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Trial registered on ANZCTR
Registration number
ACTRN12625000227493p
Ethics application status
Not yet submitted
Date submitted
27/01/2025
Date registered
28/03/2025
Date last updated
28/03/2025
Date data sharing statement initially provided
28/03/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Barriers and Facilitators to Participation in Stroke Clinical Trials: A 6-Year Retrospective Analysis of Factors
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Scientific title
A Retrospective Observational Study Investigating Barriers and Facilitators to Participation in Stroke Clinical Trials Among Adult Patients Over a 6-Year Period in a Metropolitan Tertiary Hospital in Australia
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Secondary ID [1]
313819
0
na
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
336456
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Condition category
Condition code
Stroke
332976
332976
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0
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Ischaemic
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Stroke
332977
332977
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0
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Haemorrhagic
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observational - Retrospective analysis of existing patient data focusing on factors affecting clinical trial participation.
1) This study is collecting data retrospectively from medical records,
2) what is being observed in participants,
- Basic demographics including age, race, and gender at birth
- Diagnosis including onset of stroke and severity
- Previous health history, commorbidites
- social history
-Baseline Glasgow Coma Scale (GCS), and National Institutes of Health Stroke Scale (NIHSS); GCS and NIHSS upon presentation to the hospital; and GCS and NIHSS upon approaching the patient for participation of clinical trial.
- Discharge destinations
- Retrospective data of suitability for Stroke Clinical Trials at a tertiary hospital in Melbourne CBD
- Reasons why patients who are eligible for clinical trials have refused for the enrolment of the study
3) No questionnaire will be involved as this is a retrospective observational study.
A lldata needed are already collected,
4) The source and time period (minimum month and year) this retrospective data was collected, - January 2019 - January 2025
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Intervention code [1]
330407
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Not applicable
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Determining reasons why patients chose not to participate in a stroke trial
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Assessment method [1]
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Data Source: Patient narratives and clinician-documented reasons for non-participation. Method: Thematic analysis to identify and categorize reasons into meaningful themes, such as: a)Personal willingness (e.g., fear, mistrust, lack of interest). b)Feasibility factors (e.g., transportation, time constraints, or health-related issues). Tools Used: Coding of qualitative data into themes using qualitative data analysis software or manual thematic categorization. Validation and Triangulation a) Cross-referencing data from multiple sources (e.g., medical records, clinician reports) to minimize bias. b) Regular consultation with clinical staff to ensure accurate interpretation of documented reasons.
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Timepoint [1]
340513
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Retrospective review (January 2019 – January 2025) within one week of diagnosed with stroke of each of the patients.
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Primary outcome [2]
340727
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Number and proportion of patients who did not participate in clinical trials, stratified by gender and age group.
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Assessment method [2]
340727
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Counted from eligibility records documented in a tertiary hospital in Melbourne CBD Stroke Screen log over six years.
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Timepoint [2]
340727
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January 2019 – January 2025) within one week of diagnosed with stroke of each of the patients,
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Secondary outcome [1]
444314
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Number and proportion of patients reporting each category of non-participation reasons (e.g., willingness, feasibility), documented through patient records and research staff notes.
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Assessment method [1]
444314
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Quantitative Assessment: Number and proportion of patients reporting each category of non-participation reasons (e.g., unwillingness, logistical challenges, eligibility criteria) as documented in a tertiary hospital in Melbourne CBD Stroke Screen log and clinical trial screening records. Qualitative Assessment: Categorization and frequency analysis of patient-reported reasons for non-participation, grouped into predefined themes such as 'willingness' and 'feasibility,' derived from clinical notes and recruitment feedback forms. Thematic analysis will be used to identify patterns and contextual factors influencing non-participation.
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Timepoint [1]
444314
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At the time of initial eligibility screening for each patient, as documented in the tertiary hospital in Melbourne CBD Stroke Screen log. Data will be analyzed retrospectively at the end of the study period (January 2025), with assessments conducted for each year from January 2019 to January 2025 to identify trends over time.
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Eligibility
Key inclusion criteria
a) Adults aged 18 years or older.
b) Diagnosed with stroke and considered for participation in clinical trials from January 2019 to January 2025.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
None, apart from clinical trial-specific exclusions documented in patient records.
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Study design
Purpose
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Duration
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Selection
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Timing
Retrospective
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Statistical methods / analysis
Quantitative analysis will involve trend analysis over time and chi-squared tests to determine the association between demographic factors and non-participation reasons. A p-value of less than 0.05 will be considered statistically significant. Qualitative analysis will involve thematic analysis of patient narratives to extract meaningful patterns and themes regarding reasons for non-participation.
Quantitative analysis will involve trend analysis over time and chi-squared tests to determine the association between demographic factors and non-participation reasons. A p-value of less than 0.05 will be considered statistically significant. Qualitative analysis will involve thematic analysis of patient narratives to extract meaningful patterns and themes regarding reasons for non-participation.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
7/04/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
300
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
318288
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Self funded/Unfunded
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Name [1]
318288
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Self funded by Primary Investigator (Pamela Galindo) and seeking support from research grants and institutional funds.
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Address [1]
318288
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Country [1]
318288
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Australia
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Primary sponsor type
Individual
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Name
Primary Investigator - Pamela Galindo, The Alfred Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
320672
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None
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Name [1]
320672
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Address [1]
320672
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Country [1]
320672
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
316929
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
316929
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https://www.alfredhealth.org.au/research/ethics-research-governance
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Ethics committee country [1]
316929
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Australia
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Date submitted for ethics approval [1]
316929
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07/04/2025
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Approval date [1]
316929
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Ethics approval number [1]
316929
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Summary
Brief summary
Background and Rationale: Clinical trials are pivotal in advancing stroke care, yet participation remains low, exacerbating disparities, especially across age and gender demographics. This study aims to investigate the barriers to and facilitators of participation in clinical trials to enhance person-centred approaches in stroke research. Objectives: 1.To analyse the trends in age, gender, and rationales for non-participation in clinical trials among adult patients with stroke over the past 6 years at a tertiary Hospital in a large metropolitan area of Australia. 2.To develop and refine frameworks for patient recruitment that reduce barriers and enhance facilitation in stroke clinical trials. Study Design: A retrospective observational study complemented by a qualitative analysis of existing data from stroke patients who were eligible for clinical trial participation from January 2019 to January 2025.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mrs Pamela Galindo
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Address
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The Alfred Hospital - 99 Commercial Road, Melbourne, VIC, 3004
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Country
139454
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Australia
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Phone
139454
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+61 452248008
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Fax
139454
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Email
139454
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[email protected]
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Contact person for public queries
Name
139455
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Pamela Galindo
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Address
139455
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99 Commercial Road, Melbourne, VIC, 3004
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Country
139455
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Australia
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Phone
139455
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+61 452248008
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Fax
139455
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Email
139455
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[email protected]
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Contact person for scientific queries
Name
139456
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Pamela Galindo
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Address
139456
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The Alfred Hospital - 99 Commercial Road, Melbourne, VIC, 3004
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Country
139456
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Australia
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Phone
139456
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+61 452248008
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Fax
139456
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Email
139456
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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