Drotar Dennis, Miller Victoria, Willard Victoria, Anthony Kyle, Kodish Eric
Department of Pediatrics, Rainbow Babies & Children's Hospital, 1100 Euclid Ave., Cleveland, OH 44106, USA.
Ethics Behav. 2004;14(1):1-15. doi: 10.1207/s15327019eb1401_1.
This study described parent participation in the informed consent conference for randomized clinical trials (RCTs) in childhood leukemia and documented the relationship of physician communication to parent participation. Parents of 140 children with newly diagnosed leukemia who were eligible for RCTs were studied at six sites using comprehensive methods involving direct observation and transcripts of parent-physician communication based on audiotapes. Parent participation during the informed consent conference reflected a wide range of content categories. Consistent with hypotheses, Physician Rapport and Partnership Building related to parent participation in the informed consent conference but Information Giving did not. Higher parent socioeconomic status also was related to greater parent participation for two of the three measures of parent participation. Findings suggest that physician behaviors that provide support and facilitate communication may enhance parental participation in the informed consent conference for RCTs in childhood leukemia.
本研究描述了父母参与儿童白血病随机临床试验（RCT）的知情同意会议情况，并记录了医生沟通与父母参与之间的关系。在六个地点，采用包括直接观察以及基于录音带的父母与医生沟通记录等综合方法，对140名符合RCT条件的新诊断白血病患儿的父母进行了研究。知情同意会议期间父母的参与反映了广泛的内容类别。与假设一致，医生的融洽关系和建立伙伴关系与父母参与知情同意会议有关，但提供信息则不然。在父母参与的三项衡量指标中，有两项显示较高的父母社会经济地位也与更高的父母参与度有关。研究结果表明，提供支持并促进沟通的医生行为可能会增强父母对儿童白血病RCT知情同意会议的参与度。
