Introduction
Clinical trials are a foundation of high-quality cancer research. Improving awareness, access and participation in clinical trials is a priority of the NSW Cancer Plan.
The Cancer Institute NSW monitors clinical trial participation across NSW and delivers statewide initiatives to improve clinical trial availability, awareness, access and collaboration.
Aim
To evaluate the implementation, reach and early effectiveness of statewide initiatives designed to improve clinical trial awareness, access, participation and collaboration across NSW.
Methods
Underpinned by a program logic model, a mixed-methods evaluation assessed implementation, reach and early outcomes using administrative participation data, activity metrics and stakeholder-reported uptake of resources and education initiatives.
Results
Conclusion
This evaluation demonstrates the value of a coordinated statewide approach to measuring clinical trial participation, identifying inequities in access and implementing system-level interventions. While participation remains uneven across population groups, findings suggest that consumer-facing resources, primary care engagement and workforce capability initiatives can support more equitable awareness and access to clinical trials. Ongoing monitoring and evaluation are important to understand impact on participation outcomes and inform future investment in initiatives across NSW. Together, these initiatives contribute to building capability and collaboration across the cancer system, helping patients consider opportunities to participate in cancer research and supporting a more equitable and sustainable clinical trials system.