Patient recruitment and retention are major challenges in global clinical trials. Nearly 80% of trials fail to finish on time due to delays in patient enrollment and retention. Communication materials must be tailored for different cultures and languages to be effective. Using a single source provider for high-quality translations into all relevant languages can help ensure recruitment materials are locally relevant and avoid delays from miscommunication.
Ghazal Soleimani is a medical and scientific writer with over 10 years of experience in epidemiology, health education, and medical sales. She holds degrees in marketing, health education and promotion, and public health epidemiology. She offers editorial consulting services to research scientists, the medical industry, and medical education companies. Her areas of expertise include cancer treatment, innovative medical treatments, nephrology, infectious diseases, health policy, clinical research, and evidence-based medicine. She is fluent in English, Farsi, and French and has published and presented her work at several conferences.
This document assessed the readability levels of online patient education materials about hereditary breast cancer syndrome (HBOC) in English and Spanish. 109 websites in English and 8 in Spanish were analyzed using readability studio software. The average readability grade level of English materials was 14.1, higher than the recommended 6th-8th grade level. Spanish materials averaged 9th grade level. Readability scores varied across different search terms, but were generally above recommended levels. The study found that most online HBOC information is written at a level too difficult for the average person to understand, which could impact patients' comprehension and utilization of important health information.
Perception of Dental Visits among Jazan University Students, Saudi Arabiainventionjournals
Background:regular dental check-ups is fundamental in preventing and detecting dental diseases.Majority of Saudi patients do not have the trend to visit dentist frequently and they go only for emergency treatment and mostly pain is the driving factor. Aim: to evaluate the knowledge, beliefs and attitude of Jazan university students towards dental visits. Materials and Methodology:This descriptive cross-sectional; questionnaire based survey was carried out to evaluate the perception of Jazan university Saudi students towards dental visits. 352 students participated, age range of 20-24 years old. Results: The study revealed pain is the driving factor for most of the dental visits. 47.9%, their 1 stvisits complain was pain, 58% the driving factor for last visit is also pain. Although 29.1% occasionally visit dentist; 43% of them their last visit to dentist was 6 month ago. 47.6% were irregular visitors to dentist because they are afraid from dental needle and pain. 75% of the participants described their feeling at1st visit to dentist to be anxious and afraid. Although 88% of the participants knew that regular dental check-ups is important but this knowledge was not practiced.Only4.3% of the participants are driven to dental visit by dentist advice. Conclusion: there are lack of knowledge, wrong beliefs and negligence of dental visits in our study participants. Dental professional and mass media are not playing their role to change the knowledge and beliefs of the population.Recommendation: dental professionals’ media should be utilized spread knowledge of proper dental care.
This document discusses using text messaging to improve communication with adolescent patients. It reviews past research showing mixed results on using texting to change health behaviors or outcomes for chronic conditions. However, studies focusing on softer endpoints like engagement and education show more promising results. The experience of one pediatrician, Dr. Natasha Burgert, who pioneered texting with patients, provides real-world evidence it can be successful. The paper aims to propose best practices for texting initiatives with adolescents based on past research and clinical experiences.
Gastroenterologists' Views of Shared Decision Making for Patients with Inflam...jangollins
This study examined gastroenterologists' perspectives on shared decision making (SDM) for treatment of inflammatory bowel disease (IBD) patients. The researchers conducted qualitative interviews with gastroenterologists followed by an online survey of 106 gastroenterologists. Through cluster analysis, they identified three groups: SDM Believers, who saw benefits of SDM for patient satisfaction and outcomes; SDM Skeptics, who were neutral about impacts of SDM; and SDM Enthusiasts, who strongly supported engaging patients in decisions. While most gastroenterologists were familiar with SDM, few had a systematic approach. Key barriers to practicing SDM included lack of time, reimbursement, and tools.
Low health literacy affects us all. Only 12% of Americans are proficient in health literacy skills and only half of patients take medications as directed. Take this short quiz from HealthEd to test your own skills. Includes statistics and links to helpful literacy Web sites.
This lecture discusses health literacy and its importance in hearing healthcare.
Goal 1 is to define health literacy and link low health literacy to poor patient outcomes. Goal 2 examines how health literacy impacts patient behaviors like self-management. Goal 3 introduces methods to assess health literacy across different domains. Goal 4 stresses the importance of using appropriate health literate materials for diverse populations.
The document outlines how low health literacy is common and discusses its implications for hearing health, including difficulties with self-advocacy, communication strategies, and decision-making. It emphasizes developing health literate oral, printed and online materials that are easy to understand to promote patient comprehension and empowerment. Overall, the lecture stresses the critical need for clinicians to effectively
Conversations About Financial Issues in Routine Oncology Practices: A Multice...Melissa Paige
"We performed qualitative thematic analysis of 529 unique patient encounters from two National Cancer Institue-designated cancer centers and an academic-led county safety-net hospital that were audio recorded prospectively during a three-site communication study"
Ghazal Soleimani is a medical and scientific writer with over 10 years of experience in epidemiology, health education, and medical sales. She holds degrees in marketing, health education and promotion, and public health epidemiology. She offers editorial consulting services to research scientists, the medical industry, and medical education companies. Her areas of expertise include cancer treatment, innovative medical treatments, nephrology, infectious diseases, health policy, clinical research, and evidence-based medicine. She is fluent in English, Farsi, and French and has published and presented her work at several conferences.
This document assessed the readability levels of online patient education materials about hereditary breast cancer syndrome (HBOC) in English and Spanish. 109 websites in English and 8 in Spanish were analyzed using readability studio software. The average readability grade level of English materials was 14.1, higher than the recommended 6th-8th grade level. Spanish materials averaged 9th grade level. Readability scores varied across different search terms, but were generally above recommended levels. The study found that most online HBOC information is written at a level too difficult for the average person to understand, which could impact patients' comprehension and utilization of important health information.
