The Challenges of Conducting a Nurse-Led Intervention in a Randomized Controlled Trial with Vulnerable Participants

This paper discusses the challenges encountered by researchers while conducting a randomized controlled trial (RCT) testing the efficacy of a healthy lifestyle educational and exercise intervention for people with serious mental illness. RCTs, even though considered the “gold standard” of rese...

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Main Authors: Tanya Park, Kim Usher, Kim Foster
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/394237
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author Tanya Park
Kim Usher
Kim Foster
author_facet Tanya Park
Kim Usher
Kim Foster
author_sort Tanya Park
collection DOAJ
description This paper discusses the challenges encountered by researchers while conducting a randomized controlled trial (RCT) testing the efficacy of a healthy lifestyle educational and exercise intervention for people with serious mental illness. RCTs, even though considered the “gold standard” of research designs, are still prone to risks of potential bias and threats to their validity. Based on researcher reflexivity, the combination of reflection and action, during the conduct of the study, this paper outlines a number of challenges faced by the researchers. These included managing the need of participants to tell their story and be heard, reluctance of participants to remain in allocated groups, participant literacy, dual role of the nurse nurse-researcher, and reporting the benefits of nonstatistical results of a quantitative research project. Recommendations for conducting future behaviour intervention studies of this type include the incorporation of a reflexive component for the nurse nurse-researcher, highlighting the importance of taking a reflexive stance in both qualitative and quantitative research designs.
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publishDate 2014-01-01
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spelling doaj-art-954380433f3744acafdf9d67fc136abc2025-02-03T01:27:26ZengWileyNursing Research and Practice2090-14292090-14372014-01-01201410.1155/2014/394237394237The Challenges of Conducting a Nurse-Led Intervention in a Randomized Controlled Trial with Vulnerable ParticipantsTanya Park0Kim Usher1Kim Foster2School of Nursing, Midwifery and Nutrition, James Cook University, P.O. Box 6811, Cairns, QLD 4870, AustraliaSchool of Health, University of New England, Armidale, NSW 2350, AustraliaFaculty of Health, Disciplines of Nursing & Midwifery, University of Canberra, Canberra, ACT 2600, AustraliaThis paper discusses the challenges encountered by researchers while conducting a randomized controlled trial (RCT) testing the efficacy of a healthy lifestyle educational and exercise intervention for people with serious mental illness. RCTs, even though considered the “gold standard” of research designs, are still prone to risks of potential bias and threats to their validity. Based on researcher reflexivity, the combination of reflection and action, during the conduct of the study, this paper outlines a number of challenges faced by the researchers. These included managing the need of participants to tell their story and be heard, reluctance of participants to remain in allocated groups, participant literacy, dual role of the nurse nurse-researcher, and reporting the benefits of nonstatistical results of a quantitative research project. Recommendations for conducting future behaviour intervention studies of this type include the incorporation of a reflexive component for the nurse nurse-researcher, highlighting the importance of taking a reflexive stance in both qualitative and quantitative research designs.http://dx.doi.org/10.1155/2014/394237
spellingShingle Tanya Park
Kim Usher
Kim Foster
The Challenges of Conducting a Nurse-Led Intervention in a Randomized Controlled Trial with Vulnerable Participants
Nursing Research and Practice
title The Challenges of Conducting a Nurse-Led Intervention in a Randomized Controlled Trial with Vulnerable Participants
title_full The Challenges of Conducting a Nurse-Led Intervention in a Randomized Controlled Trial with Vulnerable Participants
title_fullStr The Challenges of Conducting a Nurse-Led Intervention in a Randomized Controlled Trial with Vulnerable Participants
title_full_unstemmed The Challenges of Conducting a Nurse-Led Intervention in a Randomized Controlled Trial with Vulnerable Participants
title_short The Challenges of Conducting a Nurse-Led Intervention in a Randomized Controlled Trial with Vulnerable Participants
title_sort challenges of conducting a nurse led intervention in a randomized controlled trial with vulnerable participants
url http://dx.doi.org/10.1155/2014/394237
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