Roadmap Part 2 — Future Directions for PFIC CER

Strategies to Reduce the Burden of Study Participation

IMPACT participants also brainstormed a list of ways to design a patient-centered CER study that would motivate and reduce the burden for PFIC patients and families to participate.

For practical tools to support PFIC CER study planning – including a worksheet on reducing participant burden – download the Researcher Companion (see p.20).

List of Strategies

Create a trusted and welcoming environment
  • A strong recommendation from a trusted physician
  • Mental health/psychological support if needed
  • A dedicated case manager/care coordinator
  • A communication specialist trained to answer questions for the trial
  • Warm, welcoming, and patient research staff
  • Personalized reminders
  • Toys or presents for child participants
Time and compensation
  • Limited time required away from family
  • Services offered at home or through local clinics if possible
  • Minimal number of hospital visits required
  • Financial compensation
  • Flexible timing of visits
  • Scheduling visits during breaks from school to minimize disruption
  • Shorter visits
Medical considerations
  • Minimal medical trauma anticipated
  • Avoiding invasive procedures (e.g. by using surveys)
  • No blood samples in addition to routine draws
Other considerations
  • Frequent updates on study progress, changes, and results
  • A transparent plan for dissemination of study results
  • Setting clear expectations
  • Support for smaller centers to enroll study participants
Roadmap Part 3: Sustainability & Next Steps

Remaining Capacity Needs Post-IMPACT