Considerations in Launching an International Multisite Clinical Trial

Nurses must provide care that is supported by the best available evidence. Multisite RCTs are complex but provide high-quality evidence and can be managed with prospective systematic organization. In PROSpect, international sites took approximately twice as long to activate as U.S. sites. When developing a study start-up timeline, it is important to adjust milestones to accommodate the complexities of launching international sites and maintain momentum throughout the process, as start-up delays can increase the risk of trial failure. This paper contributes to recent efforts to demystify and streamline the multisite RCT start-up process for nurse investigators transitioning from conducting single-site to multisite trials.

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Publication Details

Journal
Nursing Research
Published
2025-04-04
DOI
https://doi.org/10.1097/nnr.0000000000000826
Primary Topic
Delphi Technique in Research
Type
article
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article

Considerations in Launching an International Multisite Clinical Trial

Laura Beth Kalvas, Lisa A. Asaro, Martha A. Q. Curley, Laurie A. Lee et al.
Nursing Research
Delphi Technique in Research
article

Considerations in Launching an International Multisite Clinical Trial

Laura Beth Kalvas, Lisa A. Asaro, Martha A. Q. Curley, Laurie A. Lee, Onella S. Dawkins-Henry, David Wypij, Mallory Perry, Amy Cassidy
article en

Abstract

Nurses must provide care that is supported by the best available evidence. Multisite RCTs are complex but provide high-quality evidence and can be managed with prospective systematic organization. In PROSpect, international sites took approximately twice as long to activate as U.S. sites. When developing a study start-up timeline, it is important to adjust milestones to accommodate the complexities of launching international sites and maintain momentum throughout the process, as start-up delays can increase the risk of trial failure. This paper contributes to recent efforts to demystify and streamline the multisite RCT start-up process for nurse investigators transitioning from conducting single-site to multisite trials.

Nursing ResearchVol. 74(5)
Twitter (United States) (US), Bethany College - West Virginia (US), Boston Children's Hospital (US), Nationwide Children's Hospital (US), University of Connecticut (US), University of Calgary (CA), Alberta Children's Hospital (CA), Connecticut Children's Medical Center (US), Orange County Public Schools (US), University of Pennsylvania (US)
Partnerships for the goals
Openalex Percentile: Top 91%
Delphi Technique in Research
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Considerations in Launching an International Multisite Clinical Trial — Laura Beth Kalvas, Lisa A. Asaro, et al. · Nursing Research (2025) | TGRS Research Map | TGRS