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从儿科重症监护病房患儿急诊入院后 12 个月收集父母随访信息的方法的可行性和可接受性。

Feasibility and Acceptability of Methods to Collect Follow-Up Information From Parents 12 Months After Their Child's Emergency Admission to Pediatric Intensive Care.

机构信息

Centre for Outcomes & Experience Research in Children's Health, Illness & Disability (ORCHID), Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.

Cardiac Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.

出版信息

Pediatr Crit Care Med. 2019 Apr;20(4):e199-e207. doi: 10.1097/PCC.0000000000001892.

Abstract

OBJECTIVES

To evaluate the feasibility and acceptability of different methods of collecting follow-up data from parents 12 months after their child's emergency admission to a PICU.

DESIGN

Mixed-methods explanatory sequential design.

SETTING

One regional PICU transport service and three PICUs in England.

PATIENTS

Children undergoing emergency transport to PICU recruited to an ongoing biomarker study whose parents consented to be contacted for follow-up 12 months after PICU admission.

INTERVENTIONS

None.

MEASUREMENTS AND MAIN RESULTS

Parents or guardians who consented were asked to complete three questionnaires about their child's functional status, quality of life, and behavior 12 months after PICU admission. Parents were given a choice about method of questionnaire completion: postal, online, or telephone interview and also asked for telephone feedback about the process and the reasons for their choice. Of 486 parents who consented to be contacted at 12 months, 232 were successfully contacted. Consent to receive questionnaires was obtained in 218 of 232 (94%). Of the 218 parents, 102 (47%) chose to complete questionnaires online (with 77% completion rate), 91 (42%) chose to complete postal questionnaires (48% completion rate), and 25 (11%) chose to complete questionnaires by telephone interview (44% completion rate).

CONCLUSIONS

Parents expressed different preferences for follow-up questionnaire completion. Response rates varied by completion method. Understanding and catering for parental preferences is an important factor in maximizing response rates for follow-up studies in intensive care.

摘要

目的

评估在儿童重症监护病房(PICU)急诊入院 12 个月后,从父母那里收集随访数据的不同方法的可行性和可接受性。

设计

混合方法解释性序贯设计。

设置

一个区域性 PICU 转运服务和英格兰的三个 PICU。

患者

正在接受紧急转运至 PICU 的儿童,这些儿童参与了一项正在进行的生物标志物研究,其父母同意在 PICU 入院后 12 个月接受随访。

干预措施

无。

测量和主要结果

同意参与的父母或监护人被要求在 PICU 入院后 12 个月完成三份关于孩子功能状态、生活质量和行为的问卷。父母可以选择通过邮寄、在线或电话访谈的方式完成问卷,还可以要求对流程和选择原因进行电话反馈。在 486 名同意在 12 个月时联系的父母中,有 232 名成功联系上。在 232 名父母中,有 218 名(94%)同意接受问卷调查。在这 218 名父母中,有 102 名(47%)选择在线完成问卷(完成率为 77%),91 名(42%)选择邮寄问卷(完成率为 48%),25 名(11%)选择电话访谈完成问卷(完成率为 44%)。

结论

父母对随访问卷完成方式有不同的偏好。回复率因完成方法而异。了解和满足父母的偏好是最大限度提高重症监护随访研究回复率的一个重要因素。

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