Berg K L, Herrman D, Bernard L, Shiu C S, Mihaila I, Arnold C, Acharya K, Gladstone T R G, Danguilan C, Gussin H, Perez P, Herrman A, Aaron S, Thornton A, Gerges M, Patriarca C, Pak J J, Van Voorhees B W
Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, 60612, USA.
Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL, 60612, USA.
Contemp Clin Trials Commun. 2024 Nov 22;42:101395. doi: 10.1016/j.conctc.2024.101395. eCollection 2024 Dec.
Practices to include youth with intellectual and/or developmental disabilities (IDD) are necessary to design and implement research that specifically meets the behavioral health needs of this population. This article describes a protocol for engaging youth with IDD as collaborators in a comparative effectiveness clinical trial using a community-engaged research (CEnR) approach.
Our engagement protocol, guided by the Community Engaged Research (CEnR) Framework, emphasized harm avoidance, accessibility, demonstrated value, capacity bridging and co-learning, shared power and equity in decision-making, accountability and respect, and transparent communication. We involved seven youth with IDD in a Youth Advisory Committee (YAC) and four youth with IDD in a Summer Scholars program, ensuring consistent and structured engagement throughout the study.
Youth with IDD maintained high levels of engagement in both the YAC and Summer Scholars Program with 100 % retention across two years. Youth used multiple modalities to provide feedback on aspects of the research project, resulting in study modifications, the co-development of products, and tangible improvements in the accessibility and relevance of the study for youth with IDD.
Researchers and clinicians seeking to engage the historically underserved population of disabled youth in clinical trial research can leverage our findings to enhance the accessibility and inclusivity of their studies.
为了设计和开展专门满足智力和/或发育障碍(IDD)人群行为健康需求的研究,让患有IDD的青少年参与其中的做法很有必要。本文描述了一种方案,该方案采用社区参与研究(CEnR)方法,让患有IDD的青少年作为合作者参与一项比较效果临床试验。
我们的参与方案以社区参与研究(CEnR)框架为指导,强调避免伤害、可及性、展示价值、能力衔接与共同学习、决策中的权力共享与公平、问责与尊重以及透明沟通。我们让7名患有IDD的青少年加入青年咨询委员会(YAC),并让4名患有IDD的青少年参加暑期学者项目,确保在整个研究过程中参与的连贯性和系统性。
患有IDD的青少年在YAC和暑期学者项目中都保持了较高的参与度,两年内的留存率达100%。青少年运用多种方式对研究项目的各个方面提供反馈,从而带来了研究改进、产品共同开发,以及研究对患有IDD的青少年的可及性和相关性方面的切实改善。
寻求让历来未得到充分服务的残疾青少年群体参与临床试验研究的研究人员和临床医生可以利用我们的研究结果来提高其研究的可及性和包容性。