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患者对参与临床试验的了解。一项非随机对照试验。

Patients' knowledge about their involvement in clinical trials. A non-randomized controlled trial.

作者信息

Juan-Salvadores Pablo, Michel Gómez Marcela Sánchez, Jiménez Díaz Víctor Alfonso, Martínez Reglero Cristina, Iñiguez Romo Andrés

机构信息

Cardiovascular Research Unit, Cardiology Department, Hospital Álvaro Cunqueiro, University Hospital of Vigo, Vigo, Spain.

Cardiovascular Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Vigo, Spain.

出版信息

Front Med (Lausanne). 2022 Sep 20;9:993086. doi: 10.3389/fmed.2022.993086. eCollection 2022.

Abstract

BACKGROUND

Nowadays, good clinical practice should be established in human research. Patient's rights and autonomy must be respected above the interest of the researcher, making mandatory to raise patient's awareness on the implications of participating in a clinical study. Contrary to popular belief, this is not always the case. This means that, after signing the informed consent form, some patients have difficulties understanding their responsibilities as participants.

MATERIALS AND METHODS

This study is a prospective, multicenter, non-randomized controlled trial comparative survey conducted on patients enrolled in a clinical trial to evaluate and improve their understanding after an educational intervention was applied to the research staff.

RESULTS

Females were underrepresented in the clinical trials performed in this study, 21.5%. Most of the participants had a low educational level (74.4%). Around 5 and 10% of the research participants were not aware they were part of a clinical study, and more 24% just trusted in the medical decision to be enrolled. After the interventional education, the following items: "given time and resolution of the patient doubts" (-value = 0.003), "enough written information" (-value = 0.006), "explanation of the risks of participating in the study," (-value = 0.047) and understanding of the information provided to them showed an improvement regarding the study in which they were participating.

CONCLUSION

The research participants understanding of their involvement in clinical trials is limited. An educational intervention on the research team can improve the process of empowerment and transit of information.

摘要

背景

如今,在人体研究中应确立良好的临床实践规范。患者的权利和自主权必须高于研究人员的利益,这使得提高患者对参与临床研究影响的认识成为一项强制性要求。与普遍看法相反,实际情况并非总是如此。这意味着,在签署知情同意书后,一些患者难以理解他们作为参与者的责任。

材料与方法

本研究是一项前瞻性、多中心、非随机对照试验比较调查,对象为参与一项临床试验的患者,目的是在对研究人员进行教育干预后评估并提高他们的理解程度。

结果

在本研究进行的临床试验中,女性占比过低,仅为21.5%。大多数参与者教育水平较低(74.4%)。约5%至10%的研究参与者不知道自己参与了一项临床研究,另有24%只是信任参与研究的医疗决策。经过干预性教育后,以下项目:“给予时间并解决患者疑问”(P值=0.003)、“足够的书面信息”(P值=0.006)、“对参与研究风险的解释”(P值=0.047)以及对提供给他们的信息的理解,与他们所参与的研究相比有了改善。

结论

研究参与者对自身参与临床试验的理解有限。对研究团队进行教育干预可以改善赋权和信息传递过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9018/9531127/a8d2d53f98de/fmed-09-993086-g001.jpg

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