OnCo
ideasIdea

Evening and weekend trial clinics for working-age patients

Trial visits happen on weekdays during working hours, which excludes many people with jobs or caring duties. Running research clinics in the evening and at weekends is a simple test of whether that matters.

Research units offer at least one evening and one weekend session per week for trial visits, infusions and sampling, with protocol windows written to permit it. Staff costs are covered by the trial budget. The effect on enrolment by age, employment and ethnicity is measured against usual hours.

Hypothesis
Sites with extended-hours research clinics will enrol a higher share of patients under 65 and in employment, and will have fewer missed visits.
Rationale
Extended hours increased uptake in cancer screening and in chronic disease clinics; trial participation shares the same time cost structure.
What would test it
Cluster-randomise research units in one network to extended hours for a year; compare enrolment demographics and visit adherence.
Maturity
speculative
Who has to act
clinic
Cost to try
Small (under $1M)
Years to first evidence
1
Bottlenecks it attacks

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