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参与临床试验的同意书——它真的是充分告知后的结果吗?

Consent for participating in clinical trials - Is it really informed?

作者信息

Alexa-Stratulat Teodora, Neagu Marius, Neagu Anca-Iulia, Alexa Ioana Dana, Ioan Beatrice Gabriela

出版信息

Dev World Bioeth. 2018 Sep;18(3):299-306. doi: 10.1111/dewb.12199. Epub 2018 Jun 22.

Abstract

The article explores the challenges of ensuring voluntary and informed consent which is obtained from potential research subjects in the north-eastern part of Romania. This study is one of the first empirical papers of this nature in Romania. The study used a quantitative survey design using the adapted Quality of Informed Consent (QuIC) questionnaire. The target population consisted of 100 adult persons who voluntarily enrolled in clinical trials. The informed consent form must contain details regarding the potential risks and benefits, the aim of the clinical trial, study design, confidentiality, insurance and contact details in case of additional questions. Our study confirmed that although all required information was included in the ICF, few clinical trial participants truly understood it. We also found that the most important predictive factor for a good subjective and objective understanding of the clinical trial was the level of education. Our study suggests that researchers should consider putting more effort in order to help clinical trials participants achieve a better understanding of the informed consent. In this way they will ensure that participants' decision-making is meaningful and that their interests are protected.

摘要

本文探讨了在罗马尼亚东北部从潜在研究对象处获得自愿且知情同意的挑战。这项研究是罗马尼亚首批此类实证性论文之一。该研究采用了经改编的知情同意质量(QuIC)问卷的定量调查设计。目标人群包括100名自愿参加临床试验的成年人。知情同意书必须包含有关潜在风险和益处、临床试验目的、研究设计、保密性、保险以及如有其他问题时的联系方式等详细信息。我们的研究证实,尽管知情同意书中包含了所有所需信息,但很少有临床试验参与者真正理解它。我们还发现,对临床试验有良好主观和客观理解的最重要预测因素是教育水平。我们的研究表明,研究人员应考虑付出更多努力,以帮助临床试验参与者更好地理解知情同意书。通过这种方式,他们将确保参与者的决策是有意义的,并且他们的利益得到保护。

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