Perception of Dental Visits among Jazan University Students, Saudi Arabiainventionjournals
Background:regular dental check-ups is fundamental in preventing and detecting dental diseases.Majority of Saudi patients do not have the trend to visit dentist frequently and they go only for emergency treatment and mostly pain is the driving factor. Aim: to evaluate the knowledge, beliefs and attitude of Jazan university students towards dental visits. Materials and Methodology:This descriptive cross-sectional; questionnaire based survey was carried out to evaluate the perception of Jazan university Saudi students towards dental visits. 352 students participated, age range of 20-24 years old. Results: The study revealed pain is the driving factor for most of the dental visits. 47.9%, their 1 stvisits complain was pain, 58% the driving factor for last visit is also pain. Although 29.1% occasionally visit dentist; 43% of them their last visit to dentist was 6 month ago. 47.6% were irregular visitors to dentist because they are afraid from dental needle and pain. 75% of the participants described their feeling at1st visit to dentist to be anxious and afraid. Although 88% of the participants knew that regular dental check-ups is important but this knowledge was not practiced.Only4.3% of the participants are driven to dental visit by dentist advice. Conclusion: there are lack of knowledge, wrong beliefs and negligence of dental visits in our study participants. Dental professional and mass media are not playing their role to change the knowledge and beliefs of the population.Recommendation: dental professionals’ media should be utilized spread knowledge of proper dental care.
This document discusses using text messaging to improve communication with adolescent patients. It reviews past research showing mixed results on using texting to change health behaviors or outcomes for chronic conditions. However, studies focusing on softer endpoints like engagement and education show more promising results. The experience of one pediatrician, Dr. Natasha Burgert, who pioneered texting with patients, provides real-world evidence it can be successful. The paper aims to propose best practices for texting initiatives with adolescents based on past research and clinical experiences.
Gastroenterologists' Views of Shared Decision Making for Patients with Inflam...jangollins
This study examined gastroenterologists' perspectives on shared decision making (SDM) for treatment of inflammatory bowel disease (IBD) patients. The researchers conducted qualitative interviews with gastroenterologists followed by an online survey of 106 gastroenterologists. Through cluster analysis, they identified three groups: SDM Believers, who saw benefits of SDM for patient satisfaction and outcomes; SDM Skeptics, who were neutral about impacts of SDM; and SDM Enthusiasts, who strongly supported engaging patients in decisions. While most gastroenterologists were familiar with SDM, few had a systematic approach. Key barriers to practicing SDM included lack of time, reimbursement, and tools.
Low health literacy affects us all. Only 12% of Americans are proficient in health literacy skills and only half of patients take medications as directed. Take this short quiz from HealthEd to test your own skills. Includes statistics and links to helpful literacy Web sites.
This lecture discusses health literacy and its importance in hearing healthcare.
Goal 1 is to define health literacy and link low health literacy to poor patient outcomes. Goal 2 examines how health literacy impacts patient behaviors like self-management. Goal 3 introduces methods to assess health literacy across different domains. Goal 4 stresses the importance of using appropriate health literate materials for diverse populations.
The document outlines how low health literacy is common and discusses its implications for hearing health, including difficulties with self-advocacy, communication strategies, and decision-making. It emphasizes developing health literate oral, printed and online materials that are easy to understand to promote patient comprehension and empowerment. Overall, the lecture stresses the critical need for clinicians to effectively
Conversations About Financial Issues in Routine Oncology Practices: A Multice...Melissa Paige
"We performed qualitative thematic analysis of 529 unique patient encounters from two National Cancer Institue-designated cancer centers and an academic-led county safety-net hospital that were audio recorded prospectively during a three-site communication study"
This document summarizes a literature review on seasonal influenza vaccine declination among Veterans Affairs (VA) healthcare personnel. The review found that:
1) Reasons for vaccine acceptance/declination do not greatly differ between VA and non-VA healthcare workers. VA workers most often decline due to concerns about adverse effects.
2) Knowledge and beliefs about influenza and vaccines also do not greatly differ.
3) Strategies to improve rates, like education and incentives, are similar between settings.
4) Challenges include the large VA staff and lack of federal mandate for vaccination, unlike most non-VA facilities.
The author recommends addressing myths about influenza and vaccines using health behavior models. Sustained management
This document discusses a training for providers on health literacy and using a book called "What to Do When Your Child Gets Sick" to help reduce unnecessary ER visits. It describes how giving parents this easy-to-read book and training them to use it for minor illnesses reduced ER visits by over 50% and saved $550 per family. The book covers over 50 common childhood health issues with questions on symptoms, home care, and when to call a doctor. Distributing and introducing the book to parents was shown to increase its use as a resource.
This document describes the development of an evidence-based health literacy toolkit for hearing loss. It discusses low health literacy rates and issues with existing patient materials and counseling in audiology. The toolkit, called the Hearing Health Literacy Toolkit, uses the 5 A's model (Assess, Advise, Agree, Assist, Arrange) as a framework. It incorporates tools and techniques grounded in health literacy principles, motivational interviewing, shared decision making, and patient-centered care to improve how audiologists educate and treat patients with hearing loss. The goal is to help patients better understand and manage their condition.
Factors associated to adherence to DR-TB treatment in Georgia, Policy Brief (...Ina Charkviani
Tuberculosis (TB) is a widely spread disease globally that causes millions of people’s death worldwide. Treatment for TB is complex and usually involves taking several antibiotics at once for a long time (sometimes up to two years). Considering the severity of the treatment regimen, it becomes hard for the patients to adhere and complete proposed treatment and particularly for those who are infected with drug-resistant strain of TB. Poor adherence to treatment remains significant problem that prevents countries from obtaining high treatment success rates that is essential for health systems to control the epidemic and decrease spread of the disease. A new study from Georgia looks at adherence to treatment factors among drug resistant TB (DR-TB) patients and provides evidence that may help policy-makers develop effective strategies for improving treatment outcomes among DR-TB patients. The study findings might be helpful for other countries in the region where TB burden is also high.
Two hour pl basic skills for communicators cgh july 10 2012aswhite
CDC monitors student health behaviors and school policies through three surveillance systems. The Youth Risk Behavior Surveillance System (YRBSS) monitors health risks and conditions among high school students. The CDC School Health Policies and Practices Study (SHPPS) assesses school health policies at various levels. The School Health Profiles system surveys school health policies across jurisdictions. These systems provide information on student health behaviors and school implementation of recommended policies.
This document discusses health literacy and provides information about:
- The high rates of limited health literacy in the US population and challenges it poses
- Ways to identify patients with low health literacy through screening tools and behaviors
- Strategies for creating easy-to-understand written health materials and improving patient communication and education
- Organizations working to advance health literacy and promote policies to address this issue
This document discusses developing an ethical framework for communicating information about an ocular gene transfer clinical trial for choroideremia to patients and families. It summarizes perspectives from patients, clinicians, and advocates about risks, benefits, and timelines for treatment. It also analyzes media coverage of gene therapy and finds that most articles do not mention risks and conflate research with treatment. The document recommends avoiding therapeutic misconceptions, managing expectations rather than messaging, and positioning timelines in the context of clinical trial phases to ensure responsible communication with vulnerable patients.
