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dc.contributor.authorHargreaves, Kate
dc.contributor.authorGoodacre, Steve
dc.contributor.authorMortimer, Peter
dc.date.accessioned2019-11-06T12:05:11Z
dc.date.available2019-11-06T12:05:11Z
dc.date.issued2014-06
dc.identifier.citationHargreaves, K. and Goodacre, S. and Mortimer, P., 2014. Paramedic perceptions of the feasibility and practicalities of prehospital clinical trials: a questionnaire survey. Emergency Medicine Journal : EMJ, 31 (6), 499-504.en_US
dc.identifier.issn1472-0205
dc.identifier.issn1472-0213
dc.identifier.doi10.1136/emermed-2013-202346
dc.identifier.urihttp://hdl.handle.net/20.500.12417/412
dc.description.abstractBackground Clinical trials are required to strengthen the evidence base for prehospital care. This questionnaire study aimed to explore paramedics’ perceptions of prehospital research and barriers to conducting prehospital clinical trials. Methods A self-completed questionnaire was developed to explore paramedic perceptions and barriers to undertaking prehospital trials based upon a review of existing research and semistructured qualitative interviews with five paramedics. The questionnaire was distributed by ‘research champions’ to 300 paramedics at randomly selected ambulance stations in Yorkshire. Results Responses were received from 96/300 participants (32%). Interest in clinical trials was reported, but barriers were recognised, including perceptions of poor knowledge and limited use of evidence, that conducting research is not a paramedics’ responsibility, limited support for involvement in trials, concerns about the practicalities of randomisation and consent, and time pressures. No association was found between training route and perceived understanding of trials (p=0.263) or feeling that involvement in trials was a professional responsibility (p=0.838). Previous involvement in prehospital research was not associated with opinions on importance of an evidence base (p=0.934) or gaining consent (p=0.329). The number of years respondents had been practicing was not associated with opinions on personal experience versus scientific evidence (p=0.582) or willingness to receive training for clinical trials (p=0.111). However, the low response rate limited the power of the study to detect potential associations. Conclusions Paramedics reported interest and understanding of research, but a number of practical and ethical barriers were recognised that need to be addressed if prehospital clinical trials are to increase. https://emj.bmj.com/content/emermed/31/6/499.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emermed-2013-202346
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectBiomedical Researchen_US
dc.subjectClinical Trialen_US
dc.subjectAttitude of Health Personnelen_US
dc.subjectEmergency Medicineen_US
dc.titleParamedic perceptions of the feasibility and practicalities of prehospital clinical trials: a questionnaire surveyen_US
dc.typeJournal Article/Review
dc.source.journaltitleEmergency Medicine Journalen_US
dcterms.dateAccepted2019-10-09
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-10-09
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2013-03
html.description.abstractBackground Clinical trials are required to strengthen the evidence base for prehospital care. This questionnaire study aimed to explore paramedics’ perceptions of prehospital research and barriers to conducting prehospital clinical trials. Methods A self-completed questionnaire was developed to explore paramedic perceptions and barriers to undertaking prehospital trials based upon a review of existing research and semistructured qualitative interviews with five paramedics. The questionnaire was distributed by ‘research champions’ to 300 paramedics at randomly selected ambulance stations in Yorkshire. Results Responses were received from 96/300 participants (32%). Interest in clinical trials was reported, but barriers were recognised, including perceptions of poor knowledge and limited use of evidence, that conducting research is not a paramedics’ responsibility, limited support for involvement in trials, concerns about the practicalities of randomisation and consent, and time pressures. No association was found between training route and perceived understanding of trials (p=0.263) or feeling that involvement in trials was a professional responsibility (p=0.838). Previous involvement in prehospital research was not associated with opinions on importance of an evidence base (p=0.934) or gaining consent (p=0.329). The number of years respondents had been practicing was not associated with opinions on personal experience versus scientific evidence (p=0.582) or willingness to receive training for clinical trials (p=0.111). However, the low response rate limited the power of the study to detect potential associations. Conclusions Paramedics reported interest and understanding of research, but a number of practical and ethical barriers were recognised that need to be addressed if prehospital clinical trials are to increase. https://emj.bmj.com/content/emermed/31/6/499.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emermed-2013-202346en_US


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