Ma Keon, Rajagopal Manasi, Stang Antonia, Yaskina Maryna, Freedman Stephen B, Lerman Bethany, Ali Samina
Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
Paediatr Child Health. 2023 Nov 7;29(7):429-433. doi: 10.1093/pch/pxad075. eCollection 2024 Nov.
Emergency department (ED) visits can be stressful for families and can affect caregiver willingness to consent to participating in research. Our objective was to describe when and how caregivers wish to be informed about clinical research during their child's ED visit.
An electronic survey was performed for families presenting to 10 Canadian paediatric EDs. A convenience sample of 1456 caregivers with children aged 0 to 17 years were enrolled. The survey tool was created (with an expert panel) using published methodological guidelines, including item generation/reduction, pre- and pilot-testing, and clinical sensibility assessment. Research-specific questions included the best time to be approached, the breadth of study opportunities presented, and best ways to encourage families to participate.
Caregivers reported that the best times to be approached regarding research were in the waiting room (45.3%, 653/1441), after physician assessment (39.0%, 562/1441), or just prior to discharge (9.9%, 143/1441). 52.2% (351/672) wanted to hear about all available research studies, while 47.8% (321/672) wanted to be informed of studies relevant only to their child's condition. Reported best ways to encourage families to participate in research included: incentives (e.g., gift cards/parking passes [31.2%, 230/737]), providing a clear explanation of study intent (30.7%, 226/737), and appealing to altruism (25.4%, 187/737).
There is wide variability in family preferences for timing of research-related conversations, suggesting that families could be approached in the waiting room, and if that is inconvenient or impractical, they could be offered a deferred conversation (i.e., after physician assessment or prior to discharge).
急诊科就诊对家庭来说可能压力重重，且会影响照顾者同意参与研究的意愿。我们的目的是描述照顾者希望在其孩子急诊科就诊期间何时以及如何得知有关临床研究的信息。
对前往加拿大10家儿科急诊科就诊的家庭进行了一项电子调查。纳入了1456名照顾0至17岁儿童的照顾者的便利样本。该调查工具是（与一个专家小组一起）根据已发表的方法学指南创建的，包括项目生成/精简、预测试和试点测试以及临床敏感性评估。与研究相关的问题包括接触照顾者的最佳时间、所提供研究机会的广度以及鼓励家庭参与的最佳方式。
照顾者报告称，就研究事宜接触他们的最佳时间是在候诊室（45.3%，653/1441）、医生评估之后（39.0%，562/1441）或即将出院前（9.9%，143/1441）。52.2%（351/672）的照顾者希望了解所有可用的研究，而47.8%（321/672）的照顾者希望被告知仅与其孩子病情相关的研究。报告的鼓励家庭参与研究的最佳方式包括：提供激励措施（如礼品卡/停车券[31.2%，230/737]）、对研究意图进行清晰解释（30.7%，226/737）以及诉诸利他主义（25.4%，187/737）。
家庭对于与研究相关谈话的时间偏好差异很大，这表明可以在候诊室接触家庭，如果不方便或不实际，也可以提供延期谈话（即在医生评估之后或出院前）。
