title: Patients' motivations for participating in cardiovascular clinical trials: a local perspective.
abstract: OBJECTIVE
  To investigate patients' motivations for participating in cardiovascular clinical trials.
  
  
  METHODS
  Patients attending TREAD Research, located within Tygerberg Hospital, Parow, Western Cape, between January 2005 and May 2006 were approached to participate in the study. Consenting patients were given a validated questionnaire to complete in their home language. All questionnaires were anonymous and 250 consecutive patients completed the questionnaire. They provided basic demographic data and rated their response to 18 statements concerning factors that may or may not have influenced their decision to participate in a clinical trial.
  
  
  RESULTS
  The mean (+/- SD) age of subjects was 56.3 +/- 10.9 years. A large percentage of the respondents were unemployed (66.5%). Access to medical care was a motivation for the majority of patients (90.5%). Ninety-six per cent of patients appreciated the regular follow up they received as trial participants; 90% of patients entered the trial to receive medication, which they could otherwise not afford. A substantial 98% of patients participated to learn more about their disease. Almost all (99%) wanted to further the scientific understanding of their condition. A reassuring 94% of subjects felt that they were not pressurised into the study; 80% of patients disagreed that participation in clinical trials was an easy way to obtain money.
  
  
  CONCLUSIONS
  Access to medical care and making a contribution to scientific knowledge are two of the most common motivations for participation in cardiovascular clinical trials. The role of remuneration is relatively unimportant.
authors.affiliation: Department of Cardiology/TREAD Research, Stellenbosch University/Tygerberg Hospital, Parow, Western Cape, South Africa. Lesley@treadresearch.com
authors.forename: L J
authors.initials: LJ
authors.lastname: Burgess
authors.forename: N U
authors.initials: NU
authors.lastname: Sulzer
authors.forename: F
authors.initials: F
authors.lastname: Hoosain
authors.forename: N
authors.initials: N
authors.lastname: Leverton
authors.forename: S
authors.initials: S
authors.lastname: Bliganut
authors.forename: S
authors.initials: S
authors.lastname: Emanuel
mesh_terms: D000328:Adult; D002986:Clinical Trials as Topic / Q000191:economics / Q000523:psychology; D005260:Female; D006266:Health Education; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D009042:Motivation; D018579:Patient Selection; D010361:Patients / Q000523:psychology*; D011795:Surveys and Questionnaires
references.citation: Br J Gen Pract. 2003 May;53(490):394-8
references.pmid: 12830569
references.citation: J Acquir Immune Defic Syndr. 2005 Jul 1;39(3):359-64
references.pmid: 15980699
references.citation: Mil Med. 2007 Jan;172(1):27-30
references.pmid: 17274261