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在一项对 1 型糖尿病高危儿童的纵向研究中,员工的一致性对家长的满意度重要吗?TEDDY 研究。

Is staff consistency important to parents' satisfaction in a longitudinal study of children at risk for type 1 diabetes: the TEDDY study.

机构信息

Department of Clinical Sciences, Lund University, Malmö, Sweden.

Health Informatics Institute, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.

出版信息

BMC Endocr Disord. 2022 Jan 10;22(1):19. doi: 10.1186/s12902-021-00929-w.

DOI:10.1186/s12902-021-00929-w
PMID:35012530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8744326/
Abstract

BACKGROUND

Participants' study satisfaction is important for both compliance with study protocols and retention, but research on parent study satisfaction is rare. This study sought to identify factors associated with parent study satisfaction in The Environmental Determinants of Diabetes in the Young (TEDDY) study, a longitudinal, multinational (US, Finland, Germany, Sweden) study of children at risk for type 1 diabetes. The role of staff consistency to parent study satisfaction was a particular focus.

METHODS

Parent study satisfaction was measured by questionnaire at child-age 15 months (5579 mothers, 4942 fathers) and child-age four years (4010 mothers, 3411 fathers). Multiple linear regression analyses were used to identify sociodemographic factors, parental characteristics, and study variables associated with parent study satisfaction at both time points.

RESULTS

Parent study satisfaction was highest in Sweden and the US, compared to Finland. Parents who had an accurate perception of their child's type 1 diabetes risk and those who believed they can do something to prevent type 1 diabetes were more satisfied. More educated parents and those with higher depression scores had lower study satisfaction scores. After adjusting for these factors, greater study staff change frequency was associated with lower study satisfaction in European parents (mothers at child-age 15 months: - 0.30,95% Cl - 0.36, - 0.24, p < 0.001; mothers at child-age four years: -0.41, 95% Cl - 0.53, - 0.29, p < 0.001; fathers at child-age 15 months: -0.28, 95% Cl - 0.34, - 0.21, p < 0.001; fathers at child-age four years: -0.35, 95% Cl - 0.48, - 0.21, p < 0.001). Staff consistency was not associated with parent study satisfaction in the US. However, the number of staff changes was markedly higher in the US compared to Europe.

CONCLUSIONS

Sociodemographic factors, parental characteristics, and study-related variables were all related to parent study satisfaction. Those that are potentially modifiable are of particular interest as possible targets of future efforts to improve parent study satisfaction. Three such factors were identified: parent accuracy about the child's type 1 diabetes risk, parent beliefs that something can be done to reduce the child's risk, and study staff consistency. However, staff consistency was important only for European parents.

TRIAL REGISTRATION

NCT00279318 .

摘要

背景

参与者的研究满意度对遵守研究方案和保留率都很重要,但关于家长研究满意度的研究很少。本研究旨在确定与 TEDDY 研究中家长研究满意度相关的因素,TEDDY 是一项针对 1 型糖尿病高危儿童的纵向、多国(美国、芬兰、德国、瑞典)研究。工作人员对家长研究满意度的一致性是一个特别关注的问题。

方法

在儿童 15 个月(5579 位母亲,4942 位父亲)和 4 岁时(4010 位母亲,3411 位父亲),通过问卷测量家长的研究满意度。采用多元线性回归分析,确定与两个时间点家长研究满意度相关的社会人口学因素、父母特征和研究变量。

结果

与芬兰相比,瑞典和美国的家长研究满意度最高。对孩子患 1 型糖尿病风险有准确认识、认为可以采取措施预防 1 型糖尿病的家长满意度更高。受教育程度较高的父母和抑郁得分较高的父母研究满意度较低。在调整这些因素后,欧洲父母的研究工作人员变更频率越高,研究满意度越低(母亲在儿童 15 个月时:-0.30,95%Cl-0.36,-0.24,p<0.001;母亲在儿童 4 岁时:-0.41,95%Cl-0.53,-0.29,p<0.001;父亲在儿童 15 个月时:-0.28,95%Cl-0.34,-0.21,p<0.001;父亲在儿童 4 岁时:-0.35,95%Cl-0.48,-0.21,p<0.001)。工作人员的一致性与美国家长的研究满意度无关。然而,美国的工作人员变更数量明显高于欧洲。

结论

社会人口学因素、父母特征和与研究相关的变量都与家长的研究满意度相关。那些潜在可改变的因素是提高家长研究满意度的未来努力的可能目标。确定了三个这样的因素:父母对孩子患 1 型糖尿病风险的准确性、父母认为可以采取措施降低孩子的风险,以及研究工作人员的一致性。然而,工作人员的一致性对欧洲父母很重要。

试验注册

NCT00279318。

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