Black Betty S, Taylor Holly, Rabins Peter V, Karlawish Jason
Johns Hopkins University School of Medicine and Johns Hopkins Berman Institute of Bioethics, Johns Hopkins Hospital, 600 North Wolfe Street, Meyer 3-142, Baltimore, Maryland 21287, USA.
Johns Hopkins University Bloomberg School of Public Health and Johns Hopkins Berman Institute of Bioethics, 1809 Ashland Avenue, Baltimore, Maryland 21205, USA.
Int Psychogeriatr. 2014 Oct;26(10):1649-1657. doi: 10.1017/S1041610214001203. Epub 2014 Jul 3.
Study partners for dementia research participants are vital to the research process, but little is known about their role, responsibilities, and experiences. Study partners are usually family members or friends - often the patient's informal caregiver - who are knowledgeable about and usually accompany the participant to study visits. This study examines researchers' perspectives on the role of study partners in dementia research.
Qualitative data collection and analytic methods were used. Semi-structured individual interviews with principal investigators, study coordinators, and research nurses (i.e. researchers; n = 17) at two academic research sites were recorded, transcribed, and content analyzed to identify themes in the data.
According to researchers, study partners either make or help make research enrollment and post-enrollment decisions, serve as knowledgeable informants for the participants, manage the logistics that enable participants to comply with a study's protocol, and provide comfort and encouragement for the patient to engage in and complete a study. Researchers describe ideal qualities of study partners as being able to provide reliable information, being dependable and adherent to the protocol, and not expecting a benefit. They also report that study partners may face both practical and emotional challenges during research participation. However, researchers believe that study partners derive dementia-related education, caregiver support, and satisfaction from their involvement in research.
Investigators, potential study partners, and institutional review boards should be aware of study partners' research responsibilities, challenges, and their interests as caregivers.
痴呆症研究参与者的研究伙伴对研究过程至关重要,但对于他们的角色、职责和经历却知之甚少。研究伙伴通常是家庭成员或朋友——往往是患者的非正式护理者——他们了解情况并通常会陪同参与者参加研究访视。本研究考察了研究人员对研究伙伴在痴呆症研究中作用的看法。
采用定性数据收集和分析方法。在两个学术研究地点,对主要研究者、研究协调员和研究护士(即研究人员;n = 17)进行了半结构化的个人访谈,并对访谈进行录音、转录和内容分析,以确定数据中的主题。
据研究人员称,研究伙伴要么做出或帮助做出研究招募及招募后的决策,为参与者充当知识丰富的信息提供者,管理使参与者能够遵守研究方案的后勤事务,并为患者提供安慰和鼓励,使其参与并完成研究。研究人员将研究伙伴的理想品质描述为能够提供可靠信息、可靠且遵守方案,并且不期望获得好处。他们还报告称,研究伙伴在参与研究期间可能会面临实际和情感上的挑战。然而,研究人员认为,研究伙伴通过参与研究获得了与痴呆症相关的教育、护理者支持以及满足感。
研究者、潜在的研究伙伴和机构审查委员会应了解研究伙伴的研究职责、挑战以及他们作为护理者的兴趣。