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“如果对他人有所帮助,我愿意参与”:痴呆症患者对研究注册参与的看法。

"If it helps someone, then I want to do it": Perspectives of persons living with dementia on research registry participation.

机构信息

Hotchkiss Brain Institute; Department of Clinical Neurosciences, University of Calgary, Calgary, Canada.

Hotchkiss Brain Institute; Department of Clinical Neurosciences; Department of Community Health Sciences, University of Calgary, Calgary, Canada.

出版信息

Dementia (London). 2020 Nov;19(8):2525-2541. doi: 10.1177/1471301219827709. Epub 2019 Feb 5.

Abstract

Registries are an important platform to which persons with dementia and other cognitive impairments can contribute to research studies. Registries also provide an opportunity for patients to stay informed about current studies. Engaging patients in registry development can increase sustainability of a registry and patient retention in clinical registries. We sought the perspective of persons with dementia and their accompanying family members about their registry participation experiences, barriers and facilitators to participation, and potential avenues for improvement of registry processes such as recruitment, data collection, and knowledge translation. Two semi-structured focus groups with persons with dementia and their family members ( = 18) were conducted and analyzed using thematic content analysis. Participants were recruited from an existing patient registry made up of patients currently being seen in a dementia assessment clinic. The main themes identified included altruistic motives with regards to registry participation; and access to and privacy of personal health information. As electronic health records are becoming more common, understanding barriers and facilitators from the perspectives of people with dementia is essential to inform the future development of cognitive condition-related registries. The results from our focus groups identified engagement strategies and solutions to overcome perceived barriers for individuals experiencing progressive cognitive decline to participate in longitudinal registry projects.

摘要

登记处是一个重要的平台,痴呆症患者和其他认知障碍患者可以通过该平台为研究提供支持。登记处也为患者提供了了解当前研究的机会。让患者参与登记处的开发可以提高登记处的可持续性,并提高患者对临床登记处的保留率。我们寻求痴呆症患者及其家属对其参与登记处的经验、参与的障碍和促进因素以及改进登记处流程(如招募、数据收集和知识转化)的潜在途径的看法。我们对来自现有患者登记处的痴呆症患者及其家属(共 18 人)进行了两次半结构化焦点小组讨论,并使用主题内容分析法进行了分析。该登记处由正在痴呆症评估诊所就诊的患者组成。确定的主要主题包括参与登记处的利他主义动机;以及获取和保护个人健康信息的机会。随着电子健康记录的日益普及,了解痴呆症患者的障碍和促进因素对于为认知障碍相关登记处的未来发展提供信息至关重要。我们的焦点小组的结果确定了参与策略和解决方案,以克服参与纵向登记处项目的认知逐渐下降的个体的感知障碍。

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