Feasibility Study on Tonsillitis Decision Making
This feasibility study aims to explore decision-making processes of patients, clinicians, and GPs regarding acute recurrent tonsillitis. The study integrates qualitative research to improve the design and conduct of the National Trial of Tonsillectomy in Adults (NATTINA). Research objectives include evaluating professionals' and patients' willingness to participate, defining acceptable criteria, and assessing the feasibility of data collection methods. Participants include various hospitals and individuals involved in ENT care. Methods involve interviews and role-playing scenarios to gather insights on patient management and research involvement.
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Presentation Transcript
A feasibility study to explore patient, clinician and GP decision making of acute recurrent tonsillitis for NATTINA: The NAtionalTrial of Tonsillectomy IN Adults Dr Lorraine McSweeney
A qualitative approach The integration of qualitative research within difficult to conduct randomised controlled trials is recommended to improve their feasibility, design and conduct (de Salis, et al., 2008) Qualitative research focuses on human experience and social life including people s use of language (Ward et al., 2013)
Study aim The aim of the feasibility study is to assess: The practicality of the proposed internal pilot and full scale randomised controlled trial NATTINA: the National Trial of Tonsillectomy in Adults
Research objectives Evaluate professionals willingness to randomise Evaluate patients willingness to be randomised Define criteria acceptable to all stakeholders Establish primary care clinicians willingness to refer patients Assess the acceptability of usual care treatment Investigate the feasibility and acceptability of the proposed data collection methods and outcome measures
The participants Aberdeen Royal Infirmary Ninewells Hospital Dundee Glasgow Royal Infirmary Freeman Hospital Newcastle Sunderland Royal Infirmary York Hospital Bradford Royal Infirmary University Hospital Birmingham Guy s Hospital London
Who? General practitioners ENT staff (including research staff) ENT patients Adults with acute tonsillitis who have been referred to otolaryngology outpatient clinics for recurrent sore throat
Method ENT, research staff and GPs Telephone interviews (15-30 mins) Open ended questions using topic guide E.g. Can you describe how patients with recurrent sore throats are managed Patients Face-to-face interviews (30-60 mins) Open ended questions using topic guide E.g. If you were able to avoid a sore throat how much would you be willing to pay a day? Willingness to be involved in research role play Material and method testing completion of questionnaires etc.
Analysis Framework analysis A qualitative thematic data analysis Flexible Systematic Rigorous Offers: transparency, clarity and an audit trail for stakeholders The data will be repeatedly read and coded independently by two researchers within a framework of a priori issues and those identified by participants or which emerged from the data
Outcome To consider: How well trial processes and interventions are introduced and incorporated at the nine sites for both patient and professional groups
Progress to date Staff interviews Aberdeen: 1 Glasgow: 1 Dundee: 1 Newcastle: 2 York: 4 Bradford: 2 London: 1 Patient interviews Aberdeen: 2 London: 1 (telephone) Scheduled - Aberdeen: 2 Dundee: 1 London: 1 Scheduled Dundee: 1
Thank you This project was funded by the National Institute for Health Research (NIHR) Heath Technology Assessment (HTA Programme (project number 12/146/06). The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the HTA, NIHR, NHS or the Department of Health.