Existing approaches to measuring health literacy have several limitations and critiques. The speaker discusses various existing screening tools and measures of health literacy, noting their limitations such as lack of cultural sensitivity, inconsistent use, and inability to advance understanding of health literacy as a concept. He also summarizes discussions from a National Institute for Literacy workshop where participants identified the need for new measures of health literacy that address these limitations and can better inform health communication and policy efforts.
Improving Health Literacy: Challenges for Health ProfessionalsAnne Johnson
- The document discusses health literacy and challenges for health professionals in improving patients' understanding of health information. It addresses the importance of clear communication, cultural sensitivity, and engaging patients in their own care.
- Low health literacy is linked to poorer health outcomes and less participation in care. The document provides strategies for health professionals to improve communication and support for patients with low health literacy.
The document discusses health literacy and approaches to assessing it. It defines health literacy as the ability to find, understand, evaluate, communicate and use health information. Both patients and providers vary in their health literacy due to differences in understanding health contexts and skills for locating, decoding and interpreting health information. The core of best practices involves cultural competency. Components of best practices include methods, roles, outcomes, tools, training, systems and the use of plain language.
The document discusses health literacy, including how it is defined as skills needed to function in the healthcare system, why it is important as low health literacy is associated with poor health outcomes, and how it should be measured using tools that assess word recognition, reading comprehension, and numeracy. It also reviews research that has identified limitations in current health literacy measures and calls for more comprehensive measures to be developed.
Department of Clinical Epidemiology, Monash University
Presentation given at "Health Literacy Network: Crossing Disciplines, Bridging Gaps", November 26, 2013. The University of Sydney.
The document summarizes the Scleroderma Patient-centered Intervention Network (SPIN), which aims to develop and evaluate accessible and low-cost psychosocial and rehabilitation interventions for people living with scleroderma. SPIN is a collaboration between patients, clinicians, and researchers from over 30 sites in 8 countries. It involves developing online, self-guided interventions for issues like fatigue, hand function, and emotional coping. SPIN also conducts a large international cohort study and engages patients in its research. The goal is to improve quality of life for people with scleroderma.
MJFF Strategy for Accelerating Development of Parkinson’s TherapiesLaxmi Wordham
The document summarizes a research roundtable held by the Michael J. Fox Foundation (MJFF) to discuss their strategy for accelerating Parkinson's disease research. MJFF has funded over $240 million in Parkinson's research since 2000. They discussed key focus areas like developing disease-modifying therapies, biomarkers like the Parkinson's Progression Markers Initiative to help drug development, and improving treatments for motor/non-motor symptoms like dyskinesia. Experts from academic institutions also provided insights on challenges and opportunities in these areas.
This document provides an overview of health literacy for healthcare professionals. It defines health literacy and explains its importance for patient outcomes. Limited health literacy is associated with poorer health, less adherence to treatment, and reluctance to engage with healthcare providers due to shame. The presentation measures health literacy, discusses strategies to improve communication and integrate health literacy into work, and advocates for further research on the topic.
The document summarizes a study that examined how different characteristics of value-based insurance design (VBID) plans affected medication adherence. The researchers found that VBID plans were more effective at improving medication adherence when they: 1) provided more generous coverage through reduced copays, 2) targeted high-risk patients, 3) offered wellness programs, 4) did not offer disease management programs, and 5) only allowed prescriptions through mail order. The researchers concluded that the structure of VBID plans can influence patient behavior, particularly around medication adherence.
Knowledge of Oral Health Issues Among Baltimore A Pilot Study.docxwrite4
This study examined the conceptual oral health knowledge of low-income adults in Baltimore through questions on oral health topics. The majority of respondents knew that sugar causes cavities and that brushing and flossing daily prevents tooth decay. However, knowledge about plaque, flossing frequency, and gum disease was more limited. The study concluded that practitioners should consider patients' limited knowledge when discussing oral health to ensure messages are understood and health promotion is effective.
Importance of research in the feild of medical scienceIram Anwar
Medical education research aims to advance medical knowledge and skills by evaluating educational programs, policies, people, resources, culture, and students. Research helps build critical thinking skills, knowledge of academic literature, and connections in areas of interest. Involvement in research can strengthen residency applications and increase chances of interviews. While research is most important for competitive specialties, strong academic performance and clerkship evaluations are generally more significant factors than research alone. Research experience provides skills that are valuable for physicians, but should not detract from academic achievements.
This document summarizes six research studies that will impact family medicine practice. The studies include: 1) decreased STI screening rates in young women after changes to cervical cancer guidelines, 2) reduced cervical dysplasia in adolescent girls receiving the HPV vaccine, 3) potential cost savings of a universal public drug plan in Canada, 4) using an online smoking cessation program to increase medication use, 5) unintended effects of wait time policies on medical education, and 6) increasing potentially inappropriate bupropion prescriptions suggesting misuse. The document provides an overview of each study's question, methods, findings, and implications for academic and clinical practice.
Low health literacy is a widespread problem in the United States, affecting over 90 million adults. Research has linked low health literacy with poorer health outcomes, higher rates of hospitalization, and less use of preventative healthcare services. Improving health literacy requires interventions at both the patient and healthcare system levels, including improving patient education materials to make them easier to understand and ensuring patients comprehend medical instructions. Efforts should be sensitive to cultural and language differences and involve the communities health literacy programs aim to serve.
Overcoming Language Barriers in a Medical Emergency Situation to Establish Safety and Compliance
A study found that 11.9 million Americans live in homes where no one over 14 speaks English. This poses issues for healthcare, as there is currently no protocol for medical emergencies involving non-English speaking patients. The document proposes alternatives for communicating with such patients during emergencies to establish safety and compliance, such as using gestures, demonstrating treatments, or translation apps. It aims to implement these suggestions for Worcester Polytechnic Institute's EMT services, who treat patients from other countries daily.
This document summarizes a literature review on seasonal influenza vaccine declination among Veterans Affairs (VA) healthcare personnel. The review found that:
1) Reasons for vaccine acceptance/declination do not greatly differ between VA and non-VA healthcare workers. VA workers most often decline due to concerns about adverse effects.
2) Knowledge and beliefs about influenza and vaccines also do not greatly differ.
3) Strategies to improve rates, like education and incentives, are similar between settings.
4) Challenges include the large VA staff and lack of federal mandate for vaccination, unlike most non-VA facilities.
