Ensuring good participant adherence in clinical trials plays an important role in that poor adherence may jeopardize the internal\nvalidity of the trial. Improving adherence in clinical trials on traditional Chinese medicine (TCM) has long been a concern for\nChinese researchers who are conducting clinical trials. Drawing on from our past experiences in managing patient adherence in\nlarge-scale clinical trials, we identified factors that influence adherence and categorized them by sources into factors with respect\nto the trial protocol, on the part of the patients and the investigators. On this basis, we developed a series of ways to improve\nparticipants� adherence, while taking into account the characteristics of TCM trials, in the hope of providing reference for peer\nclinical researchers.
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