Linguistic Validation and Cognitive Debriefing with Global Perspectives™

Global Perspectives™ are experts in providing linguistic validation services for the localization of healthcare questionnaires in over 100 languages around the world.

Three aspects of Global Perspectives™ make us the ideal choice for the localization of healthcare questionnaires:

  1. Expert recruiters of hard-to-reach audiences. Our network of recruiters is best placed to recruit the clinicians and patients needed to test the target language materials. For example, we have recruited GPs, psychologists, and oncologists for clinician reviews and recruited patients with haemophilia, autism or lung cancer to undertake cognitive debriefing interviews. Our recruiters use a combination of market research recruitment techniques to recruit clinicians and patients.
  2. Experienced cognitive debriefing moderators in every country. All moderators are native speakers of the target language and also fluent in English. Moderators complete the Global Perspectives™ cognitive debriefing training programme, are individually briefed on each project and audio files/reports for the first interviews are checked and certified before being allowed to continue with further interviews.
  3. Global Perspectives™ Project Managers manage all projects according to our SOPs, which allows us to achieve a high and consistent quality standard for all projects, no matter which language and moderators are used.

Here are three different linguistic validation services that we offer:

  1. Self-completion clinician reviews. We recruit a bilingual clinician in the chosen market, validate the clinician profile with the client and ensure that they complete the review task by the deadline.
  2. Cognitive Debriefing of patient interviews. We recruit patients all over the world e.g. five haemophilia patients and five haemophilia caregivers in 20 countries around the world, and then deliver audio files and cognitive debriefing reports that contain recommendations of how to amend the validated documents.
  3. General population focus groups. A quick and easy way to validate documents is to run focus groups in a chosen market with an experienced moderator.

If you would like to learn more about our linguistic validation services, please contact Paula or Guiomar.

Global Perspectives™: Supporting clinical trials via patient interviews

Over the past few years, Global Perspectives™ has been increasingly involved in projects to support clinical trials by conducting semi-structured qualitative interviews with patients that are selected to take part in these studies – all over the world.

The objective is to add greater depth to the clinical outcome assessment (COA) by learning from the patients’ own experiences, expectations and emotions around the trial from start to finish. The interviews are often designed to capture reported symptom changes and patient perception of the treatment. The interviews deliver valuable insights for the interpretation of Patient Reported Outcomes (PROs) and for possible trial design modifications.

Assuming that patients are screened, selected and consented by clinical site staff, Global Perspectives provide experienced moderators that interview in the native language at the site, at an external facility, or by telephone. The first interview is often just after patient selection with follow-up interviews taking place throughout the duration of the trial. We encourage the first interview to be conducted face-to-face so that the moderator builds trust and rapport with the patient. However, the location and interview method is entirely up to the patient.

The number of interviews will vary depending on the enrolment period, length of the trial and overall purpose and need for patient feedback. For example, a trial requiring a surgical procedure may be scheduled to take 2-3 years and the project may define that six interviews with each patient will be conducted with the following intervals:

  1. Just after selection and enrolment
  2. 2 weeks after the procedure
  3. 6 weeks after
  4. 6 months after
  5. 12 months after
  6. When the patient exit’s the clinical trial, is cured or resumes standard care

The interview length may vary from 30-60 minutes for the first interview to just 10-15 minutes for the follow-up and final interviews.

Global Perspectives™ can also combine conventional face-to-face and telephone interviews with electronic diaries. This is particularly useful if a frequent record of events is deemed beneficial for the subsequent analysis.

If you would like to discuss how Global Perspectives™ can support your clinical trial, please contact Kjetill Howard.


Global Perspectives™: Supporting CROs via patient, HCP and payer recruitment

At Global Perspectives™, we specialize in supporting Contract Research Organizations. Over the past few years, our CRO client base has grown tremendously.

Global Perspectives™ are the experts at patient, HCP and payer recruitment for market research and pre/post clinical trial interview purposes.

