Kane Chikako, Takechi Kenshi, Chuma Masayuki, Nokihara Hiroshi, Takagai Tomoko, Yanagawa Hiroaki
1 Clinical Trial Center for Developmental Therapeutics, Tokushima University Hospital, Tokushima, Japan.
2 Division of Nursing, Tokushima University Hospital, Tokushima, Japan.
J Int Med Res. 2019 May;47(5):1868-1876. doi: 10.1177/0300060518823941. Epub 2019 Jan 24.
In Japan, under the new Clinical Trials Act pertaining to investigator-initiated clinical trials that came into effect on 1 April 2018, review boards should review proposed clinical trials while considering written opinions from specialists. Additionally, involvement of non-specialists is mandatory, and attention is being placed on their effective contributions. This study was performed to determine representative key issues with which to promote these contributions.
This qualitative study was conducted in 2018 using a focus group interview of six non-specialists regarding perspectives on clinical research itself and research ethics committees.
For perspectives on clinical research itself, 33 codes were established and sorted into 2 categories and 6 subcategories relating to ambivalence toward clinical research. For perspectives on research ethics committees, 54 codes were established and sorted into 3 categories and 10 subcategories relating to the theme "knowledge and an environment that promotes non-specialist members' participation." One notable result was the willingness of participants to obtain details about a study should they be selected.
The results suggest that detailed explanation of a particular study would encourage non-specialist members to participate in a clinical research review committee. Education aimed at non-specialist participation should therefore be considered in future studies.
在日本,根据2018年4月1日生效的有关研究者发起的临床试验的新《临床试验法》,审查委员会应在考虑专家书面意见的同时审查拟进行的临床试验。此外,非专家的参与是强制性的,并且人们正在关注他们的有效贡献。进行这项研究是为了确定促进这些贡献的代表性关键问题。
这项定性研究于2018年进行,采用焦点小组访谈法,对6名非专家就临床研究本身和研究伦理委员会的观点进行了访谈。
对于临床研究本身的观点,建立了33个编码,并分为2个类别和6个子类别,与对临床研究的矛盾心理有关。对于研究伦理委员会的观点,建立了54个编码,并分为3个类别和10个子类别,与“促进非专家成员参与的知识和环境”这一主题相关。一个值得注意的结果是,如果被选中,参与者愿意获取有关研究的详细信息。
结果表明,对特定研究的详细解释将鼓励非专家成员参与临床研究审查委员会。因此,在未来的研究中应考虑针对非专家参与的教育。