Research Article

Understanding Patient Values and the Manifestations in Clinical Research with Traditional Chinese Medicine—With Practical Suggestions for Trial Design and Implementation

Table 1

Manifestations of patient values in each phase of a randomized controlled trial.

PhaseCircumstance A Circumstance BB’s implications Patient values’ roleManifestations

Enrollment Gave informed consent including consent to randomizationRefused to give informed consent and did not admitDelays of recruitment
Reduced sample size
Made judgmentsChoices
Randomization and intervention allocationAgreed to receive allocated treatment Randomized to an unopted treatment and refused to continue Ended participation
Decreased statistical power
Made judgmentsChoices
Attended preference controlled trialsEntered the opted groupDirected preferencesPreferences
Treatment durationReceived treatment as requiredReceived treatment not as required Violation of protocolsGuided behaviorsCompliance
Withdrew from treatment or participationWithdrawals
Reported outcomesMade judgmentsPatient reported outcomes
FollowupCompleted all visits as requiredMissed visits Violation of protocolsGuided behaviorsCompliance
Withdrew from the trialLost to followup
Reported outcomesMade judgmentsPatient reported outcomes