Teams talking trials: results of an RCT to improve the communication of cancer teams about treatment trials

Jenkins, V A, Farewell, D, Farewell, V, Batt, L, Wagstaff, J, Langridge, C and Fallowfield, L J (2013) Teams talking trials: results of an RCT to improve the communication of cancer teams about treatment trials. Contemporary Clinical Trials, 35 (1). pp. 43-51. ISSN 1551-7144

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Abstract

BACKGROUND: Previous research has shown that communication between members of multidisciplinary teams (MDTs) is often suboptimal and communication about trials between MDTs and their patients is difficult. Educational interventions can help dyadic exchanges with different aspects of trial recruitment but less work has focussed on team interventions.

METHODS: 22 multidisciplinary cancer teams in the UK participated in an RCT of a novel Teams Talking Trials (TTT) Workshop aimed at improving the following: awareness, involvement, communication and recruitment to cancer trials. MDTs were randomised following either 6 or 12months of audits, which were repeated after the intervention. Audits included numbers approached about trials, team members' attitudes, involvement and awareness of their teams' trial portfolios.

RESULTS: There was no significant difference in the rate of approaching patients about trials post workshop (estimated improvement 22% higher regression coefficient of 0.2, exp. (0.2)=1.22). There was improvement in team members' involvement in trials in 4 areas (p</=0.04): the pressure to enter patients into RCTs, the likelihood of a start-up meeting to discuss a newly accepted trial, the informational role played by individuals and recognition of this HCP's role by other team members. Also, confidence in communication about RCTS increased and awareness of different aspects of trial management improved on all 14 aspects (p=0.001).

CONCLUSION: Attendance by teams at focussed workshops designed to enhance communication and trial recruitment improved several aspects of team functioning, but a significant impact on the number of patients approached could not be demonstrated.

Item Type: Article
Additional Information: Jenkins, V A Farewell, D Farewell, V Batt, L Wagstaff, J Langridge, C Fallowfield, L J on behalf of the Teams Talking Trials Steering Committee Journal article Contemporary clinical trials Contemp Clin Trials. 2013 Feb 9. pii: S1551-7144(13)00011-6. doi: 10.1016/j.cct.2013.02.003.
Keywords: Multidisciplinary teams, clinical trial recruitment, communication
Schools and Departments: Brighton and Sussex Medical School > Sussex Health Outcomes Research & Education in Cancer (SHORE-C)
Subjects: R Medicine > R Medicine (General) > R727 Medical personnel and the public. Physician and the public
R Medicine > RC Internal medicine
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology Including cancer and carcinogens
Depositing User: Kathryn Monson
Date Deposited: 16 Apr 2013 13:56
Last Modified: 16 Apr 2013 13:56
URI: http://sro.sussex.ac.uk/id/eprint/44196
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