Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle East

Background: Low-middle income countries harbor the highest burden of cardiovascular diseases globally, but there is an under-representation of these countries in cardiovascular clinical trials. This limits the generalizability of the trial results to these countries. There is a lack of data on insig...

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Main Authors: Zainab Atiyah Dakhil, Hasan Ali Farhan, Mohammed Dheyaa Marsool, Mohammed Saad Qasim, Michele Peters, Jose Leal
Format: Article
Language:English
Published: Ubiquity Press 2025-01-01
Series:Global Heart
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Online Access:https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1389
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author Zainab Atiyah Dakhil
Hasan Ali Farhan
Mohammed Dheyaa Marsool
Mohammed Saad Qasim
Michele Peters
Jose Leal
author_facet Zainab Atiyah Dakhil
Hasan Ali Farhan
Mohammed Dheyaa Marsool
Mohammed Saad Qasim
Michele Peters
Jose Leal
author_sort Zainab Atiyah Dakhil
collection DOAJ
description Background: Low-middle income countries harbor the highest burden of cardiovascular diseases globally, but there is an under-representation of these countries in cardiovascular clinical trials. This limits the generalizability of the trial results to these countries. There is a lack of data on insights of cardiologists in these countries regarding conducting and participating in clinical trials. We sought the views of cardiovascular healthcare professionals in Iraq on participation in clinical trials. Method: Cardiovascular professionals in Iraq were identified and contacted, via special platforms on social media specified for them, to answer a 30-item online survey. Results: We surveyed n = 255 specialists (20% were women); interventional cardiologists constituted 44.7%, followed by cardiology trainees at 31%. Almost 30% reported having been involved in clinical trials, with data collection being the more frequently reported role (21.2%). Prior participation was not significantly associated with respondent gender, academic affiliation, or presence of institutional ethical committee. Of the total, 95.7% thought that clinical trials should be conducted in Iraq, with 58.8% reporting that they would participate if invited. The most common barriers to respondents’ participation in trials were lack of electronic health records (52.2% of those surveyed) and time (51.4%), followed by the requirement of additional follow-up visits or investigations (34.1%). The most common motivators were establishing electronic health records (86.27%), education and training of the general population about clinical trials (84.7%), and dedicated training for healthcare providers about clinical trial basics (84.3%). Conclusion: Our work helps pave the path to implementing a robust clinical trial ecosystem in Iraq. Institutional and financial factors and a lack of dedicated research time are related to the cardiovascular clinical trial lag in Iraq. Future qualitative research can help in getting a deeper understanding of what is needed to create the right infrastructure.
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issn 2211-8179
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spelling doaj-art-e947030bcfef4778b90aa086c78c6c382025-02-11T05:32:44ZengUbiquity PressGlobal Heart2211-81792025-01-012014410.5334/gh.13891370Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle EastZainab Atiyah Dakhil0https://orcid.org/0000-0001-7102-522XHasan Ali Farhan1https://orcid.org/0000-0002-6061-4966Mohammed Dheyaa Marsool2Mohammed Saad Qasim3https://orcid.org/0009-0004-6944-669XMichele Peters4Jose Leal5Ibn Al-Bitar Cardiac Centre, University of Baghdad/Al-Kindy College of MedicineIraqi Scientific Council of Cardioloy, University of Baghdad/College of MedicineUniversity of Baghdad/Al-Kindy College of MedicineUniversity of Baghdad/Al-Kindy College of MedicineUniversity of OxfordUniversity of OxfordBackground: Low-middle income countries harbor the highest burden of cardiovascular diseases globally, but there is an under-representation of these countries in cardiovascular clinical trials. This limits the generalizability of the trial results to these countries. There is a lack of data on insights of cardiologists in these countries regarding conducting and participating in clinical trials. We sought the views of cardiovascular healthcare professionals in Iraq on participation in clinical trials. Method: Cardiovascular professionals in Iraq were identified and contacted, via special platforms on social media specified for them, to answer a 30-item online survey. Results: We surveyed n = 255 specialists (20% were women); interventional cardiologists constituted 44.7%, followed by cardiology trainees at 31%. Almost 30% reported having been involved in clinical trials, with data collection being the more frequently reported role (21.2%). Prior participation was not significantly associated with respondent gender, academic affiliation, or presence of institutional ethical committee. Of the total, 95.7% thought that clinical trials should be conducted in Iraq, with 58.8% reporting that they would participate if invited. The most common barriers to respondents’ participation in trials were lack of electronic health records (52.2% of those surveyed) and time (51.4%), followed by the requirement of additional follow-up visits or investigations (34.1%). The most common motivators were establishing electronic health records (86.27%), education and training of the general population about clinical trials (84.7%), and dedicated training for healthcare providers about clinical trial basics (84.3%). Conclusion: Our work helps pave the path to implementing a robust clinical trial ecosystem in Iraq. Institutional and financial factors and a lack of dedicated research time are related to the cardiovascular clinical trial lag in Iraq. Future qualitative research can help in getting a deeper understanding of what is needed to create the right infrastructure.https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1389developing countriestrialdiversityinclusionevidence-basediraq
spellingShingle Zainab Atiyah Dakhil
Hasan Ali Farhan
Mohammed Dheyaa Marsool
Mohammed Saad Qasim
Michele Peters
Jose Leal
Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle East
Global Heart
developing countries
trial
diversity
inclusion
evidence-based
iraq
title Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle East
title_full Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle East
title_fullStr Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle East
title_full_unstemmed Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle East
title_short Perceptions of Cardiovascular Healthcare Professionals Regarding Clinical Trials: A Survey-Based Study from the Middle East
title_sort perceptions of cardiovascular healthcare professionals regarding clinical trials a survey based study from the middle east
topic developing countries
trial
diversity
inclusion
evidence-based
iraq
url https://account.globalheartjournal.com/index.php/up-j-gh/article/view/1389
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