Patient, HCP and payer recruitment is essential for the success of many patient outcomes, health economics and market access projects. We focus on maximizing the feasibility of audiences in the most cost efficient manner. In this way, we can recruit hard-to-reach patients, HCPs or payers for elicitation, cognitive debriefing, and other qualitative interviews. By combining and choosing from an array of recruitment methodologies, we can also obtain large samples for quantitative surveys.

Global Perspectives™ work in over 50 countries every year by combining a central PM Team with Local Experts in each country. Our SOPs ensure that Local Experts all work to the same high standards of quality.

While our core expertise is in the recruitment of patients, HCPs and payers, our complementary services ensure we provide the maximum value to our CRO clients:

  • Confirmation of diagnosis. For patient recruitment, we have a number of different validation levels, the maximum of which is confirmation of diagnosis by obtaining a signed Dr’s note confirming the patient’s diagnosis. In this way, the study authors can be assured of the validity of the respondents
  • Submission for ethics approvals is often essential if the study will later be published in a scientific journal
  • Moderation and survey scripts. We have a network of experienced healthcare moderators around the world and have an expert team of survey scripters that script and host online surveys according to the latest data protection standards
  • Our team of translators translate survey materials and provide English transcripts of qualitative interviews

Please get in touch if you would like to discuss how Global Perspectives™ can help you. We would love to hear from you!

Global Perspectives – an introduction for prospective Project Managers

At Global Perspectives, Project Managers (PMs) have the fantastic opportunity of working for the best international healthcare consultancies from the comfort of Asturias. As a PM, the individual would become experienced in market research techniques through the management of international projects involving many different players throughout the world. By offering an unmatched client service, great PMs are essential for growing accounts and their career development is tailored to match their contribution to the business.

Global Perspectives provide all training in-house to cover market research and project management techniques. We are looking for talented, enthusiastic and open-minded individuals with a record of high achievement and an insatiable curiosity to join our trainee Market Research PM programme. An interest in business and market research is also essential although experience in these fields is not necessary.

Below, you can find a short description of the Global Perspectives business model and the PM role. Hopefully this will give you a good idea about whether this position sounds exciting to you.


For the first few years, Global Perspectives was a virtual network of three market research professionals working in different countries (UK, Spain and Belgium). The one thing we all shared is that we wanted to be able to serve an international client base without having to continue living in London. With the proliferation of high-speed internet in 2007, this was the perfect moment to work in such a way as it became possible to collaborate as a team and grow a network across country borders.

By 2011, we had created a network of International Local Experts who advise Global Perspectives on the feasibility of each project, and then undertake the market research tasks such as recruiting and interviewing patients. This network has grown and developed and allows us to run projects in over 50 countries around the world every year.

“Only by understanding the capabilities of our Local Experts can we design recruitment strategies that meet the needs of our clients” KJETILL HOWARD, KEY ACCOUNT DIRECTOR”


By 2011, we started to realise that combining our Project Management abilities with our network of Local Experts allowed us to do things that large international market research agencies and smaller local agencies could not. We had found a niche where our competitors find it difficult compete.

International network working to the same high standards. By bringing in Local Experts as and when needed, we have access to a tremendous amount of flexible resource. We created a “Local expert validation procedure” where Local Experts are trained on the quality standards that we expect of a Global Perspectives Team Member. We structure the team for each project so that Local Experts have enough space to be creative and solve problems, but must work to a set of Standard Operating Procedures that guarantees compliance with the project specification.

Being successful at projects that other market research companies would turn down. The problem-solving skills of our PMs and the flexibility of our network means we can take on projects that many of our competitors would turn down. Not only can we commit to these projects, but we can commit to being successful. 99% of projects that we start are successfully completed. We do this by using different resources at different moments within the project, so the GP Project Team shifts and morphs depending on which strategy is being successful right now i.e. agile and iterative learning. We design strategies for future projects by learning from past experiences of what has been successful and why. While our projects start off with a patient recruitment strategy, this strategy may contain a Plan A, Plan B and Plan C which then change in priority as we learn over time.