The author recommends addressing myths about influenza and vaccines using health behavior models. Sustained management
This document discusses a training for providers on health literacy and using a book called "What to Do When Your Child Gets Sick" to help reduce unnecessary ER visits. It describes how giving parents this easy-to-read book and training them to use it for minor illnesses reduced ER visits by over 50% and saved $550 per family. The book covers over 50 common childhood health issues with questions on symptoms, home care, and when to call a doctor. Distributing and introducing the book to parents was shown to increase its use as a resource.
This document describes the development of an evidence-based health literacy toolkit for hearing loss. It discusses low health literacy rates and issues with existing patient materials and counseling in audiology. The toolkit, called the Hearing Health Literacy Toolkit, uses the 5 A's model (Assess, Advise, Agree, Assist, Arrange) as a framework. It incorporates tools and techniques grounded in health literacy principles, motivational interviewing, shared decision making, and patient-centered care to improve how audiologists educate and treat patients with hearing loss. The goal is to help patients better understand and manage their condition.
Factors associated to adherence to DR-TB treatment in Georgia, Policy Brief (...Ina Charkviani
Tuberculosis (TB) is a widely spread disease globally that causes millions of people’s death worldwide. Treatment for TB is complex and usually involves taking several antibiotics at once for a long time (sometimes up to two years). Considering the severity of the treatment regimen, it becomes hard for the patients to adhere and complete proposed treatment and particularly for those who are infected with drug-resistant strain of TB. Poor adherence to treatment remains significant problem that prevents countries from obtaining high treatment success rates that is essential for health systems to control the epidemic and decrease spread of the disease. A new study from Georgia looks at adherence to treatment factors among drug resistant TB (DR-TB) patients and provides evidence that may help policy-makers develop effective strategies for improving treatment outcomes among DR-TB patients. The study findings might be helpful for other countries in the region where TB burden is also high.
Two hour pl basic skills for communicators cgh july 10 2012aswhite
CDC monitors student health behaviors and school policies through three surveillance systems. The Youth Risk Behavior Surveillance System (YRBSS) monitors health risks and conditions among high school students. The CDC School Health Policies and Practices Study (SHPPS) assesses school health policies at various levels. The School Health Profiles system surveys school health policies across jurisdictions. These systems provide information on student health behaviors and school implementation of recommended policies.
This document discusses health literacy and provides information about:
- The high rates of limited health literacy in the US population and challenges it poses
- Ways to identify patients with low health literacy through screening tools and behaviors
- Strategies for creating easy-to-understand written health materials and improving patient communication and education
- Organizations working to advance health literacy and promote policies to address this issue
This document discusses developing an ethical framework for communicating information about an ocular gene transfer clinical trial for choroideremia to patients and families. It summarizes perspectives from patients, clinicians, and advocates about risks, benefits, and timelines for treatment. It also analyzes media coverage of gene therapy and finds that most articles do not mention risks and conflate research with treatment. The document recommends avoiding therapeutic misconceptions, managing expectations rather than messaging, and positioning timelines in the context of clinical trial phases to ensure responsible communication with vulnerable patients.
Existing approaches to measuring health literacy have several limitations and critiques. The speaker discusses various existing screening tools and measures of health literacy, noting their limitations such as lack of cultural sensitivity, inconsistent use, and inability to advance understanding of health literacy as a concept. He also summarizes discussions from a National Institute for Literacy workshop where participants identified the need for new measures of health literacy that address these limitations and can better inform health communication and policy efforts.
Improving Health Literacy: Challenges for Health ProfessionalsAnne Johnson
- The document discusses health literacy and challenges for health professionals in improving patients' understanding of health information. It addresses the importance of clear communication, cultural sensitivity, and engaging patients in their own care.
- Low health literacy is linked to poorer health outcomes and less participation in care. The document provides strategies for health professionals to improve communication and support for patients with low health literacy.
The document discusses health literacy and approaches to assessing it. It defines health literacy as the ability to find, understand, evaluate, communicate and use health information. Both patients and providers vary in their health literacy due to differences in understanding health contexts and skills for locating, decoding and interpreting health information. The core of best practices involves cultural competency. Components of best practices include methods, roles, outcomes, tools, training, systems and the use of plain language.
The document discusses health literacy, including how it is defined as skills needed to function in the healthcare system, why it is important as low health literacy is associated with poor health outcomes, and how it should be measured using tools that assess word recognition, reading comprehension, and numeracy. It also reviews research that has identified limitations in current health literacy measures and calls for more comprehensive measures to be developed.
Department of Clinical Epidemiology, Monash University
Presentation given at "Health Literacy Network: Crossing Disciplines, Bridging Gaps", November 26, 2013. The University of Sydney.
The document summarizes the Scleroderma Patient-centered Intervention Network (SPIN), which aims to develop and evaluate accessible and low-cost psychosocial and rehabilitation interventions for people living with scleroderma. SPIN is a collaboration between patients, clinicians, and researchers from over 30 sites in 8 countries. It involves developing online, self-guided interventions for issues like fatigue, hand function, and emotional coping. SPIN also conducts a large international cohort study and engages patients in its research. The goal is to improve quality of life for people with scleroderma.
MJFF Strategy for Accelerating Development of Parkinson’s TherapiesLaxmi Wordham
The document summarizes a research roundtable held by the Michael J. Fox Foundation (MJFF) to discuss their strategy for accelerating Parkinson's disease research. MJFF has funded over $240 million in Parkinson's research since 2000. They discussed key focus areas like developing disease-modifying therapies, biomarkers like the Parkinson's Progression Markers Initiative to help drug development, and improving treatments for motor/non-motor symptoms like dyskinesia. Experts from academic institutions also provided insights on challenges and opportunities in these areas.
This document provides an overview of health literacy for healthcare professionals. It defines health literacy and explains its importance for patient outcomes. Limited health literacy is associated with poorer health, less adherence to treatment, and reluctance to engage with healthcare providers due to shame. The presentation measures health literacy, discusses strategies to improve communication and integrate health literacy into work, and advocates for further research on the topic.
The document summarizes a study that examined how different characteristics of value-based insurance design (VBID) plans affected medication adherence. The researchers found that VBID plans were more effective at improving medication adherence when they: 1) provided more generous coverage through reduced copays, 2) targeted high-risk patients, 3) offered wellness programs, 4) did not offer disease management programs, and 5) only allowed prescriptions through mail order. The researchers concluded that the structure of VBID plans can influence patient behavior, particularly around medication adherence.
