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So different, yet so similar: meta-analysis and policy modeling of willingness to participate in clinical trials among Brazilians and Indians.

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Date
2010-12-16
Authors
Zammar, Guilherme
Meister, Henrique
Shah, Jatin
Phadtare, Amruta
Cofiel, Luciana
Pietrobon, Ricardo
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Abstract
BACKGROUND: With the global expansion of clinical trials and the expectations of the rise of the emerging economies known as BRICs (Brazil, Russia, India and China), the understanding of factors that affect the willingness to participate in clinical trials of patients from those countries assumes a central role in the future of health research. METHODS: We conducted a systematic review and meta-analysis (SRMA) of willingness to participate in clinical trials among Brazilian patients and then we compared it with Indian patients (with results of another SRMA previously conducted by our group) through a system dynamics model. RESULTS: Five studies were included in the SRMA of Brazilian patients. Our main findings are 1) the major motivation for Brazilian patients to participate in clinical trials is altruism, 2) monetary reimbursement is the least important factor motivating Brazilian patients, 3) the major barrier for Brazilian patients to not participate in clinical trials is the fear of side effects, and 4) Brazilian patients are more likely willing to participate in clinical trials than Indians. CONCLUSION: Our study provides important insights for investigators and sponsors for planning trials in Brazil (and India) in the future. Ignoring these results may lead to unnecessary fund/time spending. More studies are needed to validate our results and for better understanding of this poorly studied theme.
Type
Journal article
Subject
Acquired Immunodeficiency Syndrome
Adolescent
Adult
Altruism
Brazil
Clinical Trials as Topic
Cultural Characteristics
Female
HIV Infections
Humans
India
Male
Middle Aged
Motivation
Patient Participation
Patient Selection
Permalink
https://hdl.handle.net/10161/4586
Published Version (Please cite this version)
10.1371/journal.pone.0014368
Publication Info
Zammar, Guilherme; Meister, Henrique; Shah, Jatin; Phadtare, Amruta; Cofiel, Luciana; & Pietrobon, Ricardo (2010). So different, yet so similar: meta-analysis and policy modeling of willingness to participate in clinical trials among Brazilians and Indians. PLoS One, 5(12). pp. e14368. 10.1371/journal.pone.0014368. Retrieved from https://hdl.handle.net/10161/4586.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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