"You decide doctor". What do patient preference arms in clinical trials really mean?

Bowling, Ann and Rowe, Gene (2005) "You decide doctor". What do patient preference arms in clinical trials really mean? Journal of Epidemiology and Community Health, 59(11), pp. 914-915. ISSN (print) 0143-005X

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It is well established that random assignment between experimental treatment and control arms is the gold standard in clinical trials to minimise differences between the groups being compared and safeguard against bias. There is, however, a fear that such random allocation may not accord with patients' preferences for the intervention or treatment, thereby compromising trial validity. It is possible that patients may resent not receiving their treatment of choice, and their negative attitude may lead to non-adherence to treatment or affect outcomes in some other way. Consequently, one option for trial designers is to include patient preference arms, whereby patients with no treatment preference are randomly allocated to experimental and control arms, while patients expressing a treatment preference are allocated to receive their preferred treatment.

Item Type: Article
Uncontrolled Keywords: preferences, clinical trials
Research Area: Allied health professions and studies
Health services research
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences (until 2013)
Depositing User: Susan Miles
Date Deposited: 30 Nov 2010 09:46
Last Modified: 16 Jul 2012 21:49
DOI: https://doi.org/10.1136/jech.2005.035261
URI: http://eprints.kingston.ac.uk/id/eprint/17199

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