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父母对一项在出生时使用免知情同意的试验的看法。

Parental perspectives on a trial using waived informed consent at birth.

作者信息

Katheria Anup C, Schmölzer Georg M, Law Brenda, Yoder Bradley A, Clark Erin, El-Naggar Walid, Morales Ana, Dorner Rebecca A, Mooso Benjamin, Rich Wade, Vora Farha, Finer Neil

机构信息

Neonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, USA.

University of Alberta, Edmonton, AB, Canada.

出版信息

J Perinatol. 2024 Mar;44(3):415-418. doi: 10.1038/s41372-023-01853-8. Epub 2023 Dec 21.

DOI:10.1038/s41372-023-01853-8
PMID:38129598
Abstract

OBJECTIVES

To determine parental perspectives in a trial with waived consent.

STUDY DESIGN

Anonymous survey of birth parents with term infants who were randomized using a waiver of consent, administered after infant discharge.

RESULTS

121 (11%) survey responses were collected. Of the 121 responding parents 111 (92%) reported that this form of consent was acceptable and 116 (96%) reported feeling comfortable having another child participate in a similar study. 110 (91%) respondents reported that they both understood the information provided in the consent process and had enough time to consider participation. Four percent had a negative opinion on the study's effect on their child's health.

CONCLUSIONS

Most responding parents reported both acceptability of this study design in the neonatal period and that the study had a positive effect on their child's health. Future work should investigate additional ways to involve parents and elicit feedback on varied methods of pediatric consent.

摘要

目的

在一项豁免同意的试验中确定父母的观点。

研究设计

对足月婴儿的亲生父母进行匿名调查,这些婴儿在出院后通过豁免同意的方式被随机分组。

结果

收集到121份(11%)调查问卷回复。在121名回复的父母中,111名(92%)报告称这种同意形式是可以接受的,116名(96%)报告称愿意让另一个孩子参与类似研究。110名(91%)受访者报告称他们既理解了同意过程中提供的信息,又有足够的时间考虑参与。4%的人对该研究对其孩子健康的影响持负面看法。

结论

大多数回复的父母报告称这种研究设计在新生儿期是可接受的,并且该研究对其孩子的健康有积极影响。未来的工作应研究让父母参与的其他方式,并就儿科同意的不同方法征求反馈意见。

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本文引用的文献

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Neonatology. 2023;120(3):344-352. doi: 10.1159/000530257. Epub 2023 May 9.
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Community consultation in the pediatric intensive care unit for an exception from informed consent Trial: A survey of patient caregivers.儿科重症监护病房关于知情同意试验豁免的社区咨询:患者照料者调查
Resusc Plus. 2023 Jan 13;13:100355. doi: 10.1016/j.resplu.2022.100355. eCollection 2023 Mar.
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Parental Factors Associated With the Decision to Participate in a Neonatal Clinical Trial.
与参与新生儿临床试验的决策相关的父母因素。
JAMA Netw Open. 2021 Jan 4;4(1):e2032106. doi: 10.1001/jamanetworkopen.2020.32106.
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Perinatal Outcomes of Subjects Enrolled in a Multicenter Trial with a Waiver of Antenatal Consent.多中心试验中豁免产前同意的受试者的围产期结局。
Am J Perinatol. 2022 Jun;39(8):904-908. doi: 10.1055/s-0040-1719184. Epub 2020 Nov 3.
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Incidence of newborn resuscitative interventions at birth and short-term outcomes: a regional population-based study.出生时新生儿复苏干预的发生率及短期结局:一项基于区域人群的研究。
BMJ Paediatr Open. 2019 Dec 29;3(1):e000592. doi: 10.1136/bmjpo-2019-000592. eCollection 2019.
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