Putting the Person in the PiCTuRE - Personalised Consent in Tissue donation for neuroscience Research, lived Experiences

ISRCTN ISRCTN12601034
DOI https://doi.org/10.1186/ISRCTN12601034
Secondary identifying numbers PICTuRE_R79248/RE001
Submission date
31/10/2023
Registration date
11/11/2023
Last edited
10/03/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Tumours of the brain and spine are individually rare but collectively put a huge burden on individuals, their families, and society. Diagnoses are often delayed and there are few joined-up research programmes dedicated to these tumours. We propose to change this. To succeed in the new era of ‘personalised’ or ‘precision’ medicine, engagement with people affected by these tumours is essential. Specifically, we need to ensure that optimal pathways for tissue donation are established, since modern tissue analysis underpins the identification of specific (‘targeted’) treatments that avoid the side effects of untargeted radio- or chemotherapy.
Therefore, we would like to explore with you the potential barriers to tissue donation for research through your lived experience of the consent and tissue donation process.

Our aim is to make taking consent easier and allow patients to fully participate in the decision process. This study will ask you a few questions online and invite you to participate in a further, optional short interview. The outcome will result in the development of a digital (online) consent and tissue donation tool, that will make participation in vital brain and spinal tumour research easier for patients and the doctors and scientists trying to find better ways for tissue diagnostics and identification of new targets for treatment. Your contribution is essential for progress in this field.

Who can participate?
Patients that have a tumour of the brain or spine, aged 18 years old or over, can speak and understand conversational English and live in the UK.

What does the study involve?
This study has two components. The first part is an online survey that will take approximately 15 minutes to complete. The second part consists of an interview with an experienced registered nurse who has been looking after patients with these complex tumours for many years. The interview will take place online and will last around 30 minutes. Additionally, if this study topic is of interest to you, you may be invited to review an online digital tool designed to provide patient information on shared decision making and informed consent around donating tissue for research You can choose to only take part in the first phase – if you choose this, you will have completed the study after the survey.

What are the possible benefits and risks of participating?
While there are no immediate benefits for you, it is hoped that this research will lead to a better understanding of the ways we provide information to people living with brain and spine tumours, especially where consent for tissue donation for research is concerned.
The outcome of this project will contribute to a nationwide project to improve research participation by people affected with rare tumours, sponsored by the UK’s Medical Research Council, . Your contribution will help more people benefitting from what modern tissue analysis can contribute to better treatment decisions, better outcomes and ultimately a better quality of life for those affected by these tumours.
There are no disadvantages in taking part and the risk of being recognised from quotes provided during the interview are minimal. You might find aspects of this interview upsetting. I will be asking for your opinions about donating your tissue for research, as this is the topic of interest for the study. To reduce any potential risks, you can choose not to answer any questions you do not want to, pause for a break, or stop the interview altogether.

Where is the study run from?
Nuffield Department of Clinical Neurosciences, University of Oxford (UK)

When is the study starting and how long is it expected to run for?
October 2023 to August 2027

Who is funding the study?
This study is funded by the Medical Research Council - Grant number [MR/X004317/1]

Who is the main contact?
Mr Gerard Mawhinney, gerard.mawhinney@ndcn.ox.ac.uk
Associate Professor Olaf Ansorge, olaf.ansorge@ndcn.ox.ac.uk

Contact information

Mr Gerard Mawhinney
Public, Scientific

Nuffield Department of Clinical Neurosciences
University of Oxford
Level 6 - West Wing
John Radcliffe Hospital
Oxford University Hospitals NHS Foundation Trust
Oxford
OX3 9DU
United Kingdom

ORCiD logoORCID ID 0000-0002-4595-6482
Phone +44 1865 231461
Email gerard.mawhinney@ndcn.ox.ac.uk
Prof Olaf Ansorge
Principal Investigator

