“也许他们发现了新东西”:参与者对返还队列心理社会调查结果的看法

"Maybe they have found something new" participants' views on returning cohort psychosocial survey results.

作者信息

Bureau Eve, Pellegrini Isabelle, Noguès Catherine, Lasset Christine, Julian-Reynier Claire

机构信息

INSERM, UMR 912, Marseille, France.

Aix-Marseille Université, UMR 912, Marseille, France.

出版信息

Health Expect. 2015 Dec;18(6):2425-36. doi: 10.1111/hex.12211. Epub 2014 May 30.

Abstract

BACKGROUND

Although greater attention is currently being paid to participants in research, no studies have dealt so far with the issue of returning aggregate psychosocial results to cohort participants.

OBJECTIVE

(i) To explore participants' views about disclosure of the aggregate results of a French national psychosocial cohort survey on the epidemiology of preventive behaviour in women from families with a hereditary breast cancer risk. (ii) To assess whether it is worth consulting participants before designing the disclosure process.

DESIGN

A qualitative study using semi-structured face-to-face interviews and a thematic analysis based on Grounded Theory methods.

PARTICIPANTS

Nineteen interviews were conducted with cancer-free female BRCA mutation carriers/non-carriers aged 31-79 who had participated in a cohort survey by answering self-administered questionnaires.

RESULTS

Participants showed considerable interest in the issue of result disclosure. The preferences expressed about disclosure were rarely relevant to the topic investigated, however, as they often focused on medical knowledge about BRCA and not on the psychosocial findings obtained. This confusion may have been due to the participants' experience of the survey procedures, including its longitudinal nature, the occurrence of very few interactions with the investigators and the wide range of topics addressed in the questionnaires.

CONCLUSION

Investigators should ascertain participants' expectations and preferences by consulting them before disclosing the results obtained. Although the disclosure process may not meet participants' expectations completely, consultation is the key to preventing them from having irrealistic expectations about the information they are going to receive.

摘要

背景

尽管目前对研究参与者给予了更多关注,但迄今为止尚无研究涉及向队列研究参与者反馈综合社会心理结果的问题。

目的

(i)探讨参与者对于公布一项关于有遗传性乳腺癌风险家庭中女性预防行为流行病学的法国全国性社会心理队列调查综合结果的看法。(ii)评估在设计结果公布流程之前咨询参与者是否值得。

设计

一项定性研究,采用半结构化面对面访谈,并基于扎根理论方法进行主题分析。

参与者

对19名年龄在31 - 79岁、未患癌症的BRCA突变携带者/非携带者进行了访谈,这些人通过回答自填问卷参与了一项队列调查。

结果

参与者对结果公布问题表现出极大兴趣。然而,他们表达的关于公布的偏好很少与所调查的主题相关,因为他们通常关注的是关于BRCA的医学知识,而非所获得的社会心理结果。这种混淆可能是由于参与者对调查程序的体验,包括调查的纵向性质、与调查人员的互动极少以及问卷中涉及的广泛主题。

结论

研究者应在公布所得结果之前通过咨询参与者来确定他们的期望和偏好。尽管公布过程可能无法完全满足参与者的期望,但咨询是防止他们对即将收到的信息产生不切实际期望的关键。

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