Knowledge of Oral Health Issues Among Baltimore A Pilot Study.docxwrite4
This study examined the conceptual oral health knowledge of low-income adults in Baltimore through questions on oral health topics. The majority of respondents knew that sugar causes cavities and that brushing and flossing daily prevents tooth decay. However, knowledge about plaque, flossing frequency, and gum disease was more limited. The study concluded that practitioners should consider patients' limited knowledge when discussing oral health to ensure messages are understood and health promotion is effective.
Importance of research in the feild of medical scienceIram Anwar
Medical education research aims to advance medical knowledge and skills by evaluating educational programs, policies, people, resources, culture, and students. Research helps build critical thinking skills, knowledge of academic literature, and connections in areas of interest. Involvement in research can strengthen residency applications and increase chances of interviews. While research is most important for competitive specialties, strong academic performance and clerkship evaluations are generally more significant factors than research alone. Research experience provides skills that are valuable for physicians, but should not detract from academic achievements.
This document summarizes six research studies that will impact family medicine practice. The studies include: 1) decreased STI screening rates in young women after changes to cervical cancer guidelines, 2) reduced cervical dysplasia in adolescent girls receiving the HPV vaccine, 3) potential cost savings of a universal public drug plan in Canada, 4) using an online smoking cessation program to increase medication use, 5) unintended effects of wait time policies on medical education, and 6) increasing potentially inappropriate bupropion prescriptions suggesting misuse. The document provides an overview of each study's question, methods, findings, and implications for academic and clinical practice.
Low health literacy is a widespread problem in the United States, affecting over 90 million adults. Research has linked low health literacy with poorer health outcomes, higher rates of hospitalization, and less use of preventative healthcare services. Improving health literacy requires interventions at both the patient and healthcare system levels, including improving patient education materials to make them easier to understand and ensuring patients comprehend medical instructions. Efforts should be sensitive to cultural and language differences and involve the communities health literacy programs aim to serve.
Overcoming Language Barriers in a Medical Emergency Situation to Establish Safety and Compliance
A study found that 11.9 million Americans live in homes where no one over 14 speaks English. This poses issues for healthcare, as there is currently no protocol for medical emergencies involving non-English speaking patients. The document proposes alternatives for communicating with such patients during emergencies to establish safety and compliance, such as using gestures, demonstrating treatments, or translation apps. It aims to implement these suggestions for Worcester Polytechnic Institute's EMT services, who treat patients from other countries daily.
This document discusses strategies for optimizing patient recruitment in clinical trials, especially for rare diseases. It notes that patient recruitment is critical for drug and device approval but can be challenging for rare diseases where patients are spread out globally. New technologies like social media and mobile devices have helped increase awareness of studies. Trial designs are evolving to be more accessible and reduce patient burden, such as through multi-site trials. Collaboration between clinical research organizations, sites, and patient groups can also enhance recruitment. The future of recruitment looks encouraging as awareness and access continue to improve through technological advances.
This document summarizes a Latino Roundtable discussion held by the Patient-Centered Outcomes Research Institute (PCORI) on July 23, 2013. It provides an overview of PCORI's mission to fund research guided by patients and other stakeholders to help improve healthcare decisions and outcomes. It describes PCORI's funding opportunities and criteria, research agenda, and efforts to engage stakeholders like the Latino community. It also outlines PCORI's programs focused on addressing healthcare disparities and increasing engagement of patients and the public.
This document discusses the importance of teaching health literacy at the community college level. It defines health literacy and explains that only 12% of US citizens have proficient health literacy levels, directly impacting health outcomes. The document then provides examples of priority health literacy practices healthcare providers should use, such as teach-back communication and plain language. It also describes different types of health literacy education and provides a case study of a health literacy module implemented at a community college that included virtual pre-work, discussion boards, and a synchronous clinical session with interactive exercises and materials.
A look at strategies for lowering hospital readmissions across the continuum of care.
Hospital readmissions are a multi-dimensional problem. No single player or entity is entirely responsible for reducing excess readmissions. By improving our understanding of each touch point along the patient care continuum, strategies can be developed that ultimately reduce total readmissions.
This paper explores the roles of patients and providers in reducing readmissions and reviews several strategies that each can implement to help reduce readmission rates.
-Which patients are at high risk of hospital readmission?
-Comprehensive discharge planning strategies
-The physician’s role in lowering hospital readmission rates
-Optimizing communications handoffs between providers
-Building patient-centered transitional care models
-End of life planning
Outcome research examines the end results of health services on individuals in order to provide scientific evidence to inform healthcare decisions. It helps people make informed healthcare choices and improves delivery and outcomes by producing evidence-guided research. While outcome research groups like AHRQ and PCORI improve patient care and outcomes, outcome research relies on funding, so less common illnesses or those in developing countries may be understudied. Overall, outcome research can significantly impact healthcare policies by using evidence to guide decisions.
The document discusses 10 major contributing factors that make medical communication complex, and how these factors interact. The top factors include limited face-to-face time between physicians and patients, lack of time to build rapport, and patients and physicians coming from different perspectives and cultures. These factors interact in ways that policies that discourage spending time with patients can influence time for rapport building, and cultural and language differences can create logistical barriers to communication.
Impact of health education on tuberculosis drug adherenceSkillet Tony
Adherence is defined as the extent to which patients follow the instructions they are given for prescribed treatments. Until recently, adherence expertise was hard to find, assemble and empower. The study shall solely aim at investigating the influence of patients’ health education on Tuberculosis drug adherence. It will be guided by the following specific objectives; to identify the level of adherence among TB patients at MTRH, to assess the level of patient’s health education on TB drugs, to identify barriers of TB education, to investigate the challenges facing TB patients on treatment and to determine the level of training given to health workers on TB drug adherence. These objectives will enable the researcher to elaborate more on the topic and ensure that those who read through this research shall have a better perspective on the effects of health education on tuberculosis drug adherence. It will take place between the months of July and August. The study will target 17 doctors, 119 nurses and 143 patients of Tuberculosis. The study will employ a case study research design. The case study will enable the researcher be able to collected detailed information as to the influence of patients’ health education on TB drug adherence. The study will employ purposive sampling to sample the doctors and simple random sampling to select both the nurses and the patients who will participate in the study. The researcher will use one research instrument to collect data from the respondents selected to participate in the study which is a questionnaire that will be issued to the respondents on the day of the data collection.