Nuffield Department of Clinical Neurosciences
University of Oxford
Level 6 - West Wing
John Radcliffe Hospital
Oxford University Hospitals NHS Foundation Trust
Oxford
OX3 9DU
United Kingdom

ORCiD logoORCID ID 0000-0003-1825-5434
Phone +44 1865 231461
Email olaf.ansorge@ndcn.ox.ac.uk

Study information

Study designExploratory sequential mixed methods study
Primary study designObservational
Secondary study designExploratory sequential mixed methods study
Study setting(s)Charity/Voluntary sector, Hospice, Hospital, Other
Study typeOther, Quality of life, Safety, Efficacy
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titlePutting the Person in the PiCTuRE (Personalised Consent in Tissue donation for neuroscience Research, lived Experiences): an exploratory sequential mixed methods study, exploring how precision medicine is implemented and experienced by people living with a primary tumour of the brain or spine
Study acronymPiCTuRE
Study objectivesTumours of the brain and spine are individually rare but collectively put a huge burden on individuals, their families, and society. Diagnoses are often delayed and there are few joined-up research programmes dedicated to these tumours. We propose to change this. To succeed in the new era of ‘personalised’ or ‘precision’ medicine, engagement with people affected by these tumours is essential. Specifically, we need to ensure that optimal pathways for tissue donation are established, since modern tissue analysis underpins the identification of specific (‘targeted’) treatments that avoid the side effects of untargeted radio- or chemotherapy.
Therefore, we would like to explore with you the potential barriers to tissue donation for research through your lived experience of the consent and tissue donation process.

Our aim is to make taking consent easier and allow patients to fully participate in the decision process. This study will ask you a few questions online and invite you to participate in a further, optional short interview. The outcome will result in the development of a digital (online) consent and tissue donation tool, that will make participation in vital brain and spinal tumour research easier for patients and the doctors and scientists trying to find better ways for tissue diagnostics and identification of new targets for treatment.
Ethics approval(s)

Approved 05/10/2023, Medical Sciences Interdivisional Research Ethics Committee (MS IDREC), University of Oxford (Research Services, Research Governance, Ethics & Assurance Team, University of Oxford, Boundary Brook House, Churchill Drive, Headington, Oxford, OX3 7GB, United Kingdom; +44 1865 616575; ethics@medsci.ox.ac.uk), ref: R79248/RE001

Health condition(s) or problem(s) studiedLived experiences of primary tumours of the Brain and Spine (Sarcoma)
InterventionPICTuRE is a multistage mixed method exploratory sequential study set to explore lived experience of donating tissue for research. The study consists of three phases:
Phase1 (a): An online survey will capture lived experienced data that will take approximately 15 minutes to complete; (b) semi structured in-depth interviews will explore individual experiences. The interview will take place online and will last around 30 minutes. Thematic analysis of the data will identify key themes.
Phase 2: Through co-design, patient reported experience data will be collected and statistically analysed to validate content for subsequent use in developing the digital intervention.
Phase 3: Integration of phase 1 + 2 results will assist in refining the digital intervention. Post intervention feedback will inform future research.


Intervention typeMixed
Primary outcome measureCurrent primary outcome measures as of 15/01/2025:
Phase 1: Will identify key lived experience themes of donating tissue for research, data will be collected via an online survey and using semi-structured interviews. Thematic analysis will be used to analyse the collected qualitative data.
Phase 2: Through co-design methods we will gather user feedback using two Patient Reported Experience Measures (PREMS) (quantitative data): (i) Client satisfaction Survey (CSQ-8), an 8-item satisfaction score (ii) Involvement in the process of decision making from a user perspective will be collected using a 3 - item survey (Collaborate (TM)).
Phase 3: Will evaluate the newly co-designed interactive personalised consenting platform. Outcomes will be measured both qualitatively and quantitatively, PREMS outlined in phase 2 will gathered post-intervention and reviewed for statistical significance. Post-user feedback also will be explored using semi-structured interviews.

