Lynch John, Hines Janelle, Theodore Sarah, Mitchell Monica
University of Cincinnati.
Cincinnati Children's Hospital Medical Center.
AJOB Empir Bioeth. 2016;7(3):160-166. doi: 10.1080/23294515.2015.1053008. Epub 2015 Jun 9.
Trust plays a role in participants' reactions to clinical residual biobanks. The purpose of this study is to assess whether trust in medical researchers and negative reactions of uncertainty influences the attitudes of parents of pediatric research participants toward the return of genomic research results from biobanking.
Focus groups were conducted in collaboration with two community-based organizations. Participants completed a demographic questionnaire and the trust in research and intolerance of uncertainty scales. The focus groups were then conducted according to a thematic focus group guide; discussions were transcribed and analyzed by two trained coders.
Emerging themes included the importance of returning research results to both children and parents, sharing results with few limitations based on a child's age, and the desire for results even when researchers had concerns about analytic validity. Negative reactions to uncertainty appear to have influenced only one theme: the paradoxical claim by participants with stronger reactions to uncertainty that they had a "right to information."
Participants prefer to receive most or all of the results produced by genomic research, and they want their children, within variable age restrictions, to have access to that information as well.
信任在参与者对临床剩余生物样本库的反应中起作用。本研究的目的是评估对医学研究人员的信任以及不确定性的负面反应是否会影响儿科研究参与者的父母对生物样本库基因组研究结果反馈的态度。
与两个社区组织合作开展焦点小组讨论。参与者完成一份人口统计学调查问卷以及对研究的信任和不确定性不耐受量表。然后根据主题焦点小组指南进行焦点小组讨论;讨论内容由两名经过培训的编码员转录并分析。
新出现的主题包括向儿童和父母反馈研究结果的重要性、基于儿童年龄在有限制的情况下分享结果,以及即使研究人员对分析有效性存在担忧,参与者仍希望获得结果。对不确定性的负面反应似乎仅影响了一个主题:对不确定性反应较强的参与者矛盾地声称他们“有权获得信息”。
参与者倾向于接收基因组研究产生的大部分或所有结果,并且他们希望自己的孩子在不同年龄限制下也能获取这些信息。