Build in frequent and consistent channels for feedback

Who understands the trial experience better than the participants and site staff? However, across our research, approaches to gathering and implementing feedback in clinical trials appear fragmented, presenting opportunities for improvements.

Very few sites regularly collect participant feedback, and those who do, often do not have channels or resources to action it.

Chart: How often site staff give feedback on materials — 34% never, 29% rarely, 20% occasionally, 17% regularly. Of the 66% who do give feedback, 26% is used to adapt communications, 23% is shared with the sponsor, 21% results in no action taken, 18% is documented internally, 12% other.

What site teams can do:

Keep nurturing two-way conversations, emphasising that you value participant perspectives. Make use of open questions wherever possible, for example:

What do you appreciate most during your visits to the study clinic?

What one thing could we change to make participation easier for you?

What information in your visit reminders can best help you prepare?

Wherever possible, keep a note of feedback gathered on an ad-hoc basis – it doesn't need to be a protocol-mandated step. But over time, anecdotal feedback can build into a strong evidence base for change.

Equally, very few site teams report having the opportunity to feed back their, and their participants' opinions on materials, directly to sponsors.

How often do sponsors ask sites for feedback on the materials they provide?

Pie chart: 35% of sites are asked for feedback on materials once or twice, 25% are never asked, 20% are asked regularly, and 20% find the question not applicable.

What sponsors can do:

Build consistent channels so site teams can share their feedback and feedback from participants. For example, it could be a simple online repository or email. Ensure you're acknowledging the feedback and demonstrating how you're using it to drive change.