Unmatched client service. Global Perspectives PMs are the day to day point of contact with the client and are responsible for the success of the projects. Our PMs are fantastic communicators and are able to access and analyse information quickly. This enables:

  • An unparalleled client-PM relationship. The PM listens to the needs of the client and comes up with the best recruitment strategy. Feedback from Local Experts helps the PM take decisions to enable the success of the project.
  • PMs must be very responsive. Our rule at Global Perspectives is to handle all communication within 1 hour of receiving it (during office hours). As we work with clients and Local Experts all over the world, at critical moments during the project, the PM may need to handle communication outside of office hours. Training and support is given to PMs internally to ensure that impact of communication outside office hours is minimal to the individual.
  • Feeedback defines our every move. We always look to engage conversations with clients and Local Experts. Only through feedback can we continue to find solutions for our projects and continue to provide fantastic customer service.

There are three types of projects that make perfect use of our USPs:

  • Large international projects that need to bring together an ad-hoc team of market research professionals.
  • Projects that take place in countries that do not have a large market research offering.
  • Projects that need to use many different channels to do something difficult.


The sector which has been the best fit for our USPs is healthcare market research where our clients want to recruit rare and difficult to reach patients, Healthcare Professionals or Payers. We tailor the patient recruitment methodology to each individual study using our network of Local Experts. The best recruitment strategy maximises feasibility while keeping costs down. Our strategies use the following recruitment techniques:

  • Online panels
  • Clinician referrals
  • Patient Associations
  • Social Media advertising and targeting
  • Recruiter proprietary databases
  • Traditional advertising

Our Local Expert network also provide supplementary services that are often essential to the success of the market research study:

  • Moderators and Interviewers
  • Translators
  • Online survey scripters and data processors
  • Interviewing facilities

Here is an example of the type of project where we are very successful.

“Project Managers need to ensure the success of each project. It is exciting to think we have the power to do that from our seat in the office. At the beginning you might feel lost but there will be always somebody willing to help, and you will learn incredibly fast!” SONIA LOPEZ, PROJECT MANAGER


As we grew, we decide to open an office in Oviedo to allow us to have greater Project Management capabilities. Although Oviedo does not have a tradition of market research, it is able to offer a great supply of talented young people who often have to leave Asturias for the chance to work in international business. Our plan was to capture these individuals before they left Asturias or offer a way for experienced professionals to return to Asturias.

We currently have seven PMs in our Oviedo office. For them, the journey has been challenging but very rewarding in terms of accomplishments, acquired skills, and career progression. New PMs follow an intense induction process where the goal is to transfer the knowledge and harness the skills that will allow them to become a PM. The rate of learning must be relatively fast so that the PM can manage projects somewhat independently after the six month formation period, but it must be supportive while the PM works out how to do business and builds up their confidence.

“One of the things I really enjoy about working at Global Perspectives is the fact that you deal with people all around the world. You can talk to Japan in the morning, deal with Germany at lunch and have a meeting with Argentina late in the evening” PAULA GONZALEZ, PROJECT MANAGER


Below is an illustration of our revenue growth over the past 9 years as we have established our client base. We have seen big growth in the past three years.


In the mid-term, our business model is well placed to help us enter new market sectors. Our biggest advantage is our ability to align, train and bring together varied resource around the world quickly, efficiently and all working to the same quality standards. The PM role will remain critical for coordinating resource, communicating to clients and solving problems before they arise by rearranging resource in real time.

Global Perspectives is also well placed to thrive during the so-called third industrial revolution. We have no sunk-assets which we need to continue to squeeze revenue out of, and we bring in flexible resource as and when it is needed. Allied to this, is our increasing use of semi-automated tools in the areas of supplier selection, proposal generation and invoicing and accounting.


Over the past few years, it has been a pleasure to see our first recruits grow into outstanding market research Project Managers who are valued and trusted by our clients all around the world. It is incredible how they have matured and grown.

