Inclusion and exclusion
criteria should be selected to yield a study sample that is
relevant to the research question, willing to accept participation,
likely to complete the study's tasks once consent is signed,
and unlikely to present complications that would undermine
the validity of the data collected. Eligibility for the study
typically begins with appropriate demographics and criteria
related to the disease or its therapy. The inclusion criterion
for fatigue considers the issues for case definition discussed
previously. In most situations, a fatigue duration of one
or two weeks is sufficient to consider the symptom significant
enough to study.
To systematically
implement the intervention under study, the investigator must
ensure reliable procedures and exquisite quality control.
Studies of non-pharmacological interventions may require a
written resource guide and detailed training of researchers,
followed by testing to establish uniformity in the intervention
across individuals. Controlled drug trials also rely on investigator
training and typically require a research pharmacist, who
prepares the study and comparator drugs, and dispenses these
to a researcher based on a pre-determined randomization protocol.
The protocol stipulates
the methods and timing of data collection. As discussed previously,
there are numerous options that vary in the timing and breadth
of information obtained. The usual desire to collect as much
data as possible must be tempered by the pressing concern
about respondent burden in a fatigued and medically ill population.
Perceived or actual respondent burden can result in poor recruitment
and patient drop-out. Given this risk, the investigator should
try to base decisions about these procedures on actual experience
rather than presumptions about the study population, if possible.
In the absence of any meaningful experience from which to
judge the capabilities of the population, it is prudent to
build a pilot phase into the study.