Previous primary outcome measures:
Phase 1: Will identify key lived experience themes of donating tissue for research, data will be collected via an online survey and using semi-structured interviews. Thematic analysis will be used to analyse the collected qualitative data.
Phase 2: Through co-design methods we will gather user feedback using two Patient Reported Experience Measures (PREMS) (quantitative data): (i) Client satisfaction Survey (CSQ-8), an 8-item satisfaction score (ii) Involvement in the process of decision making from a user perspective will be collected using a 9-item survey (SDM-Q-9).
Phase 3: Will evaluate the newly co-designed interactive personalised consenting platform. Outcomes will be measured both qualitatively and quantitatively, PREMS outlined in phase 2 will gathered post-intervention and reviewed for statistical significance. Post-user feedback also will be explored using semi-structured interviews.
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date05/10/2023
Completion date01/08/2027

Eligibility

Participant type(s)Patient, Service user, Other
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsPhase 1: (Online survey – up to 45) + Semi-structured online interviews (up to 10); Phase 2: up to 6 participants; Phase 3: up to 6 participants
Key inclusion criteria1. Over the age of 18 years old
2. Have lived experience of having a primary tumour of the brain or spine.
3. Deemed to have capacity to provide informed consent.
4. Able to communicate via digital media.
5. Have access to an internet enabled device e.g., smartphone / tablet/ computer.
Key exclusion criteria1. Under the age of 18 years old
2. Unable to provide informed consent.
3. No access to internet enabled devices.
4. Unable to communicate using digital media
Date of first enrolment01/11/2023
Date of final enrolment01/09/2026

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Nuffield Department of Clinical Neurosciences, University of Oxford
Level 6, West Wing, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, Headington
Oxford
OX3 9DU
United Kingdom

Sponsor information

University of Oxford
University/education

Nuffield Department of Clinical Neurosciences
Level 6 - West Wing
John Radcliffe Hospital - OUH NHS FT
Headley Way
Oxford
OX3 9DU
England
United Kingdom

Phone +44 1865 234829
Email Enquires@ndcn.ox.ac.uk
Website http://ndcn.ox.ac.uk
ROR logo "ROR" https://ror.org/052gg0110

Funders

Funder type

Research council

Medical Research Council
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

Results and Publications

Intention to publish date01/09/2027
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in high-impact peer-reviewed journals
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Mr Gerard Mawhinney (Gerard.mawhinney@ndcn.ox.ac.uk)

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article 07/03/2025 10/03/2025 Yes No

Editorial Notes

10/03/2025: Publication reference added.
15/01/2025: The following changes were made to the study record:
1. The public title was changed from 'Putting the person in the PICTuRE - Personalised Informed Consent in Tissue donation for Research, lived Experiences' to 'Putting the Person in the PiCTuRE - Personalised Consent in Tissue donation for neuroscience Research, lived Experiences'.
2. The scientific title was changed from 'Putting the Person in the PICTuRE™ (Personalised Informed Consent in Tissue donation for Research, lived Experience): an exploratory sequential mixed methods study, exploring how precision medicine is implemented and experienced by people living with a primary tumour of the brain or spine' to 'Putting the Person in the PiCTuRE (Personalised Consent in Tissue donation for neuroscience Research, lived Experiences): an exploratory sequential mixed methods study, exploring how precision medicine is implemented and experienced by people living with a primary tumour of the brain or spine'.
3. The acronym was changed from PICTuRE™ to PiCTuRE.
4. The primary outcome measures were updated.
5. The target number of participants was changed from 'Phase 1: (Survey – up to 50) + Semi-structured online interviews (10); Phase 2: up to 20 participants; Phase 3: up to 10 participants ' to 'Phase 1: (Online survey – up to 45) + Semi-structured online interviews (up to 10); Phase 2: up to 6 participants; Phase 3: up to 6 participants'.
31/10/2023: Trial's existence confirmed by the Medical Sciences Interdivisional Research Ethics Committee (MS IDREC), University of Oxford.