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Improving Access and Recruitment to Clinical Trials for Lung Cancer Patients: A Multi‐Phase, Qualitative Focus Group and Co‐Production Study

ABSTRACT

Aim

To design and develop a novel co-produced intervention tool aimed at facilitating discussions that lung cancer nurses have with lung cancer patients about clinical trial opportunities; and promote trial recruitment.

Design

A multi-phase qualitative focus group (phase 1) and co-production (phase 2) study.

Methods

The rigorous design and content of the intervention tool was informed by qualitative data from seven focus groups with lung cancer healthcare professionals (n = 38) and patients and their carers (n = 22) to establish barriers and facilitators to clinical trial participation. Data collection took place across England and Scotland between October and December 2023. Findings from a previously published systematic review were also incorporated to inform intervention tool design. The tool was developed through an extended co-production workshop comprising lung cancer nurses (n = 7), lung cancer patients (n = 2) and health researchers (n = 4). The COM-B model of behavioural change underpinned both phases of the project to guide tool development.

Results

Phase 1 focus groups identified the need for a tool to provide basic trial information to patients, and to support lung cancer nurses in discussing trials with patients, thus improving nurses' knowledge, confidence, and awareness of trials. The phase 2 coproduction workshop identified that the tool should consist of two elements: a patient-facing information pamphlet and a large poster for nurses to assist them in discussing trial opportunities.

Conclusion

The study results demonstrate how nurses can be supported to discuss clinical trial opportunities with patients, with the potential to increase long-term recruitment to clinical trials.

Implications for the Profession and/or Patient Care

Lung cancer nurses often lack confidence to support patients to make informed choices about trial enrolment. By addressing this issue, participation in lung cancer clinical trials can be significantly improved to benefit patient outcomes and trial participation rates.

Impact

The tool has the potential to be used across a range of different cancer settings and sites to increase recruitment to clinical trials.

Reporting Method

The COREQ checklist was utilised to ensure that robust processes were followed and reported on.

Patient and Public Involvement

Patients and members of the public were involved in all study processes and contributed to the study design, interpretation of the data, and intervention design. Their contributions included reviewing focus group topic guides, reviewing data analysis, the co-production of the intervention tool, and co-authoring this paper, ensuring the research addressed the needs and priorities of lung cancer patients when making an informed choice about clinical trial participation.

Key Features of Successful Research‐Related Roles for Nurses and Midwives in out of Hospital Settings: A Mixed Methods Approach

ABSTRACT

Aim

To explore the views of health care professionals involved in initiatives that have led to successful research-related roles for nurses and midwives working in community settings.

Design

A sequential mixed-methods study.

Methods

Between December 2022 and January 2023 a survey was completed by health care professionals with relevant experience of successful research-related initiatives for nurses and midwives in community settings. Survey responses were categorised into low, medium or high-priority examples of productive practice. Nineteen of the twenty responders who provided high-priority examples were interviewed between May and July 2023. The research capacity development for impact framework underpinned data collection and analysis. Data were thematically analysed using the framework method.

Results

The seven themes of the research capacity development for impact framework: leadership and sustainability, skills and confidence building, infrastructures, linkages and collaborations, ownership and responsibilities, actionable dissemination and co-production were identified as important features of successful research-related roles in community settings. A new cross-cutting theme of trust and relationships was generated. The initiation, continued growth and ambition continuum guided the development of the planning change and features of success template.

Conclusion

This study highlighted the key features that matter when planning change and developing research-related roles for nurses and midwives in community settings.

Impact

Study findings have the potential to inform policy and practice for organisations focused on developing research capacity and capability in community settings.

Reporting Method

This study adhered to the COREQ reporting guidelines.

Patient and Public Involvement

No patient or public involvement.

Capacity and Capability for Nursing, Midwifery and Allied Health Professional Principal Investigator Roles in Healthcare Research: A National Survey

ABSTRACT

Aims

To understand the current capacity and capability for nursing, midwifery and allied health professional (NMAHP) principal investigator roles in England.

Design

Quantitative online survey.

Methods

Online national quantitative survey across England analysed using descriptive statistics.

Results

The number of NMAHP PIs in an organisation was unrelated to the size of the NMAHP workforce. NMAHP PIs were more common in non-CTIMP studies. A quarter of organisations had no specific education or support for NMAHP PIs. Most respondents indicated that a national approach to support and training would be helpful.

Conclusions

Having more research-active NMAHPs provides career progression, improved staff retention and improves the evidence base for practice. Having a broader range of CI/PIs allows for more targeted and specialty-specific oversight of research studies and streamlines the acceptance process to allow research to be delivered in a more timely manner.

Implications for Practice

This will require more collaboration between NMAHP, medical and industry communities to promote a multidisciplinary approach to healthcare research delivery and to ensure that CI/PI roles are fulfilled by the most appropriate person, regardless of their profession.

Impact

To ascertain NMAHP capacity and capability for PI research roles. Shows where national and organisational effort should be focused to increase this nationally.

Reporting Method

Cross reporting guidance for survey studies was utilised.

Patient Contribution

No patient or patient contribution.

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