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儿科基因组研究数据共享:家长的态度和偏好。

Pediatric data sharing in genomic research: attitudes and preferences of parents.

机构信息

Structural and Computation Biology & Molecular Biophysics Graduate Program.

出版信息

Pediatrics. 2014 Apr;133(4):690-7. doi: 10.1542/peds.2013-1592. Epub 2014 Mar 10.

Abstract

OBJECTIVE

In the United States, data from federally funded genomics studies are stored in national databases, which may be accessible to anyone online (public release) or only to qualified researchers (restricted release). The availability of such data exposes participants to privacy risk and limits the ability to withdraw from research. This exposure is especially challenging for pediatric participants, who are enrolled in studies with parental permission. The current study examines genomic research participants' attitudes to explore differences in data sharing (DS) preferences between parents of pediatric patients and adult patients.

METHODS

A total of 113 parents of pediatric patients and 196 adult participants from 6 genomics studies were randomly assigned to 3 experimental consent forms. Participants were invited to a follow-up structured interview exploring DS preferences, study understanding, and attitudes. Descriptive analyses and regression models were built on responses.

RESULTS

Most parents (73.5%) and adult participants (90.3%) ultimately consented to broad public release. However, parents were significantly more restrictive in their data release decisions, not because of understanding or perceived benefits of participation but rather autonomy and control. Parents want to be more involved in the decision about DS and are significantly more concerned than adult participants about unknown future risks.

CONCLUSIONS

Parents have the same altruistic motivations and grasp of genomics studies as adult participants. However, they are more concerned about future risks to their child, which probably motivates them to choose more restrictive DS options, but only when such options are made available.

摘要

目的

在美国,联邦资助的基因组学研究数据存储在国家数据库中,这些数据库可能对任何人(公开发布)或只有合格的研究人员(限制发布)开放。这些数据的可用性使参与者面临隐私风险,并限制了他们退出研究的能力。对于儿科参与者来说,这种暴露尤其具有挑战性,因为他们是在获得父母同意的情况下参加研究的。本研究通过考察基因组学研究参与者的态度,探讨儿科患者和成年患者父母在数据共享(DS)偏好方面的差异。

方法

从 6 项基因组学研究中随机抽取了 113 名儿科患者的父母和 196 名成年参与者,共 113 名儿科患者的父母和 196 名成年参与者被随机分配到 3 种实验同意书。邀请参与者参加后续的结构化访谈,探讨 DS 偏好、研究理解和态度。对反应进行描述性分析和回归模型构建。

结果

大多数父母(73.5%)和成年参与者(90.3%)最终同意广泛的公开发布。然而,父母在数据发布决策上明显更为限制,这不是因为他们对参与的理解或预期收益,而是因为自主权和控制。父母希望更多地参与关于 DS 的决策,与成年参与者相比,他们对未知的未来风险更为担忧。

结论

父母和成年参与者一样具有利他主义的动机和对基因组学研究的理解。然而,他们更关心未来对孩子的风险,这可能促使他们选择更具限制性的 DS 选项,但只有在提供这些选项时才会这样做。

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