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负担还是机遇?在儿科重症监护病房被邀请参与研究时家长的经历。

Burden or Opportunity? Parent Experiences When Approached for Research in a Pediatric Intensive Care Unit.

作者信息

Paquette Erin, Shukla Avani, Davidson Jacob, Rychlik Karen, Davis Matthew

机构信息

Assistant professor of pediatrics at Northwestern University Feinberg School of Medicine and an adjunct professor of law at the Northwestern University Pritzker School of Law.

Research assistant at the Ann & Robert H. Lurie Children's Hospital of Chicago.

出版信息

Ethics Hum Res. 2019 May;41(3):2-12. doi: 10.1002/eahr.500014.

Abstract

Despite an ongoing need for pediatric research, low study enrollment may impede study completion, particularly in critical care. We conducted a prospective cross-sectional survey and chart review study to assess parent experiences with research in a pediatric intensive care unit (PICU). Of the 80 parents who completed the study survey, 54% were approached to participate in a research study in the PICU, and 93% agreed to participate. Motivators included altruism, low burden, low risk, and research that would benefit the child. Barriers included risks to the child, the child's being too sick to participate, feeling overwhelmed, not having enough time to participate, the research's being burdensome, and the research's not being explained well. PICU parents had mostly favorable attitudes toward research participation. Compared with non-Hispanic survey respondents, respondents of Hispanic ethnicity less often reported having been approached for research, which further evidences the need to track research recruitment processes to help avoid underinclusion of members of minority populations.

摘要

尽管对儿科研究的需求持续存在,但低研究入组率可能会阻碍研究的完成,尤其是在重症监护领域。我们进行了一项前瞻性横断面调查和病历审查研究,以评估家长在儿科重症监护病房(PICU)参与研究的经历。在完成研究调查的80位家长中,54%的家长被邀请参与PICU的一项研究,其中93%同意参与。参与的动机包括利他主义、负担小、风险低以及研究对孩子有益。阻碍因素包括对孩子的风险、孩子病情过重无法参与、感到不知所措、没有足够时间参与、研究负担过重以及研究解释不清。PICU的家长对参与研究大多持积极态度。与非西班牙裔调查受访者相比,西班牙裔受访者较少报告被邀请参与研究,这进一步证明有必要跟踪研究招募过程,以避免少数族裔群体成员纳入不足。

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