Participant and research team perspectives on the conduct of a remote therapeutic COVID-19 clinical trial: A mixed methods approach

Abstract Background: Responding to the need to investigate potential treatments of COVID-19, a research team employed a telehealth platform to determine whether niclosamide, an oral anthelmintic drug that had shown antiviral activity, reduced SARS-CoV-2 shedding and duration of symptoms in patient...

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Main Authors: Denise H. Daudelin, Sarah K. Brewer, Alyssa B. Cabrera, Dorothy Dulko, Harry P. Selker
Format: Article
Language:English
Published: Cambridge University Press 2022-01-01
Series:Journal of Clinical and Translational Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2059866122003971/type/journal_article
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author Denise H. Daudelin
Sarah K. Brewer
Alyssa B. Cabrera
Dorothy Dulko
Harry P. Selker
author_facet Denise H. Daudelin
Sarah K. Brewer
Alyssa B. Cabrera
Dorothy Dulko
Harry P. Selker
author_sort Denise H. Daudelin
collection DOAJ
description Abstract Background: Responding to the need to investigate potential treatments of COVID-19, a research team employed a telehealth platform to determine whether niclosamide, an oral anthelmintic drug that had shown antiviral activity, reduced SARS-CoV-2 shedding and duration of symptoms in patients with mild-to-moderate symptoms of COVID-19. To encourage compliance with patient self-quarantine, this randomized placebo-controlled clinical trial was conducted utilizing a remote telehealth design to complete all study visits, monitor symptoms, and coordinate participant self-collected specimens. Methods: A mixed methods approach employing surveys and interviews of trial participants and interviews of research team members was used to collect their experiences with and perspectives on the acceptability of the remote clinical trial design and delivery. Results: Of the 67 eligible trial participants invited to take part in a study to evaluate the telehealth platform, 46% (n = 31) completed a post-participation survey. While 97% (n = 30) of respondents had not previously participated in a clinical trial, 77% (n = 24) reported they would consider taking part in a future remote research study. The majority of respondents were moderately or very comfortable (93%) with using the technology. Conclusions: The COVID-19 crisis was a call to action to expand understanding of the conduct of remote clinical trials, including the experiences of research participants. Our findings showed that this approach can be both effective for the conduct of research and positive for participants. Further research on the use of telehealth research platforms seems warranted in rural, underserved populations, and remote trials of prevention, screening, and treatment.
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spelling doaj.art-f347010b76a04d99a806fb4e37f0b9fd2023-03-09T12:31:04ZengCambridge University PressJournal of Clinical and Translational Science2059-86612022-01-01610.1017/cts.2022.397Participant and research team perspectives on the conduct of a remote therapeutic COVID-19 clinical trial: A mixed methods approachDenise H. Daudelin0https://orcid.org/0000-0002-6758-7753Sarah K. Brewer1https://orcid.org/0000-0001-7703-0871Alyssa B. Cabrera2Dorothy Dulko3Harry P. Selker4Tufts Clinical and Translational Science Institute, Tufts University, Boston, MA, USA Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USATufts Clinical and Translational Science Institute, Tufts University, Boston, MA, USATufts Clinical and Translational Science Institute, Tufts University, Boston, MA, USATufts Clinical and Translational Science Institute, Tufts University, Boston, MA, USA Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USATufts Clinical and Translational Science Institute, Tufts University, Boston, MA, USA Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA Abstract Background: Responding to the need to investigate potential treatments of COVID-19, a research team employed a telehealth platform to determine whether niclosamide, an oral anthelmintic drug that had shown antiviral activity, reduced SARS-CoV-2 shedding and duration of symptoms in patients with mild-to-moderate symptoms of COVID-19. To encourage compliance with patient self-quarantine, this randomized placebo-controlled clinical trial was conducted utilizing a remote telehealth design to complete all study visits, monitor symptoms, and coordinate participant self-collected specimens. Methods: A mixed methods approach employing surveys and interviews of trial participants and interviews of research team members was used to collect their experiences with and perspectives on the acceptability of the remote clinical trial design and delivery. Results: Of the 67 eligible trial participants invited to take part in a study to evaluate the telehealth platform, 46% (n = 31) completed a post-participation survey. While 97% (n = 30) of respondents had not previously participated in a clinical trial, 77% (n = 24) reported they would consider taking part in a future remote research study. The majority of respondents were moderately or very comfortable (93%) with using the technology. Conclusions: The COVID-19 crisis was a call to action to expand understanding of the conduct of remote clinical trials, including the experiences of research participants. Our findings showed that this approach can be both effective for the conduct of research and positive for participants. Further research on the use of telehealth research platforms seems warranted in rural, underserved populations, and remote trials of prevention, screening, and treatment. https://www.cambridge.org/core/product/identifier/S2059866122003971/type/journal_articleRemote clinical trialCOVID-19research participant experience
spellingShingle Denise H. Daudelin
Sarah K. Brewer
Alyssa B. Cabrera
Dorothy Dulko
Harry P. Selker
Participant and research team perspectives on the conduct of a remote therapeutic COVID-19 clinical trial: A mixed methods approach
Journal of Clinical and Translational Science
Remote clinical trial
COVID-19
research participant experience
title Participant and research team perspectives on the conduct of a remote therapeutic COVID-19 clinical trial: A mixed methods approach
title_full Participant and research team perspectives on the conduct of a remote therapeutic COVID-19 clinical trial: A mixed methods approach
title_fullStr Participant and research team perspectives on the conduct of a remote therapeutic COVID-19 clinical trial: A mixed methods approach
title_full_unstemmed Participant and research team perspectives on the conduct of a remote therapeutic COVID-19 clinical trial: A mixed methods approach
title_short Participant and research team perspectives on the conduct of a remote therapeutic COVID-19 clinical trial: A mixed methods approach
title_sort participant and research team perspectives on the conduct of a remote therapeutic covid 19 clinical trial a mixed methods approach
topic Remote clinical trial
COVID-19
research participant experience
url https://www.cambridge.org/core/product/identifier/S2059866122003971/type/journal_article
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