptions that were not preferred by patients or the public.

Takeaway

When doctors explain how patients are chosen for clinical trials, they should use simple language that everyone can understand, instead of confusing terms.

Methodology

A questionnaire-based survey was conducted with members of the public, cancer patients, and oncologists to assess preferences for descriptions of randomisation.

Potential Biases

Potential bias in responses due to the convenience sampling method and the subjective nature of preferences.

Limitations

The study relied on convenience sampling, which may not represent the broader population.

Participant Demographics

341 lay people without cancer, 200 patients with cancer, and 200 oncologists.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600527

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