Themessl-Huber Markus, Humphris Gerry, Dowell Jon, Macgillivray Steve, Rushmer Rosemary, Williams Brian
School of Nursing & Midwifery, University of Dundee, 11 Airlie Place, Dundee DD1 4HJ, UK.
Patient Educ Couns. 2008 May;71(2):157-68. doi: 10.1016/j.pec.2008.01.015. Epub 2008 Mar 19.
To identify ethical processes and recruitment strategies, participation rates of studies using audio or video recording of primary health care consultations for research purposes, and the effect of recording on the behaviour, attitudes and feelings of participants.
A structured literature review using Medline, Embase, Cochrane Library, and Psychinfo. This was followed by extensive hand search.
Recording consultations were regarded as ethically acceptable with some additional safeguards recommended. A range of sampling and recruitment strategies were identified although specific detail was often lacking. Non-participation rates in audio-recording studies ranged from 3 to 83% for patients and 7 to 84% for GPs; in video-recording studies they ranged from 0 to 83% for patients and 0 to 93% for GPs. There was little evidence to suggest that recording significantly affects patient or practitioner behaviour.
Research involving audio or video recording of consultations is both feasible and acceptable. More detailed reporting of the methodical characteristics of recruitment in the published literature is needed.
Researchers should consider the impact of diverse sampling and recruitment strategies on participation levels. Participants should be informed that there is little evidence that recording consultations negatively affects their content or the decisions made. Researchers should increase reporting of ethical and recruitment processes in order to facilitate future reviews and meta-analyses.
确定伦理程序和招募策略、将初级卫生保健咨询的音频或视频记录用于研究目的的研究参与率，以及记录对参与者行为、态度和感受的影响。
使用医学数据库（Medline）、荷兰医学文摘数据库（Embase）、考科蓝图书馆和心理学文摘数据库（Psychinfo）进行结构化文献综述。随后进行广泛的手工检索。
记录咨询被认为在伦理上是可以接受的，并建议采取一些额外的保障措施。确定了一系列抽样和招募策略，但往往缺乏具体细节。音频记录研究中患者的不参与率为3%至83%，全科医生为7%至84%；视频记录研究中患者的不参与率为0%至83%，全科医生为0%至93%。几乎没有证据表明记录会显著影响患者或从业者的行为。
涉及咨询音频或视频记录的研究既可行又可接受。需要在已发表的文献中更详细地报告招募的方法学特征。
研究人员应考虑不同抽样和招募策略对参与水平的影响。应告知参与者，几乎没有证据表明记录咨询会对其内容或所做决策产生负面影响。研究人员应增加对伦理和招募过程的报告，以便于未来的综述和荟萃分析。
