Clinical trials & medical research (young people)
Reasons for wanting to take part: personal benefit
Young people we talked to agreed to take part in trials for a range of reasons. One of the main reasons was the hope that it might improve their own health or treatment. Many young people said they took part for a mix of reasons, both to help themselves and others, and helping medical science, but in this section we focus on personal benefit. (See also ‘Reasons for wanting to take part: helping medical science and others.’)
Kay aged 23 was diagnosed with cystic fibrosis at 2 months of age. She has taken part in two randomised placebo controlled trials on medicines intended to help people with cystic fibrosis prevent further complications.
Kay really wanted to improve her lung function and was pleased to be invited to take part in a trial to test a new medication. You have to meet the medical criteria to take part.
Kay really wanted to improve her lung function and was pleased to be invited to take part in a trial to test a new medication. You have to meet the medical criteria to take part.
I was having quite a bad period of health I think. My lung function had gone down quite a lot and I think, although my lung function had gone down it was still in the relevant kind of ranges to be on a clinical trial, that this particular clinical trial of Mannitol. So I basically wanted to do anything I could to try and get my lung and help and I was invited by, we’ve got a research nurse at my hospital where they we have CF care, and she leads all the clinical trials and the consultant there he liaises with the research nurse to get all the ethics approved etcetera. And I think they just approach patients that they feel would be happy to be involved with the clinical trial or fit the medical criteria. Because obviously there might be loads of people that want to take part in the trial but if they don’t fit the medical criteria they can’t get involved. And I think because I’m quite a compliant patient as well I think they knew that they I could they could rely on me to kind of take the medication every day and record if I had, you know, any side effects [noise] or anything like that which, I think they could rely on me which is quite a big thing if you want to get good data so.
Robert urges others to see past any side effects or discomfort involved in trials and take part because the benefits to science are so great. He was also pleased to get access to a new gene therapy.
Robert urges others to see past any side effects or discomfort involved in trials and take part because the benefits to science are so great. He was also pleased to get access to a new gene therapy.
I think a barrier might be, so as I said when I was younger we didn’t do anything where I had to have another blood test. So if there’s a particular procedure involved that you don’t really want to do then you’re very free to say no. But even if it’s something that only, you know, that only mildly inconveniences you, like I had to have these bronchoscopies, you know, it’s not exactly a fun thing to have but you think well it’s worth it to put myself through that for the benefit that the trial gains from it. Or I mean there was another, with the pilot study they had this worst test ever, they had like a wire pipe cleaner brush that they’d stick in your nose and go whoosh and take it out. And it’s really, really uncomfortable and oh it was horrible but in doing so they got a million epithelial cells from each nostril doing it so, and the doctor doing it said “I know these are horrible we’ve done them on, we’ve done them on ourselves as well” but the amount of data we get from it is incredible. So I think perhaps sometimes maybe for young people to try and see past the, you know, slight uncomfort they may have to go through for the greater gain that it brings yes. And I think as, as a facilitator as I said being a young person on the gene therapy trial if I’ve got a chance of being one of the first people to have gene therapy and then to be on that drug then that’s a, a really great opportunity for my health. So even though that’s a yes it’s not a financial incentive it’s still a really good incentive to take part.
Like Kay and Robert above, many of the young people we interviewed had a health problem and hoped being in a trial might benefit them. This might include improving their health, learning more about their condition, getting a new drug or treatment, the chance of getting access to care they felt would be better or more specialised, and being more closely monitored.
Taking part in the trial meant Kay would be closely monitored and any health problems could be picked up and dealt with quickly, but it may mean extra hospital appointments.
Taking part in the trial meant Kay would be closely monitored and any health problems could be picked up and dealt with quickly, but it may mean extra hospital appointments.
Being closely monitored in the trial was reassuring for Joanna but she also wanted to help the researchers.
Being closely monitored in the trial was reassuring for Joanna but she also wanted to help the researchers.
It has been suggested that people who take part in trials, whatever treatment group they are allocated to, have better health outcomes than people who do not take part in trials. This is known as the ‘trial effect’. In fact, reviews of the evidence have shown no significant differences in health outcomes for people given similar treatments within a trial or just as part of their normal care.
