Dixon-Woods Mary, Jackson Clare, Windridge Kate C, Kenyon Sara
Social Science Group, Department of Health Sciences, University of Leicester, Leicester LE1 6TP.
BMJ. 2006 Jan 28;332(7535):206-10. doi: 10.1136/bmj.38675.677963.3A. Epub 2006 Jan 9.
To explore trial participants' responses to receiving a summary of the results of a trial in pregnancy.
Qualitative study with semistructured interviews.
20 women who had when pregnant participated in the ORACLE trial of antibiotics for preterm labour and preterm rupture of the membranes and requested a copy of the trial results.
Less than a fifth of women who participated in the ORACLE trial indicated that they wished to receive the trial results. Reactions to the leaflet summarising the trial results were generally positive or neutral, although some women had difficulty in understanding the leaflet, and there was evidence of possible negative implications for women who had adverse outcomes. Women requested the results because they were interested in being able to complete their own personal narrative. They wished to know to which arm of the trial they had been allocated and the implications for their own pregnancy, and they were disappointed with receiving a generic summary. Women's accounts indicated some confusion about the trial findings.
Recommendations that research participants be routinely provided with the results of studies have been made without the benefit of research to show the consequences of doing this or how it should best be managed. Caution is needed, as is more evaluation of how feedback of results should be handled, and assessment of the risks, benefits, and costs.
探讨试验参与者对收到孕期试验结果总结的反应。
采用半结构式访谈的定性研究。
20名曾参与抗生素预防早产及胎膜早破的ORACLE试验的孕妇,她们要求获得试验结果的副本。
参与ORACLE试验的女性中,不到五分之一表示希望收到试验结果。对总结试验结果的传单的反应总体上是积极或中性的,不过一些女性难以理解该传单,且有证据表明对有不良结局的女性可能存在负面影响。女性要求获得结果是因为她们希望能够完善自己的个人经历。她们想知道自己被分配到试验的哪一组以及这对自身孕期的影响,而且她们对收到一份通用总结感到失望。女性的叙述表明她们对试验结果有些困惑。
在没有研究表明这样做的后果或如何最好地进行管理的情况下,就提出应常规向研究参与者提供研究结果的建议。需要谨慎行事,同时需要更多地评估应如何处理结果反馈,以及对风险、益处和成本进行评估。