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December 30, 2020

How to improve patient engagement in clinical trials

Pharma companies strive to embrace a model of patient centricity in every aspect of healthcare delivery. Now, to uphold a value-based care system, the patient’s voice must be included in every step of the healthcare journey.
patient engagement in clinical trials

In the world of medical R&D, there’s a growing consensus that patient engagement in clinical trials provides myriad benefits for patients and researchers alike. When patients are fully engaged and integrated into the clinical trial process, it leads to better outcomes and more reliable results.

But how can you improve patient engagement in clinical trials?

Here’s what you need to know.

Engagement starts with awareness

There are more virtual clinical trials and R&D research being conducted with each passing year. And every one of these endeavors requires patients or participants to engage in complex and rigorous testing.

Currently, there are more ongoing trials than there are volunteers. And the former are outpacing the latter. This shortage of clinical trial participants inevitably leads to delays and cancellations. In fact, patient recruitment in clinical trials and patient retention are the primary reasons why a clinical trial ends up shutting down. Per researchers from the Indian Society for Clinical Research: “55% of trials were terminated due to the single highest reason of low accrual rate. The average enrollment efficiency is also reported to be <40% for Phase III and IV trials. Globally, more than 80% of trials fail to enroll on time resulting in an extension of study and or addition of new study sites.”

But for companies wondering how to increase enrollment in clinical trials, this lack of participation isn’t because people don’t want to be a part of clinical trials. They do. It’s just that most don’t even know that the trials are happening in the first place. Put simply, clinical trial awareness is essential.

According to the NIH, approximately 85% of patients were unaware that clinical trials existed, let alone that they could participate in them. Of those, 75% of the patients said they would have been willing to enroll in a trial had they known about it.

For the people who have participated in a trial, more than 77% said they found out about the trial from their healthcare provider. And of those, 32% said that their provider went out of their way to introduce and then explain the trial’s details.

What these numbers demonstrate is that healthcare providers are the key to increasing patient clinical trial participation.

Wondering how to increase enrollment in clinical trials and get better participants?

For starters, you must work closely with healthcare providers to raise awareness by promoting your clinical trial and enlisting interested parties. And the choice to take part in a clinical trial should be included in the conversation about their treatment options. Similarly, encourage current participants to be advocates by spreading the word with friends and family – both in person and on social media.

Involve patients in your trial design

Want to increase patient trial retention and efficacy?

Then include their voice from the outset. Instead of designing a trial and then recruiting volunteers, you should engage them first to create the most effective trial possible. They could provide invaluable feedback and insights about how to tweak and optimize the process across various touchpoints. For example, as Clinical Leader notes:

“Pharmacokinetic (PK) blood draws are collected at 2, 4, 8, and 12 hours post-infusion. A blood draw is not a big deal for most patients, but when there is a stringent schedule that needs to be adhered to, it can be an inconvenience for patients, especially those who have to travel far for the appointment. What will the patient do in between draws? Do they have to stay at the hospital all day? Are they able to attend to other responsibilities planned for that day?”

How can you include patients in the clinical trial design?

Most healthcare providers who heed their opinions will use some combination of surveys and outreach to a patient advocacy group and community. In doing so, you can ask questions like:

  • What is your daily life like with the condition?
  • What are the barriers you face?
  • What barriers do you see with a trial?
  • What benefits do you hope to receive from participation?

By taking the time to receive feedback, you can avoid mistakes that might otherwise dissuade patients from volunteering or cause them to drop out of the trial midway through. By making them active participants in their healthcare provision, you also incentivize patients to be enthusiastic and engaged throughout the entire care journey.

Be clear about what the trial entails

After you have created the clinical trial design with the patient voice in mind, you need to facilitate robust communication with healthcare providers and would-be volunteers.

Remember, awareness is essential. But it’s only the first step of successful engagement.

To recruit and (importantly) retain clinical trial participants, patients need to have a clear picture of what the journey will entail. In most cases, clinical trials can consume weeks, if not months of their life. In some capacity, the patients will need to sacrifice their time—be transparent about how much upfront.

At this stage, building trust is incredibly important. Patients need to know exactly what to expect before they sign up. Blindsiding them after the fact is one of the quickest ways to increase dropouts.

Patients need to be convinced that the sacrifice they make to participate in the trial will be worth it; that after everything is said and done, it will be beneficial—whether for themselves or others. Therefore, it’s essential that you walk them through the clinical journey throughout the entire process so that they know what to expect.

When you do this, be sure to use clear and concise language in a way that:

  • Addresses patients needs and concerns
  • Outlines the purposes of the clinical study
  • Discusses the tangible benefits to participants
  • Details the risks and commitments

Eliminate or mitigate common clinical trial participation burdens

For many would-be trial participants, several barriers and burdens might prevent them from signing up. These include:

Socioeconomic – Trial participation is often costly both in terms of time and dollars. Just consider some of the costs, including:

  • Taking time off from work
  • Hiring childcare
  • Traveling to and from the trial

Geographic – Many patients don’t have clinical trials occurring at their local treatment center. Therefore, they have to travel significant distances to participate. And that time and gas cost can quickly add up if trials take place daily.

Educational – Lack of awareness about the option to participate and everything that entails can often prevent patients who would otherwise be interested from volunteering.

Diversity – Opening up trials to a wider array of participants, while also reducing the barriers above, help increase diversity in clinical trials. This, in turn, contributes to a more robust and comprehensive study—one that has been successfully tested on a variety of people from all walks of life.

How can you address these barriers to entry?

Here, technology platforms such as Within3 can help decentralize trials, thus reducing many of the burdens that participants may consider impediments. Using digital tools to support remote clinical trials or limited in-person participation increases accessibility, thus improving engagement.

Armed with telehealth and IoT devices, it becomes much easier for patients to participate in studies, communicate with key stakeholders, perform tests – all from the comfort of their homes.

Clear communication with patients

From beginning to end, maintaining an open channel of dialogue with patients is a fundamental aspect of the engagement. And this is especially true, seeing as COVID has accelerated the adoption of a decentralized model – one that limits face-to-face interactions. Effective communication is paramount to ensure both a successful trial and a positive patient experience in this digital world.

When patients are confused about the clinical trial journey, they’re more likely to drop out. That lack of clear communication has the potential to delay, if not entirely derail your efforts. From onboarding to conducting trials and sharing results, participants need to be engaged with clear and concise explanations. They also need to have any questions or qualms addressed.

Ways you can embrace a model of clear communication include:

  • Using a technology platform like Within3 to facilitate dialogue and disseminate key information
  • Being detailed and specific
  • Minimizing clinical jargon
  • Explaining things in simple-to-understand terms
  • Reinforcing critical messages through repetition
  • Confirming that patients absorbed the main takeaways

Within3 – Engaging clinical trial patients

Patient engagement is a vital component of any successful trial. When patients feel valued and are invested in the process, you increase retention rates and transform them into clinical trial ambassadors.

But in today’s world, engaging and communicating with trial participants can be tricky without the right technology.

Here is where Within3 can help you improve clinical trial recruitment and design more successful trials.

Our insights management platform makes it simple for patients and investigators to:

  • Offer feedback on a study’s trial design
  • Better understand logistical issues patients may face
  • Optimize patient recruitment processes
  • Validate primary and secondary endpoints

Request a demo to learn how Within3 can help improve patient engagement in clinical trials.