From our experience, we have seen that the following types of people do really well in the Project Management position:

  • Excited about international business. Talking to and getting to know people all over the world
  • Self-confident. Not scared of new situations but like to prepare for them as much as possible
  • Enjoy learning by looking at the information you currently have, and then identifying who to ask to get more information
  • Want to progress their career according to their own individual progress and their contribution to the wider team
  • Enjoys responsibility
  • Trusts and believes in the ability of other people, and trusts in their own ability to get the best out of other people
  • An excellent critical thinker who is happy to form an opinion based on identifiable information to help take a decision
  • Speaks excellent English. This is the language we speak in the office and to our clients and suppliers 90% of the time

In return, a Project Manager at Global Perspectives can expect to work in a dynamic and learning-enabled environment, receive a very competitive salary and progress at a fast pace. We have a tailored performance review scheme where PMs can set them own objectives and request to work in areas that interest them. Part of the performance review is to ensure that individual, team and business goals align.

We really hope that Global Perspectives sounds like an interesting place to work. Feel free to email me at any time at joe@global-perspectives. I will be very happy to talk and provide any further information.


Global Perspectives™: Obtaining Ethical Approvals Across Europe for Outcomes Research

Over the past 12 months at Global Perspectives, we have obtained a lot of knowledge and experience regarding ethical approvals for market research studies in Europe.

Many of our healthcare clients obtain US IRB approval for their Patient Outcomes and other market research projects. However, they are less certain on what approval is needed around Europe.

Each country in Europe has different rules and regulations regarding when ethical and regulatory approval is needed. From our experience, we can summarise the following:

  • In general, ethical approval in Europe is not needed if it is a market research study and recruitment will not be taking place at clinical sites
  • However, ethical approval may be desired if the research will be subsequently published in a scientific journal
  • Obtaining FEKI approval in Germany is a good option as this is fairly quick and straight forward and recognised in many countries across Europe
  • Other countries such as France may simply require the project to be registered with the relevant regulatory body

For further information on how Global Perspectives can help you obtain Ethical approvals for your healthcare market research studies, please contact Joe Waby at

Trainee Market Research Project Manager

Global Perspectives, an international market research company for the pharmaceutical sector is looking for

  • Recent university graduates with the best average grades (at least an 8 in Spain)
  • With an excellent level of English and who have lived or studied in an English-speaking country. All the work in the office takes place in English
  • Love learning and find learning easy
  • Motivation to manage international projects around the whole world from our office in Oviedo and work in our unique, talented team
  • Good level of IT and MS Office

This position would be perfect for someone who wants to learn and gain experience within an international environment without having to leave Asturias

  • Desire to give exceptional client service through the ability to find solutions
  • Wants to progress their professional career while improving our way of doing business

Ideally, the candidate would have a degree in Economics, Marketing or Business Management with knowledge about Market Research, although much more important is their interest in business and the pharmaceutical sector, and an insatiable curiosity.

We offer an initial contract of 6 months. After 6 months, we will offer a permanent contract to the best candidates.


Global Perspectives™: A short guide to recruiting payers across Europe

Over the past 12 months, we have seen an increased demand from our clients for recruiting and interviewing payers across Europe.

Now that we have completed a numbers of healthcare payer projects, we wanted to share a little of what we have learned:

  • Payers tend to work for drug advisory boards and purchasing committees either at national or regional administrative level, at medical insurers or at local hospitals or clinics
  • Identifying exactly who is a payer and whether you will want to speak to them depends on the regulatory healthcare environment in each country. For example, most of the hospitals in Germany are part of bigger hospital groups where drug purchasing is centrally regulated. In Austria, the Medical Insurer Drug Advisory committees are very policy-relevant at national level.
  • Recruiters must have a good knowledge of the national, regional and local drug purchase decision making process in each country in order to decide who we can target for the study recruitment, and how many participants we could possibly achieve. Determining the recruitment strategy based on previous experiences is specially key for the success of this type of projects.
  • The responsibilities of payers varies according to each country. For example, payers in Spain tend to be associated with each autonomous region. Payers in France can be national or local in scope, but national payers belong to the public administration and are usually not open to being interviewed

We have successfully recruited and interviewed payers in 12 European countries in the past 12 months. We are therefore able to give you advice about your payer project during the planning process.

As we learn more at Global Perspectives™, we will update you. We are currently exploring the payer environment in countries outside Europe such as Russia, Egypt and Thailand.

Please contact Diana de la Punte for more information.


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