The document summarizes the process undertaken by the Patient-Centered Outcomes Research Institute (PCORI) Pilot Projects Selection Committee to review applications and select a slate of awards to recommend to the PCORI Board of Governors for funding. The committee applied a multi-step selection process that involved determining an initial pool of applications, developing potential selection options, analyzing the options for balance across key criteria, and selecting a final recommendation. The committee's recommendation will be put forth for a vote by the PCORI Board of Governors.
The document discusses the development of the Patient-Centered Outcomes Research Institute's (PCORI) National Priorities and Research Agenda. It provides an overview of the public comment process, key themes from comments received, and PCORI's responses which included revising some language in the Research Agenda and National Priorities. The revisions aimed to better address issues like patient engagement, care coordination, health literacy, access to care, and the needs of patients with multiple chronic conditions. No changes were made if the key themes were already sufficiently addressed.
Clinical trials form the backbone of medical progress, yet enrolling participants presents a range of obstacles. Discover the key challenges researchers face, from eligibility criteria to trust issues, and learn how innovative strategies are revolutionizing the way we approach clinical trial enrollment. This blog delves into the heart of these challenges and proposes solutions to ensure that medical research continues to thrive for the benefit of all.
Clinical Enrollment challenges in clinical trialsprocth2
This document discusses the challenges of clinical trial enrollment and potential strategies to overcome them. It identifies 7 key challenges: lack of awareness/information, stringent eligibility criteria, geographic barriers, complex informed consent processes, mistrust in the medical system, patient burden, and communication barriers. The conclusion emphasizes that addressing all of these issues through comprehensive, patient-centered approaches can enhance recruitment and produce more robust trial results.
Improving Discharge Procedures to Reduce Unnecessary Emergency DMalikPinckney86
This document discusses a proposed DNP project to implement a discharge checklist tool in an emergency department to reduce unnecessary return visits. The goals of the project are to increase patient understanding of discharge instructions, improve communication between providers and patients, and ultimately decrease return visits and avoidable hospital admissions. The project will involve training providers on the new tool, having patients document their understanding of instructions, and having both patients and providers sign the tool to confirm complete discharge information was provided and understood. The anticipated outcomes include reduced return visits and healthcare costs as well as improved patient satisfaction and care quality.
This document discusses leadership for patient engagement in the NHS. While the NHS has focused on public consultations and one-off engagement initiatives, true culture change is required to make services patient-centered. Leaders face challenges in shifting beliefs, attitudes, and behaviors away from disease-focused care toward responsive, empowering care centered around patients' needs and preferences. Successful approaches require strategic, system-wide efforts to engage patients in shared decision-making, self-management of long-term conditions, and improving quality by understanding patients' perspectives. Isolated projects are easier than changing mainstream practice to prioritize the patient experience in all interactions and functions.
This document summarizes a 3-year project funded by the European Centre for Disease Prevention and Control to build capacity for health communication regarding communicable diseases in Europe. The project involved gathering information from stakeholders, conducting literature reviews, and developing recommendations. Key findings include limited evidence and variability in health communication approaches across countries in Europe. Recommendations focus on developing organizational structures, partnerships, dedicated funding, leadership, and workforce training to strengthen health communication capacity.
2. 3
table of
INTRODUCTION
PATIENT RECRUITMENT IS AT THE CENTER OF TRIAL DELAYS
RECRUITMENT COMMUNICATION IS PAINFUL
DRIVING LOCAL RELEVANCE
CASE STUDY: THE IMPACT OF DELAYS
CONCLUSION
4
6
12
20
26
30
CONTENTS
3. 54
introduction
Despite challenges surrounding increased regulations and evolving clinical
standards, conducting clinical trials globally is an attractive option for life
sciences organizations. Rising development costs along with the expanding
volume and protocols of clinical trials have prompted sponsors to work with
international investigators and global patient populations.
• Leading emerging countries will account for 28% of global spending on
pharmaceuticals by 2015, as compared to 12% in 20051
• The number of active investigators in the US has declined 3.5% annually
since 2001, whereas active investigators outside the US has increased
13.5% each year during that same period2
• Annual growth in non-US based investigators is decelerating due to a
number of factors including diminishing economic advantages and global
regulatory constraints2
• As rare diseases studies increase and chronic illnesses such as diabetes,
heart disease, and cancer continue to grow, global trials open up new
patient pools. Communication in clinical trials must evolve to meet the
demands of the changing clinical landscape, with patient recruitment and
retention communications at the forefront
In this eBook, we break down the challenges surrounding successful
implementation of global patient recruitment and retention, and provide
ways to ensure optimal results from a communications perspective.
GLOBAL CLINICAL TRIALS GROWTH:
A VIEW FROM THE TOP
LET’S GET STARTED!
1
The Pharmaceutical Industry and Global Health: Facts and Figures, 2011, IFPMA 2
Getz, Zuckerman
and Rochon, ‘Landscape changes highlight growing challenges for clinical research sponsors’ 2009
4. 6
The landscape of global clinical trials can be
rough and rocky due to delays that cause
a rippling effect. Delays can cause a trial
sponsor to lose millions of dollars by having
to extend study timelines — subsequently
delaying the drug’s regulatory clearance and
greatly impacting sales.
ROUGH
AND ROCKY
TERRAIN
NEARLY 80%
85% UP TO 50%
of clinical trials
fail to finish
on time3
of clinical trials
fail to retain
enough patients3
of sites enroll
one or no patients
in their studies3
AND THE LIST GOES ON!
Examples of the kinds of delays that contribute
to a challenging clinical trial landscape include:
• Patient recruitment delays
• Study start-up delays
• Study investigational product
availability delays
• Translation delays
• Recruitment material creation and
distribution delays
• Protocol amendment
PATIENT
RECRUITMENT
IS CHANGING
3
Recruitment Roles Applied Clinical Trials, Sept. 2011
5. 8
A COSTLY EFFORT
The effort to recruit patients into clinical trials is often
considered as challenging as drug discovery itself.
Changes in study designs are the greatest issue
impacting the recruitment process. Studies today
are twice as long as compared to studies completed
a decade ago, and now require a larger number of
patients.4
Protocols are more complex in both the
amount and type of procedures required.
• The delays in patient recruitment for clinical trials
account for an average of 4.6 months lost per trial5
• Each day a drug is delayed from market, sponsors
lose up to $8 million5
• Eighty percent of total trials are delayed at least
one month because of unfulfilled enrollment6
4
Accelerate Time to Revenue with Less Risk and Cost Using the Medidata
Clinical Cloud, Medidata Solutions, Inc. 2013 5
Beasely, “Recruiting,” 2006.
