Motivation to participate influenced by clinical equipoise (COM-B: reflective motivation and social opportunity)
’ by external organisations, trauma
Motivations of clinical staff to participate in pre-hospital trials were often referenced in relation to clinical equipoise. A lack of clinical equipoise was referenced as particularly problematic during the conduct of pre-hospital trials due to institutional biases that motivated the delivery of interventions viewed as ‘innovative’ by external organisations. Beliefs about a trial intervention amongst clinical teams could also change overtime, which was sometimes reported to be linked to the influence of other people or organisations.Then the other very significant thing was because it took us a long time to get that first cluster open if you like, during that time people started to lose equipoise and started to read more into the military data on administering [intervention]. The important thing to remember as well is that a lot of the clinicians that staff pre-hospital services are in the military. So not only have they seen it first-hand they also… they’ve bought into it. Pre-hospital trial researcher 3.Following on from these perspectives and considerations about pre-hospital trials in general (including trauma), we next highlight the findings from the interviews with P-PRO clinical investigators. These interviews were designed to examine the feasibility of conducting a trial that examines the effectiveness of REBOA in a pre-hospital setting.