Randomized trial of a web-based nurse education intervention to increase discussion of clinical trials

Seunghee Margevicius, Barbara Daly, Mark Schluchter, Susan Flocke, Sharon Manne, Jessica Surdam, Sarah Fulton, Neal J. Meropol

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Clinical trials are a critical source of evidence for oncology care, yet very few patients participate. Among healthcare providers, nurses spend the most time with cancer patients and are the most highly trusted professionals. We developed and evaluated an educational program for oncology nurses targeting knowledge, attitudes, self-efficacy and perceived norms to facilitate discussion about clinical trials and support patient decision making. Methods: A nationwide sample of oncology nurses were randomly assigned to receive general clinical trials education delivered as text (attention control) vs. tailored video vignettes (intervention) in a web-based continuing education program. Participants completed a baseline assessment and follow up assessments immediately after the educational program and three months later. The primary outcome was intention to discuss clinical trials with patients. Secondary outcomes were knowledge and attitudes about clinical trials, self-efficacy, and perceived norms. Results: 1393 nurses enrolled and completed the educational program and post-intervention assessment (720 control, 673 video). Both text education and tailored video education increased intention to discuss clinical trials with patients, with a greater effect in the video group (p < .0001). Likewise, knowledge, attitudes, perceived behavioral control, and perceived norms were all improved with education in both groups, and the magnitude of benefit was greater (p < .001) for the video group in all outcomes except knowledge. Conclusion: A one-time online educational program for oncology nurses improves knowledge, attitudes, self-efficacy and intention to engage patients in discussions about clinical trials. A tailored video format was associated with a greater effect than standard text only material.

Original languageEnglish (US)
Article number100789
JournalContemporary Clinical Trials Communications
Volume22
DOIs
StatePublished - Jun 2021

All Science Journal Classification (ASJC) codes

  • Pharmacology

Keywords

  • Clinical trials
  • Communication
  • Nurse education

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