Papoulias Constantina, Robotham Dan, Drake Gareth, Rose Diana, Wykes Til
Department of Psychology, Institute of Psychiatry, King's College London, London, UK.
Department of Clinical, Educational & Health Psychology, University College London, London, UK.
BMC Psychiatry. 2014 Dec 24;14:377. doi: 10.1186/s12888-014-0377-6.
Recruitment to mental health research can be challenging. 'Consent for Contact' (C4C) is a novel framework which may expedite recruitment and contribute to equitable access to research. This paper discusses stakeholder perspectives on using a C4C model in services for people with psychosis.
This is a cross sectional study investigating the views of service users and staff using qualitative methods. Eight focus groups were recruited: five with service users (n = 26) and three with clinicians (n = 17). Purposive sampling was applied in order to reflect the local population in terms of ethnicity, experience of psychiatric services and attitudes towards research.
Staff and service users alike associated the principle of 'consent for contact' with greater service user autonomy and favourable conditions for research recruitment. Fears around coercion and inappropriate uses of clinical records were common and most marked in service users identifying as having a negative view to research participation. Staff working in inpatient services reported that consenting for future contact might contribute to paranoid ideation. All groups agreed that implementation should highlight safeguards and the opt-in nature of the register.
Staff and service users responded positively to C4C. Clinicians explaining C4C to service users should allay anxieties around coercion, degree of commitment, and use of records. For some service users, researcher access to records is likely to be the most challenging aspect of the consultation.
招募人员参与心理健康研究可能具有挑战性。“接触同意”（C4C）是一个新框架，可能会加快招募速度，并有助于公平地参与研究。本文讨论了利益相关者对在为精神病患者提供的服务中使用C4C模式的看法。
这是一项横断面研究，采用定性方法调查服务使用者和工作人员的观点。招募了八个焦点小组：五个由服务使用者组成（n = 26），三个由临床医生组成（n = 17）。采用目的抽样以反映当地人口在种族、精神科服务经历和对研究的态度方面的情况。
工作人员和服务使用者都将“接触同意”原则与更大的服务使用者自主权以及有利于研究招募的条件联系起来。对强制手段和临床记录不当使用的担忧很常见，在那些对参与研究持负面看法的服务使用者中最为明显。住院服务部门的工作人员报告说，同意未来接触可能会导致偏执观念。所有小组都同意，实施过程应突出保障措施以及登记的自愿性质。
工作人员和服务使用者对C4C的反应积极。向服务使用者解释C4C的临床医生应减轻他们对强制手段、参与程度和记录使用的焦虑。对于一些服务使用者来说，研究人员获取记录可能是咨询中最具挑战性的方面。
