Presentation on theme: "Early stages of research programmes: pilot and feasibility studies From Scoping to Activity Rehabilitation Conference A Byrne."— Presentation transcript:
Early stages of research programmes: pilot and feasibility studies From Scoping to Activity Rehabilitation Conference A Byrne
Paths to wisdom…. What are we trying to achieve? How will success be measured? What hasn’t worked? How feasibility studies support transition to success
What are we trying to achieve? Patient orientated vs. disease orientated Pragmatic vs. explanatory Multiprofessional/disciplinary vs. elite Policy/public vs. opinion leading
Why….? Best practice…..best care Influence policy and strategy Efficacy and efficiency
The challenge of evidence Patient orientated… Disease orientated…. Change = confidence in quality
Scientific method Produce evidence that is verifiable by repeated observation Language of reliability and consistency Hierarchies of evidence
Evaluation of complex interventions: Campbell et al BMJ 2000;321:694-6
Trial by Design…
Why failures…..? Lack of clarity Poor methodology Poor infrastructure
Supportive and Palliative Care Organisation Workforce Infrastructure Small, fragmented groups Lack of training, funds Minimal access to resource
“Difficult to research” crux ? Do nothing………or Anything goes?
Best patient care From knowledge to practice Ignorance Pattern Recognition Organized Observation Collateral knowledge Trials Certainty
Research Question Large scale study Education Training Systematic Review Clinical Trials Unit Academic qualification Patient Involvement Recruitment Methodology Outcome measurement Dissemination Change in practice Driver Opportunity Infrastructure Skilled workforce Publication Facilitated learning
Best patient care Ignorance Pattern Recognition Organized Observation Collateral knowledge Trials Certainty SystematicPhase I Descriptive Phase II Qualitative/quantitative Phase III
What feasibility provides.. Information on the population Information on the intervention Information on the methodology Information on the trial conduct
What feasibility demonstrates.. Clarity and focus Organized: -thinking -multidisc engagement -project management Track record: - of funding - of working together
What feasibility promises… Opportunity for phase III funding Potential to develop programme grants Enticement to broad vision…..
Portfolio Policy and strategy Practice and care Access and recruitment
Key next steps Commonality of theme Methodological expertise and innovation Multidisciplinary approach Resource base: CTUs Opportunism….