Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Region Västra Götaland, Department of Psychiatry for Affective Disorders, Sahlgrenska University Hospital, Gothenburg, Sweden.
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2408829. doi: 10.1080/17482631.2024.2408829. Epub 2024 Oct 3.
Participation in a paediatric, complex randomized controlled trial (RCT) might add to the family burden when a child is diagnosed with a severe disease. Although important, there are only a limited number of papers describing this aspect of research from the family point of view. This study explored parents' and children's experiences of participation in a research study shortly after the child had been diagnosed with type 1 diabetes. Sixteen parents (nine mothers, seven fathers) and nine children were interviewed by an independent researcher about their inducement, the decision-making process within the family which led to their participation, and their experience of having done so. The result showed that the parents wanted to contribute to improve treatment for children with diabetes in general but also specifically for their own child. Older children were more involved in the decision making than the younger children. Study information needs to be communicated clearly and effectively since decision-making based on information of a clinical trial directly after the child's diabetes onset proved difficult. Being randomized to the intervention group in this specific study was considered somewhat burdensome. However, parental participants in both intervention and control group claimed that they would recommend participation in research studies to other parents in a similar situation, and so did the children. There was no difference between the mothers' and fathers' experiences.
参与儿科复杂随机对照试验(RCT)可能会给家庭带来负担,尤其是当孩子被诊断出患有严重疾病时。虽然这很重要,但只有少数几篇论文从家庭的角度描述了这方面的研究。本研究探讨了在孩子被诊断为 1 型糖尿病后不久,父母和孩子参与研究的经历。一位独立研究员对 16 名父母(9 名母亲,7 名父亲)和 9 名儿童进行了访谈,了解他们的参与动机、家庭内部导致参与的决策过程,以及他们的参与经历。研究结果表明,父母希望为改善一般儿童糖尿病的治疗做出贡献,也希望为自己的孩子做出贡献。年龄较大的孩子比年龄较小的孩子更多地参与决策。研究信息需要清晰有效地传达,因为在孩子糖尿病发病后直接基于临床试验的信息做出决策非常困难。在这项具体研究中被随机分配到干预组被认为有些负担。然而,干预组和对照组的父母参与者都表示,他们会向其他处于类似情况的父母推荐参与研究,孩子们也是如此。母亲和父亲的经历没有区别。