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Barriers and best practices to improving clinical trials transparency at UK public research institutions

A qualitative interview study

Bibliographic Data

ID21467647
AuthorsNicholas DeVito (0000-0001-8286-1995, University of Oxford, corresponding author), Jessica Morley (0000-0001-5221-4770, University of Oxford), Ben Goldacre (0000-0002-5127-4728, University of Oxford)
Year2024
Volume142
Pages104991
Publication date2024-04-01
Open AccessYes
TypeARTICLE
VenueHealth Policy (JOURNAL)
Journal identifiersISSN: 0168-8510 • E-ISSN: 1872-6054
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.healthpol.2024.104991
PMID38417375
OpenAlexW4390824775
LanguageEN
References cited55

OBJECTIVES: Since 2017, the UK government has made concerted efforts to ensure the dissemination of clinical trials conducted at public research institutions. This study aims to understand how stakeholders within these institutions responded to these pressures and modified internal policies and processes while identifying best practices and barriers to improved transparency practice. METHODS: Research governance and trial management staff from UK public research institutions (i.e., Universities and NHS Trusts) in England, Scotland and Wales participated in semi-structured interviews. Interviews were analysed using thematic analysis, aided by the framework method. RESULTS: Between November 2020 and July 2021, 14 individual participants were recruited from 11 different institutions. They worked in research governance, administration, and management. Almost universally, new policies and procedures have been established to ensure investigators are aware of, and supported in, fulfilling their transparency commitments, however challenges remain. Trials of medicinal products, as the most closely regulated research, consequently received the most attention. National professional networks aid in sharing knowledge and best practice within this community. CONCLUSIONS: Investment in the institutional governance of transparency is essential to achieving optimal transparency practices. Universities and hospitals share responsibility for ensuring research is performed and reported to regulatory standards. Facing political pressure, public research institutions in the UK have made efforts to improve their transparency practice which can provide key insights for similar efforts elsewhere

Accountability · Best practice · Business · Corporate governance · Political science · Public relations · Qualitative research · Sociology · Thematic analysis · Ethics in Clinical Research · Medicine · Meta-analysis and systematic reviews · Pharmaceutical industry and healthcare · Public Administration

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