A trial may give you the chance to try a new treatment. Seeing how the health of a close family member had improved after taking part in a trial reassured Stephanie it was worth giving it a go.
A trial may give you the chance to try a new treatment. Seeing how the health of a close family member had improved after taking part in a trial reassured Stephanie it was worth giving it a go.
It is important to bear in mind that until a trial has been completed, no-one knows if a new treatment is better than the standard or existing treatment, as Helena, a health professional, explains below. ‘New’ does not necessarily mean ‘better’. Indeed, new treatments are as likely to be worse than existing treatments as they are to be better. The UK Clinical Research Collaboration booklet ‘Understanding Clinical Trials’ includes a useful section on the risks and benefits of trials.
Helena says that one of her roles is to ensure families understand and that we do not know for sure if the new treatment in a trial actually works.
Helena says that one of her roles is to ensure families understand and that we do not know for sure if the new treatment in a trial actually works.
Yes I think when families do say that they want to take part in the study it’s a two way thing really. We’re obviously offering them the chance of potentially better treatment or not and that’s what the study is about. And at the end of the day that’s something that we, we always explain the fact it is a trial means that it’s never been proven which of the drugs, say for example is better. Because if it had been proven it wouldn’t still be a trial so we, you know, we don’t know for sure. We, sometimes people can say, “Oh I think, you know I’ve used this for years and I’m sure it’s better and I’ve done my own bit of, or sometimes I give this and sometimes I give that and certain children do better.” But the fact that it’s had to go to a clinical trial means that it’s never been proven which is a key point that families need to, you know, be aware of really.
In some early phase trials, everyone may get the new treatment being tested. For Robert, knowing he would get access to a new gene therapy was a strong motivation.
Robert was pleased to have the opportunity to try a new gene therapy in a Phase 1 trial. It was also scientifically exciting, and a chance to give something back.
Robert was pleased to have the opportunity to try a new gene therapy in a Phase 1 trial. It was also scientifically exciting, and a chance to give something back.
In non-drug and drug trials people can also feel they really want the new intervention. For example, Jenna disliked injections; taking part in a drug trial meant there was a chance she could receive a treatment that didn’t involve regular injections.
Having a drip once a week instead of daily injections was one reason for Jenna to take part in a trial, she also wanted to help others.
Having a drip once a week instead of daily injections was one reason for Jenna to take part in a trial, she also wanted to help others.
Some young people we talked to said they hoped taking part in research might help them feel better about their condition and give them some hope when they were feeling low about how it was affecting their lives.
Alexander took part in the trial because he wanted to do anything that might make him feel normal or better again, and it gave him hope.
Alexander took part in the trial because he wanted to do anything that might make him feel normal or better again, and it gave him hope.
Lauren felt that taking part in the trial might help her feel better about having diabetes and at the same would be helping others.
Lauren felt that taking part in the trial might help her feel better about having diabetes and at the same would be helping others.
Getting a good feeling from knowing their contribution might help others in future could also be part of this sense of doing something positive. Some young people we interviewed talked of enjoying the experience and learning a lot along the way. This could apply to healthy volunteers as well as young people with a particular condition,
Sophie says being in a trial is fun and has taught her more about the condition.
Sophie says being in a trial is fun and has taught her more about the condition.
So why do you think you, you, taking part in a trial, what would be your key reason for taking part? What would be your motivation?
Because it was, it was like not like school. It was like fun in a way. And it like, it taught like us like what, what to learn, what to do with our condition.
For others we interviewed getting better was the most important thing.
Ethan remembers being informed about the trial but he can't remember any of it, he just wanted to get better.
Ethan remembers being informed about the trial but he can't remember any of it, he just wanted to get better.
Of the young people we interviewed few mentioned getting paid as a reason for taking part in trials, but some said it was just a nice added bonus and not their reason for taking part (See ‘What is involved in a trial: time commitment, costs and payment’.)
Last reviewed March 2017.
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