Social Research Unit, University College London Institute of Education, London, UK.
Department of Primary Care and Public Health, Imperial College London, London, UK.
Arch Dis Child Fetal Neonatal Ed. 2023 Mar;108(2):194-199. doi: 10.1136/archdischild-2022-324272. Epub 2022 Oct 19.
To explore views of parents of preterm babies, adults born preterm and professionals, on the linkage of real-world health and education data for research on improving future outcomes of babies born preterm.
Three-stage mixed-methods participatory design involving focus groups, a national survey and interviews. Survey participants who expressed uncertainty or negative views were sampled purposively for invitation to interview. Mixed methods were used for data analysis.
All data collection was online. Participants were: focus groups-17 parents; survey-499 parents, 44 adults born preterm (total 543); interviews-6 parents, 1 adult born preterm, 3 clinicians, 2 teachers.
Three key themes were identified: (1) Data linkage and opt-out consent make sense for improving future outcomes. We found clear demand for better information on long-term outcomes and strong support for data linkage with opt-out consent as a means of achieving this. (2) Information requirements-what, how and when. There was support for providing information in different formats and discussing linkage near to, or following discharge from, the neonatal unit, but not sooner. (3) Looking to the future; the rights of young people. We identified a desire for individuals born preterm to be consulted in the future on the use of their data.
With appropriate information provision, at the right time, parents, adults born preterm and professionals are supportive of data linkage for research, including where temporary identifiers and opt-out consent are used. Resources are being co-produced to improve communication about routine data linkage.
探讨早产儿父母、早产儿成人和专业人士对将现实健康和教育数据联系起来以研究如何改善早产儿未来结局的看法。
三阶段混合方法参与式设计,包括焦点小组、全国性调查和访谈。对表达不确定或负面观点的调查参与者进行有目的抽样,邀请他们接受访谈。采用混合方法进行数据分析。
所有数据收集均在线进行。参与者包括:焦点小组-17 名父母;调查-499 名父母,44 名早产儿成人(总计 543 名);访谈-6 名父母,1 名早产儿成人,3 名临床医生,2 名教师。
确定了三个关键主题:(1)数据链接和选择退出同意有助于改善未来结局。我们发现人们对长期结局的信息有明确需求,并强烈支持选择退出同意的数据链接,将其作为实现这一目标的手段。(2)信息要求-什么、如何以及何时。人们支持以不同格式提供信息,并在新生儿病房附近或出院后讨论链接,但不建议更早进行。(3)展望未来;年轻人的权利。我们发现,希望在未来能够就其数据的使用咨询早产儿个人。
在适当的信息提供和合适的时间,父母、早产儿成人和专业人士都支持为研究进行数据链接,包括使用临时标识符和选择退出同意。正在共同制作资源以改善有关常规数据链接的沟通。