心血管保健专业人员对临床试验的看法：一项来自中东的基于调查的研究。

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Global Heart Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI:10.5334/gh.1389

Zainab Atiyah Dakhil, Hasan Ali Farhan, Mohammed Dheyaa Marsool, Mohammed Saad Qasim, Michele Peters, Jose Leal

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引用次数: 0

摘要

背景：中低收入国家是全球心血管疾病负担最高的国家，但这些国家在心血管临床试验中的代表性不足。这限制了试验结果在这些国家的普遍性。这些国家的心脏病专家在开展和参与临床试验方面的见解缺乏数据。我们征求了伊拉克心血管保健专业人员对参与临床试验的意见。方法：通过为他们指定的社交媒体上的特殊平台，确定并联系伊拉克的心血管专业人员，回答一项30项的在线调查。结果：我们调查了n = 255名专家（20%为女性）；介入心脏病专家占44.7%，其次是心脏病学培训生占31%。近30%的人报告参与了临床试验，其中数据收集是更常见的报告角色（21.2%）。先前的参与与被调查者的性别、学术归属或机构伦理委员会的存在没有显著相关。其中，95.7%的人认为应该在伊拉克进行临床试验，58.8%的人报告说，如果受到邀请，他们将参加。受访者参与试验的最常见障碍是缺乏电子健康记录（52.2%）和时间（51.4%），其次是需要额外的随访或调查（34.1%）。最常见的激励因素是建立电子健康档案（86.27%），对普通人群进行临床试验知识的教育和培训（84.7%），以及对医疗保健提供者进行临床试验基础知识的专门培训（84.3%）。结论：我们的工作有助于为在伊拉克实施强大的临床试验生态系统铺平道路。体制和财政因素以及缺乏专门的研究时间与伊拉克心血管临床试验滞后有关。未来的定性研究可以帮助我们更深入地了解创建正确的基础设施需要什么。

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Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle East.

Background: Low-middle income countries harbor the highest burden of cardiovascular diseases globally, but there is an under-representation of these countries in cardiovascular clinical trials. This limits the generalizability of the trial results to these countries. There is a lack of data on insights of cardiologists in these countries regarding conducting and participating in clinical trials. We sought the views of cardiovascular healthcare professionals in Iraq on participation in clinical trials.

Method: Cardiovascular professionals in Iraq were identified and contacted, via special platforms on social media specified for them, to answer a 30-item online survey.

Results: We surveyed n = 255specialists (20% were women); interventional cardiologists constituted 44.7%, followed by cardiology trainees at 31%. Almost 30% reported having been involved in clinical trials, with data collection being the more frequently reported role (21.2%). Prior participation was not significantly associated with respondent gender, academic affiliation, or presence of institutional ethical committee. Of the total, 95.7% thought that clinical trials should be conducted in Iraq, with 58.8% reporting that they would participate if invited. The most common barriers to respondents' participation in trials were lack of electronic health records (52.2% of those surveyed) and time (51.4%), followed by the requirement of additional follow-up visits or investigations (34.1%). The most common motivators were establishing electronic health records (86.27%), education and training of the general population about clinical trials (84.7%), and dedicated training for healthcare providers about clinical trial basics (84.3%).

Conclusion: Our work helps pave the path to implementing a robust clinical trial ecosystem in Iraq. Institutional and financial factors and a lack of dedicated research time are related to the cardiovascular clinical trial lag in Iraq. Future qualitative research can help in getting a deeper understanding of what is needed to create the right infrastructure.

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来源期刊

Global Heart Medicine-Cardiology and Cardiovascular Medicine

CiteScore

5.70

自引率

5.40%

发文量

审稿时长

5 weeks

期刊介绍： Global Heart offers a forum for dialogue and education on research, developments, trends, solutions and public health programs related to the prevention and control of cardiovascular diseases (CVDs) worldwide, with a special focus on low- and middle-income countries (LMICs). Manuscripts should address not only the extent or epidemiology of the problem, but also describe interventions to effectively control and prevent CVDs and the underlying factors. The emphasis should be on approaches applicable in settings with limited resources. Economic evaluations of successful interventions are particularly welcome. We will also consider negative findings if important. While reports of hospital or clinic-based treatments are not excluded, particularly if they have broad implications for cost-effective disease control or prevention, we give priority to papers addressing community-based activities. We encourage submissions on cardiovascular surveillance and health policies, professional education, ethical issues and technological innovations related to prevention. Global Heart is particularly interested in publishing data from updated national or regional demographic health surveys, World Health Organization or Global Burden of Disease data, large clinical disease databases or registries. Systematic reviews or meta-analyses on globally relevant topics are welcome. We will also consider clinical research that has special relevance to LMICs, e.g. using validated instruments to assess health-related quality-of-life in patients from LMICs, innovative diagnostic-therapeutic applications, real-world effectiveness clinical trials, research methods (innovative methodologic papers, with emphasis on low-cost research methods or novel application of methods in low resource settings), and papers pertaining to cardiovascular health promotion and policy (quantitative evaluation of health programs.