Hollway Jill A, Aman Michael G, Mendoza-Burcham Marissa I, Silverman Laura, Arnold L Eugene, Tumuluru Rameshwari, Handen Benjamin L, Lecavalier Luc, Page Kristin, Sayre Pamela, Smith Tristram
1 The Nisonger Center, University Center for Excellence in Development Disabilities (UCEDD), Ohio State University , Columbus, Ohio.
2 Department of Psychiatry at the Western Psychiatric Institute and Clinic, University of Pittsburgh , Pittsburgh, Pennsylvania.
J Child Adolesc Psychopharmacol. 2016 Nov;26(9):807-814. doi: 10.1089/cap.2015.0130. Epub 2016 Jan 21.
The purpose of this study was to examine caregiver satisfaction with the research experience in a randomized clinical trial of atomoxetine (ATX) and parent training (PT) for attention-deficit/hyperactivity disorder (ADHD) and behavioral noncompliance co-occurring with autism.
The Children with Hyperactivity and Autism Research Treatment Study (CHARTS) randomly assigned 128 children 5.00-14.11 years of age to four treatment groups (ATX + PT, ATX alone, PT + placebo[PBO], and PBO). Caregivers completed an 18 item questionnaire about their satisfaction with the research experience. We summarized caregiver responses with descriptive statistics and examined whether the responses were associated with demographic variables, treatment assignment, or the child's response to treatment (positive or negative).
Ninety-three percent of caregivers (119) completed the questionnaire. When asked if they would join the study again if given the chance, 87% (103) responded "yes," 13% (15) responded "maybe," and 1% (1) responded "no." When asked if they would recommend the study to other caregivers of children with similar problems, 92% (109) responded "yes" and 8% responded (10) "maybe." Of the 59 Parent Satisfaction Questionnaire (PSQ) respondents who received PT, 75% (44) felt more confident in managing current child behaviors, 24% (14) felt that their level of confidence was unchanged, and 2% (1) felt less confident. Most caregivers expressed satisfaction with the study procedures, including the number of visits and the safety monitoring protocols.
In general, caregivers were highly satisfied with their research experience. These findings may be useful for informing human subject committees and for designing study protocols that are appealing to families.
本研究旨在调查在一项关于托莫西汀(ATX)与家长培训(PT)联合治疗注意力缺陷多动障碍(ADHD)及自闭症共患行为不依从的随机临床试验中,照料者对研究体验的满意度。
多动与自闭症儿童研究治疗项目(CHARTS)将128名年龄在5.00至14.11岁之间的儿童随机分为四个治疗组(ATX + PT、单纯ATX、PT + 安慰剂[PBO]、PBO)。照料者完成了一份关于他们对研究体验满意度的18项问卷。我们用描述性统计方法总结了照料者的回答,并考察这些回答是否与人口统计学变量、治疗分组或儿童的治疗反应(阳性或阴性)相关。
93%(119名)照料者完成了问卷。当被问及如果有机会是否会再次参加该研究时,87%(103名)回答“会”,13%(15名)回答“可能会”,1%(1名)回答“不会”。当被问及是否会向其他有类似问题儿童的照料者推荐该研究时,92%(109名)回答“会”,8%(10名)回答“可能会”。在接受PT的59名家长满意度问卷(PSQ)受访者中,75%(44名)对管理当前儿童行为更有信心,24%(14名)觉得他们的信心水平没有变化,2%(1名)觉得信心降低。大多数照料者对研究程序表示满意,包括就诊次数和安全监测方案。
总体而言,照料者对他们的研究体验高度满意。这些发现可能有助于为人类受试者委员会提供信息,并用于设计吸引家庭参与的研究方案。