Clinical Trial Protocol

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Questions and Answers

What is the primary purpose of a protocol in a Randomized Control Trial (RCT)?

  • To publish the results of the trial
  • To prevent bias and reduce errors (correct)
  • To select the experimental and control groups
  • To analyze the data collected during the trial

What is the main difference between a pilot study and a full-scale RCT?

  • Duration of the study
  • Objective of the study
  • Sample size (correct)
  • Type of intervention

What is the reference population in a RCT?

  • The population that is excluded from the trial
  • The population that is randomly selected for the trial
  • The population that participates in the trial
  • The population to which the trial results are intended to be applicable (correct)

Why is randomization important in a RCT?

<p>To reduce bias and ensure that the groups are comparable (A)</p> Signup and view all the answers

What is the primary criterion for selecting participants in a RCT?

<p>Informed consent of the participant (A)</p> Signup and view all the answers

What is the purpose of a feasibility study?

<p>To test the feasibility of a larger RCT (C)</p> Signup and view all the answers

What is the term for the population that participates in a RCT?

<p>Study population (B)</p> Signup and view all the answers

What is the goal of protocol development in a RCT?

<p>To develop a protocol that outlines the objectives, methods, and procedures of the trial (C)</p> Signup and view all the answers

What is the primary purpose of randomized control trials in epidemiologic experiments?

<p>To assess the effectiveness of new programs or therapies (B)</p> Signup and view all the answers

What is the key difference between randomized and non-randomized control trials?

<p>The method of assigning participants to groups (B)</p> Signup and view all the answers

What is the first step in conducting a randomized control trial?

<p>Drawing up a protocol (C)</p> Signup and view all the answers

What is the purpose of the World Health Organization's (WHO) code of practice in connection with human trials?

<p>To ensure the safety of participants (B)</p> Signup and view all the answers

What is the main advantage of using animals in experimental studies?

<p>They are not subject to the same ethical considerations as human subjects (C)</p> Signup and view all the answers

What is the purpose of the follow-up step in a randomized control trial?

<p>To assess the outcome of the experiment (D)</p> Signup and view all the answers

What is the term for the process of assigning participants to either a reference or experimental group in a randomized control trial?

<p>Randomization (C)</p> Signup and view all the answers

What is the primary goal of an epidemiologic experiment?

<p>To identify the causes of a disease (D)</p> Signup and view all the answers

What is a major challenge in conducting epidemiologic experiments when the disease frequency is low and the natural history is long?

<p>Following up with participants (C)</p> Signup and view all the answers

What is the purpose of allocation concealment in randomized control trials?

<p>To minimize selection bias (D)</p> Signup and view all the answers

What type of bias occurs when there is a lack of blinding in a clinical trial?

<p>Assessment bias (B)</p> Signup and view all the answers

What is the term for non-randomized trials that are used when it is not possible to conduct randomized control trials on humans?

<p>Quasi-experimental study (A)</p> Signup and view all the answers

What is the primary reason why preventive measures can be applied only to groups or communities in some cases?

<p>Administrative problems (C)</p> Signup and view all the answers

What is the term for the practice of dividing experimental subjects or specimens into different intervention groups?

<p>Selection bias (A)</p> Signup and view all the answers

Why are randomized control trials not always possible to conduct on humans?

<p>Due to all of the above (D)</p> Signup and view all the answers

What is the purpose of protocol development in epidemiologic experiments?

<p>To set priorities for the implementation of activities (A)</p> Signup and view all the answers

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Study Notes

The Protocol

  • A crucial feature of any RCT, specifying the study's aims, objectives, and criteria for selection of the study and control groups, sample size, and treatment to be applied.
  • The protocol aims to prevent bias and reduce sources of error.

Pilot Study

  • Also known as a feasibility study, conducted on a small sample size to check whether the study is feasible under certain conditions and environment.

Selecting the Reference and Experimental Populations

  • The reference population is the population to which the study's findings are expected to be applicable.
  • The experimental population is derived from the reference population and should be randomly chosen from it.

Participants' Criteria

  • Participants must give informed consent.
  • They should be representative of the population.
  • They should be qualified or eligible for the trial.

Randomization

  • The "heart" of a controlled trial, ensuring the study's integrity.

Experimental Studies

  • Involve some action, intervention, or manipulation of a variable to observe the outcome.
  • Aims to provide "scientific proof" of etiological factors and measure the effectiveness of health services.
  • Can be conducted on animals or human beings.

Types of Experimental Studies

  • Randomized control trials
  • Non-randomized control trials (quasi-experimental studies)

Randomized Control Trials

  • An assessment method for new programs or therapies.
  • Basic steps include: drawing up a protocol, selecting reference and experimental populations, randomization, manipulation/intervention, follow-up, and assessment of outcome.

Non-Randomized Trials

  • Conducted due to ethical or administrative problems.
  • Also called quasi-experimental studies.

Types of Bias

  • Selection bias: occurs when experimental subjects or specimens are divided into different intervention groups.
  • Assessment bias: occurs when bias in the assessment of the outcome exists.

Assessment Bias

  • Also called ascertainment bias, diagnostic bias, or detection bias.
  • Caused by lack of blinding (triple blinding).

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