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让孩子参与临床研究的家长的社会人口学和动机特征:一项对照研究。

Sociodemographic and motivational characteristics of parents who volunteer their children for clinical research: a controlled study.

作者信息

Harth S C, Thong Y H

机构信息

Department of Child Health, University of Queensland, Mater Children's Hospital, South Brisbane, Australia.

出版信息

BMJ. 1990 May 26;300(6736):1372-5. doi: 10.1136/bmj.300.6736.1372.

Abstract

OBJECTIVE

To determine the sociodemographic and motivational characteristics of parents who volunteer their children for clinical research.

DESIGN

A questionnaire was administered to parents who volunteered their children for a randomised, double blind, placebo controlled trial of a drug to treat asthma and to a control group of parents whose children were eligible for the trial but had refused the invitation.

SETTING

A children's hospital in Australia.

SUBJECTS

68 Parents who had volunteered their children and 42 who had not; a response rate of 94% and 70%, respectively.

MAIN OUTCOME MEASURES

Responses of parents to questionnaire designed to assess their perceptions, attitudes, and health seeking behaviour as well as sociodemographic data.

RESULTS

Volunteering parents were less well educated with only 15% (10/68) of mothers and 16% (11/68) and of fathers having had a tertiary or university education compared with 26% (11/42) of mothers and 45% (19/42) in the non-volunteering group. Fewer volunteering parents had professional or administrative jobs than did non-volunteering parents (mothers 6% (4/68); fathers 9% (6/68) v mothers 14% (6/42); fathers 31% (13/42)). Volunteering parents had less social support, and they displayed greater health seeking behaviour and consumed more habit forming substances. They were motivated by a desire to help others and to contribute to medical research, but they were also searching for more information and better ways to help their own children.

CONCLUSION

Parents who volunteer their children for medical research are significantly more socially disadvantaged and emotionally vulnerable.

摘要

目的

确定让孩子自愿参与临床研究的家长的社会人口学特征和动机特点。

设计

对那些让孩子自愿参与一项治疗哮喘药物的随机、双盲、安慰剂对照试验的家长,以及其孩子符合试验条件但拒绝邀请的对照组家长进行问卷调查。

地点

澳大利亚一家儿童医院。

研究对象

68位让孩子自愿参与的家长和42位未让孩子参与的家长;回复率分别为94%和70%。

主要观察指标

家长对旨在评估其认知、态度、健康寻求行为以及社会人口学数据的问卷的回答。

结果

自愿参与试验的家长受教育程度较低,只有15%(10/68)的母亲和16%(11/68)的父亲接受过高等教育或大学教育,而非自愿参与试验组的这一比例分别为26%(11/42)和45%(19/42)。与非自愿参与试验的家长相比,从事专业或行政工作的自愿参与试验的家长较少(母亲6%(4/68);父亲9%(6/68),而非自愿参与试验组母亲为14%(6/42);父亲为31%(13/42))。自愿参与试验的家长社会支持较少,他们表现出更强的健康寻求行为,且使用更多成瘾物质。他们的动机是渴望帮助他人并为医学研究做出贡献,但他们也在寻找更多信息和更好的方法来帮助自己的孩子。

结论

让孩子自愿参与医学研究的家长在社会经济方面明显处于更不利地位,且情感上更脆弱。

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