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参与临床试验的患者和照护者对新冠疫情期间临床研究的看法。

Participant and Caregiver Perspectives on Clinical Research During Covid-19 Pandemic.

机构信息

Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA.

Department of Psychiatry, University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas, USA.

出版信息

J Am Geriatr Soc. 2020 Jun;68(6):E14-E18. doi: 10.1111/jgs.16500. Epub 2020 May 4.

Abstract

BACKGROUND/OBJECTIVES: The COVID-19 pandemic has massively disrupted essential clinical research. Many regulatory organizations have rightfully advocated to temporarily halt enrollment and curtail all face-to-face interactions. Views and opinions of patients and their caregivers are seldom considered while making such decisions. The objective was to study older participants' and their caregivers' perspectives to participate in ongoing clinical research during the COVID-19 pandemic.

DESIGN

Cross-sectional.

SETTING

VISN-16/Geriatric Research, Education and Clinical Center (GRECC), Department of Veterans Affairs.

PARTICIPANTS

Older participants and their caregivers (N = 51) enrolled in ongoing clinical research studies.

MEASUREMENTS

Questions about perceptions of safety to attend research visit, the level of panic among the general public, and medical center's preparedness in handling the pandemic. Other questions identified the source of pandemic information and the preference of a phone or in-person visit.

RESULTS

Mean age was 69.3 (±9.4) years, 53% were male, 39% were caregivers, and 65% were Caucasian. Majority (78%) of the participants felt safe/very safe attending the scheduled research appointment; 63% felt that the extra screening made them feel safe/very safe; 82% felt that the medical center was prepared/very prepared for the pandemic. Participants split evenly on their preference for phone versus in-person visits. Family members and television news media were the commonly used sources of pandemic information irrespective of their education. Perceptions were influenced by gender and source of information, not by age or education. Females perceived higher level of panic compared to males (P = .02). Those relying on news media felt safer compared to those that relied on family members (P = .008).

CONCLUSION

Even though informants felt that the medical center was prepared to handle the pandemic, only half the participants preferred the in-person visit. Pandemic information was obtained from family members or the television news media. Knowing patients' perspectives may help researchers be better prepared for future pandemics. J Am Geriatr Soc 68:E14-E18, 2020.

摘要

背景/目的:COVID-19 大流行极大地扰乱了基本的临床研究。许多监管机构正确地主张暂时停止入组并限制所有面对面的互动。在做出此类决策时,很少考虑患者及其护理人员的意见和看法。本研究的目的是研究老年参与者及其护理人员在 COVID-19 大流行期间参与正在进行的临床研究的观点。

设计

横断面研究。

地点

退伍军人事务部 VISN-16/老年研究、教育和临床中心 (GRECC)。

参与者

参与正在进行的临床研究的老年参与者及其护理人员(N = 51)。

测量方法

询问他们对参加研究访问的安全性的看法、公众普遍的恐慌程度以及医疗中心应对大流行的准备情况。其他问题确定了大流行信息的来源以及对电话或面对面访问的偏好。

结果

参与者的平均年龄为 69.3(±9.4)岁,53%为男性,39%为护理人员,65%为白种人。大多数(78%)参与者认为按时参加预定的研究预约是安全的/非常安全的;63%的人认为额外的筛查使他们感到安全/非常安全;82%的人认为医疗中心为大流行做好了准备/非常准备。参与者在电话和面对面访问的偏好上平分秋色。家庭成员和电视新闻媒体是无论其教育程度如何,常用的大流行信息来源。看法受性别和信息来源的影响,而不受年龄或教育程度的影响。女性对恐慌的感知程度高于男性(P = 0.02)。与依赖家庭成员的人相比,依赖新闻媒体的人感到更安全(P = 0.008)。

结论

尽管知情人认为医疗中心已做好应对大流行的准备,但只有一半的参与者更喜欢面对面访问。大流行信息是从家庭成员或电视新闻媒体获得的。了解患者的观点可能有助于研究人员为未来的大流行做好更好的准备。J Am Geriatr Soc 68:E14-E18,2020。

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