6
Lamberti, “State of Clinical Trials Industry”, 292
6. 10
CONSIDER
COMMUNICATIONS
FOR THE GLOBAL AGE
More and more, digital, mobile, and social media are becoming
integrated elements of patient communications strategies. Social
media, in particular, has been gaining ground in patient recruitment
campaigns because of its immediacy, two-way dialogue, and
customization capabilities.
• Patients are going to social media to learn and communicate
about their health
• Many countries have multiple popular social media outlets that
can be utilized effectively to drive patient recruitment
• A report from Pew Research Center indicates that Egypt,
Russia, the Philippines and 14 other countries outpace the U.S.
in the proportion of internet users using social sites.7
DO’S AND DON’TS IN A GLOBAL CONTEXT:
• Do not alienate the target audience with an overly “English”
centric tone in communication
• Do consider the cultural differences and challenges in order
to recruit effectively globally
• Do execute differently based on each country’s communication
method preferences
11
With the goal to recruit more specific patient populations
intensifying as the specificity of trial protocols increase,
creative ways to recruit and retain the right patients for a
trial’s target indication are important.
The traditional patient recruitment communication
methods have been consistent for the last decade,
and largely remain effective for certain types of studies.
The methods of recruitment communication have been:
• Phone
• E-mail
• Printed materials
• Traditional advertising (T.V., radio, newspaper)
• Websites
Retaining study participants is just as important as
enrolling them into a study. In order to retain a study
participant, frequent and meaningful communication
is needed. Retention communications can be delivered
in a variety of ways such as:
• Visit reminder cards
• Thank you cards
• SMS text messages
• Study appreciation items
Each communication method requires tailoring, and
if executed incorrectly, could be detrimental to the
success of patient recruitment and retention.
COMMUNICATIONS
NEED TO BE
CONTINUOUSLY
EVALUATED
7
Livescience: 17 Developing Countries that Love Social Media More Than
US. Feb. 13, 2014
7. 1312
RECRUITMENT
COMMUNICATION
IS PAINFUL
THE BIG MYTH:
Everyone who works on a clinical trial speaks and/
or reads U.S. English. This is the farthest from the
truth, and is evident in in-country communication
between Sponsors, CROs and Sites. Often, global
patient recruitment and retention materials created
in the U.S. overlook the impact of language and
translation and its ultimate effect on the trial.
Something as simple as the word “you” — if not
formalized correctly — can be interpreted as rude
and offensive in some cultures. When considering
global communication, remember that the official
language is not the only language.
A LOT CAN GET LOST
IN TRANSLATION IF THE
APPROPRIATE RESOURCES
AREN’T USED!
GLOBAL
LANGUAGES:
WHAT WORKS FOR
ONE WON’T WORK
FOR ALL
8. 14
It is common practice for Sites and CROs to have project teams
based in different countries. If the Sponsor is based in Asia and
the CRO is based in the U.S., for example, communication can
be extremely difficult because as one country is completing their
workday, the other country may not have started theirs yet.
• Is your team aware of time zone differences?
• Is your team sensitive to time zone differences?
• Does your plan and strategy work around the
time zone challenge?
TIME ZONE
CHALLENGE:
COMMUNICATIONS
ON A GLOBAL SCALE
(AND CLOCK)
9. 1716
EVERY CULTURE
IS DIFFERENT
AND REQUIRES
DIFFERENT
COMMUNICATIONS
The diversity of cultures participating in global
clinical trials requires sensitivity as to how
communications are developed. Words and
images need to be carefully reviewed for relevance
and understanding within each targeted patient
recruitment population. From a patient retention
perspective, culture and language differences may
generate miscommunication of critical health care
instructions, or encourage a lack of compliance
with protocols, or could prompt other responses
that may negatively influence patient safety and
the trial’s success.
When communicating, it is important to consider
your audience.
• This is true for spoken, written and
visual communications
• Colors, imagery, slang and informal speech
can be offensive
• Customs also play a role in global communication
LANGUAGE SELECTION
The number of languages selected to be translated in a patient
recruitment program is often minimal, with only one or two
languages utilized per country. This decision can limit the patient
population significantly by reducing the number of potential
patients who can access the study information. Global languages
by region are multiple. In North America, for example, English and
Spanish are predominant, yet French and Chinese are also very
prominent. Potential patients could be excluded if a complete
list of languages is not developed and agreed to in the initial
recruitment planning stages.
• What options are available for patient populations that may
want to participate but cannot, because the study does not
include information in their language?
• How is the study message relayed to the community
if the recruitment materials are not available in all languages
spoken and read?
• When is language considered?
IMPORTANCE
OF TRANSLATION
QUANTITY
AND QUALITY
10. 1918
most common languages
GLOBALLY
English
Spanish
French
Chinese
Other
70%
9%
3%
1%
17%
NORTH AMERICA
Spanish
Portuguese
Creole
English
Other
58%
33%
2%
1%
6%
LATIN AMERICA
Arabic
Swahili
French
English
Kwa
Hausa
Other
17%
8%
6%
4%
4%
3%
58%
AFRICA
Russian
German
Turkish
English
Italian
French
Polish
Spanish
Ukrainian
Other
22%
12%
9%
8%
8%
8%
6%
6%
4%
17%
EUROPE
Chinese
Hindustani
Bengali
Indonesian
Japanese
Punjabi
Other
34%
12%
8%
6%
3%
3%
34%
ASIA & PACIFIC
Babla.com
11. 2120
DRIVING LOCAL
RELEVANCE
IMPORTANCE
OF QUALITY
TRANSLATIONS
SINGLE SOURCE PROVIDER
Communications created with a Western bias cannot
succeed in different cultures when recruiting and
retaining patients in global clinical trials. Initiatives
undertaken with insufficient knowledge of local
cultures and languages create recruitment delays
and trigger losses in revenue. Poorly or inaccurately
translated materials could lead to severe clinical
consequences, putting patients at risk.
A way to ensure that quality translations are
provided on a consistent global basis is to source
a single translation resource with a comprehensive
understanding of the life science marketplace and a
global footprint to provide on-the-ground support.
This minimizes the chances of error, eliminates
learning curves, and speeds the process. Quality is
paramount! Centralizing translation and localization
with one provider improves consistency and quality.
More often than not, language translation is the
smallest line item in any global clinical trial or
regulatory effort, but improper translations have a
profound effect on the success of a clinical trial.
