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Views on Blinding in Complex Intervention Randomised Controlled Trials: A ‎Survey of UKCRC and TMRP Researchers

Abstract

Title:‎ UK Researcher views on Blinding in Complex Intervention Randomised Controlled Trials: A ‎Survey of UKCRC and TMRP Researchers
Background:‎
Blinding, the practice of concealing treatment allocation, plays a crucial role in ‎randomized controlled trials (RCTs). However, in the context of complex ‎interventions, its feasibility and impact on study quality have been subjects of ‎debate. This survey aims to capture the perceptions of researchers affiliated with the ‎UK Clinical Research Collaboration (UKCRC) and the Trial Methodology Research Partnership (TMRP) ‎ in the United Kingdom regarding blinding in complex ‎intervention RCTs.‎

Methods:‎
This cross-sectional study employed an online survey comprising 30 questions. ‎Utilizing a structured questionnaire, we targeted the population of UKCRC and ‎TMRP researchers. The Likert scale was employed to assess respondents' views, ‎ranging from "Strongly Disagree" to "Strongly Agree." In addition to quantitative ‎responses, a free-text box allowed for qualitative input. The survey collected data ‎from a substantial sample size of UKCRC and TMRP researchers and employed ‎descriptive statistical analyses.‎

Results:‎
Our findings indicate a diverse spectrum of perceptions among UKCRC and TMRP ‎researchers regarding blinding in complex intervention RCTs. While many ‎respondents acknowledged the challenges inherent in blinding within this context, ‎responses varied in terms of its perceived importance, influence on securing ‎funding, and alignment with critical appraisal tools. Notably, the recent NIHR-MRC ‎Framework (2021) emerged as a focal point in shaping attitudes toward blinding.‎

Conclusion:‎
This survey presents interesting researchers' perceptions ‎regarding blinding in complex intervention RCTs. The results emphasise the ‎necessity for continued dialogue within the research community to address ‎methodological challenges and adapt guidelines to better suit the complex ‎intervention context. A comprehensive understanding of these perceptions has the ‎potential to enhance the quality and relevance of clinical research in this evolving ‎field.‎

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