Nasef N, Shabaan A, Mohammed S, Kandel S, Settin A, Zedan M, Fouda A
Department of Paediatrics, Mansoura University Children Hospital, Mansoura, Dakahlia, Egypt.
East Mediterr Health J. 2014 Apr 3;20(3):162-8.
Factors affecting parents' decision to involve their children in clinical research have not been studied in all cultural backgrounds. We aimed to explore the attitudes and beliefs influencing parents' decision to involve their children in clinical research in Mansoura, Egypt. Of 523 families approached, 357 filled the questionnaire. Only 98 (27.5%) parents consented to involve their child in clinical research. The children of consenters were significantly older than refusers: 8.6 (SD 7.2) versus 2.6 (SD 1.2) years. Factors favouring consent were: research of benefit to child (84.7%), enough explanation about the benefits (40.8%) and to learn more about child's condition (29.6%). Factors favouring refusal were: use of new drugs or vaccines (89.6%) and invasive procedures (84.2%). Parents' rate of consent was positively correlated with the research being non-invasive and the belief that research was of benefit to their child and negatively correlated with belief that refusal may negatively affect the care provided to their child.
在所有文化背景中,影响父母决定让孩子参与临床研究的因素尚未得到研究。我们旨在探讨影响埃及曼苏拉地区父母决定让孩子参与临床研究的态度和信念。在接触的523个家庭中,357个家庭填写了问卷。只有98名(27.5%)父母同意让孩子参与临床研究。同意者的孩子明显比拒绝者的孩子年龄大:8.6岁(标准差7.2)对2.6岁(标准差1.2)。支持同意的因素有:对孩子有益的研究(84.7%)、对益处有充分解释(40.8%)以及更多了解孩子的病情(29.6%)。支持拒绝的因素有:使用新药或疫苗(89.6%)和侵入性程序(84.2%)。父母的同意率与研究为非侵入性以及认为研究对孩子有益呈正相关,与认为拒绝可能对孩子接受的护理产生负面影响呈负相关。