Partrnering with an LSP with a wide global footprint
and east-to-integrate technologies that safely and
convenientyly enable the sharing and re-use of
translated content from prior studies helps assure
trials with favorable outcomes.
12. Face to Face Interpretation
In person interpretation for hospitals,
small meetings, cultural diversity training,
court hearings.
CLINICAL SITE COMMUNICATIONS
When vital information has to cross language
barriers in real time, there’s no room for error.
Assisting clinical sites with interpretation services
allows for more accurate communication to
patients, caregivers, administrators and trial
sponsors for an enhanced communications
continuum.
Interpreters can be available to assist with site
visits, site recruitment plan calls, or any other
time assistance is needed with interpretation.
Two forms of interpretation are used:
• It is important to be able to seek a resource
that has expertise in a multitude of languages
to ensure that language is not an impediment.
• Be certain interpreters are carefully screened
and selected to deliver the highest quality
language interpretation services.
• Make sure they are thoroughly trained and
tested on their knowledge of protocol and ethics
before they enter the site.
• Work with a provider that can source onsite
interpretation services quickly, and as close to
your site as possible in order to reduce travel
costs and time delays.
Over the Phone Interpretation
24/7 on-demand and scheduled calls for
hospitals, federal clients, call centers, and
customer support.
TRANSCREATION
With so much at stake, sponsors are moving past current
standards of culturally inflected translation to a higher
level of quality in which the meaning, emotion and intent
of a given sentence is rendered. By transcreating materials,
the new standard is creative marketing that bridges the gap
between translation and comprehension in regions with different
attitudes toward diseases and therapies.
Examples of content ideal for Transcreation include:
• Tag Lines
• Multimedia Campaigns (Digital, Print, Online TV, Radio)
• Brand messaging
• Overview brochures and instructional guides
• Web copy
A good rule of thumb to follow is that transcreation should be
used when the success of the communication relies
on an essential voice and style that must be maintained
in another language or culture.
TRANSCREATION IS THE KEY TO
GLOBALLY CONSISTENT, LOCALLY
IMPACTFUL BRAND EXPERIENCES
With some trials taking place in as many as 30 different markets, it
is critical for translated instruments to be conceptually equivalent
to the original content and to all of the other language versions.
22
13. 2524
WHAT TO LOOK FOR WHEN TAPPING AN
EXPERT GLOBAL RESOURCE
A resource that has a proven track record in providing quality
translation services, capabilities in cultural adaptation for both
online and offline communications, and access to worldwide
markets will create efficiencies for your organization, and will
support your success across global patient recruitment and
retention communications.
THE EFFECT OF
POOR TRANSLATIONS
LOCAL MARKET
KNOWLEDGE
REGULATORY
PARAMETERS
CULTURAL
ACUMEN
MARKET
ACCESS
PATIENT
RETENTION
preferred delivery
methods, profile
of country’s
healthcare
infrastructure.
permissible/not
permissible tactics,
patient timing for
study entry.
socially-accepted
tactics, best way to
convey images and
messages
measuring
country feasibility,
sourcing a
translation
specialist, study
scale-up.
strong rates,
comprehensive
project
management.
POOR TRANSLATION
SPONSOR
LEVEL
CRO LEVEL SITE LEVEL
Loss in
revenue,
inaccurate
study data,
longer time
to market.
Missed
timelines,
budget issues,
loss of trust
from Sponsor
and Sites.
Difficulty
communicating
study message,
potential
harm to study
participants.
14. 26
case study:
THE IMPACT
OF A DELAY
• Global infertility study recruiting in Canada,
US, Argentina, Chile, Brazil, Belgium,
Netherlands, Spain, United Kingdom,
and Hungary.
• Enrollment was one year with standard
recruitment materials as the main form of
recruitment tools.
• Participants only had to agree to allow
sites to collect unused study samples,
no investigational product was given and
no study visits were required.
• Enrollment was behind and the sponsor
was dissatisfied with the CRO’s
recruitment assistance.
• The CRO reexamined why enrollment
was behind and implemented site-specific
recruitment plans which involved asking
each site why enrollment was behind and
what needed to change.
• All sites agreed that the recruitment
materials needed to be revised, as
the participants could not relate to
the study message.
BACKGROUND:
ISSUE:
TIMELY PATIENT
RECRUITMENT
HINGES ON EFFECTIVE
COMMUNICATIONS
15. 28
• Infertility, a difficult and stressful medical
condition, did not evoke images of women
walking on the beach and through the park.
• The established study identity was
inappropriate and not representative of
the medical condition or patient population.
• A new identity and message set was
developed to identify with those in the
emotional state of not being able to
achieve pregnancy.
RESOLUTION:
RESULT:
• Communication between the CRO, Sponsor
and Sites and enrollment rapidly improved.
• Enrollment increased so dramatically that
the enrollment targets were exceeded and
enrollment ended six months early.
THE TAKEAWAY
Communication matters
through all levels in
patient recruitment and
retention. Talking to the
Study Coordinators and
hearing feedback from the
study participants ensured
relevant and relatable
patient communications.
29
16. 3130
HOW CAN LIONBRIDGE
LIFE SCIENCES HELP?
Recognized by Forbes as one of the most trustworthy companies
in America, Lionbridge Life Sciences works with some of the largest
pharmaceutical and clinical research organizations supporting
their global clinical trial activities, many with thousands of patient
participants in numerous countries per trial.
With Lionbridge, you have access to a highly-specialized network
of linguists and translators who have extensive medical and scientific
training and experience. Our centralized approach to translation
coupled with our global project management methodology ensures
consistency and quality across languages, while reducing the total
time it takes to adapt and translate patient recruitment and retention
support materials.
Lionbridge Life Sciences is a specialized business unit within Lionbridge,
providing medically trained linguists in more than 40 full-service solution
centers in 26 countries. We work exclusively with Pharmaceutical,
Medical Device and Clinical Research Organizations to maximize
global communication effectiveness within the boundaries of a highly
regulated, complex and always-challenging life science environment.
http://lifesciences.lionbridge.com/
conclusion
This e-book was adapted from the Lionbridge Life Sciences Webinar, Achieving Greater Impact in
Global Patient Recruitment and Retention Communications.
Special acknowledgment to the Author, Nicole Vives, Clinical Resourcing Manager, Lionbridge Life
Sciences, and Moderator, David Palmer, Business Development Director, Lionbridge Life Sciences.
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