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返回一项痴呆患病率研究的个体特异性结果:来自居住在瑞士的前瞻性参与者的见解。

Returning individual-specific results of a dementia prevalence study: insights from prospective participants living in Switzerland.

机构信息

Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland.

Institute of Communication and Health, Faculty of Communication Sciences, Università della Svizzera italiana, Lugano, Switzerland.

出版信息

Int J Geriatr Psychiatry. 2021 Jan;36(1):207-214. doi: 10.1002/gps.5416. Epub 2020 Sep 11.

Abstract

OBJECTIVES

To explore prospective participants' preferences regarding the return of their individual-specific results from a dementia prevalence study (a probabilistic diagnosis of dementia).

METHODS/DESIGN: We conducted a qualitative study with 22 individuals aged 45 to 86 and resident in the Canton of Ticino (Switzerland). Participants had previously joined the validation phase of an epidemiological study into dementia and its impact.

RESULTS

We found that individuals welcome the return of their individual-specific results, provided these meet a number of validity, clinical, and personal utility criteria. They justify researchers' duty to return study findings with the principles of beneficence (eg, providing information that can help participants' medical decision-making) and justice (eg, acknowledging participants' efforts to help research by sharing their personal information). Furthermore, individuals anticipate societal benefits of the return of individual specific study findings, including improved interpersonal relationships among individuals and decreased dementia-related stigma.

CONCLUSIONS

Our findings suggest that researchers should address the return of individual-specific study results early on during study design and involve prospective participants in identifying both the conditions under which results should be offered and the perceived individual and societal benefits returning can have.

摘要

目的

探讨前瞻性参与者对痴呆患病率研究(痴呆的概率诊断)中个人特定结果回报的偏好。

方法/设计:我们对 22 名年龄在 45 至 86 岁之间、居住在提契诺州(瑞士)的个体进行了一项定性研究。这些参与者之前参加了一项关于痴呆及其影响的流行病学研究的验证阶段。

结果

我们发现,只要个人特定的结果符合一定的有效性、临床和个人效用标准,个人就欢迎其个人特定结果的回报。他们通过以下原则来证明研究人员返还研究结果的义务是合理的:有益(例如,提供可以帮助参与者做出医疗决策的信息)和公正(例如,承认参与者通过分享个人信息来帮助研究的努力)。此外,个人预计返还个人特定研究结果会带来社会效益,包括改善个体之间的人际关系和减少与痴呆相关的耻辱感。

结论

我们的研究结果表明,研究人员应该在研究设计早期就解决个人特定研究结果的返还问题,并让未来的参与者参与确定返还的条件以及个人和社会的预期收益。

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