Receiving a summary of the results of a trial: qualitative study of participants' views

被引:79
作者
Dixon-Woods, M [1 ]
Jackson, C
Windridge, KC
Kenyon, S
机构
[1] Univ Leicester, Dept Hlth Sci, Social Sci Grp, Leicester LE1 6TP, Leics, England
[2] Univ Leicester, Dept Hlth Sci, Trent Res & Dev Support Unit, Leicester LE1 6TP, Leics, England
[3] Univ Leicester, Dept Canc & Mol Studies, Reprod Sci Sect, MRC Oracle Childrens Study, Leicester LE2 7LX, Leics, England
来源
BMJ-BRITISH MEDICAL JOURNAL | 2006年 / 332卷 / 7535期
关键词
D O I
10.1136/bmj.38675.677963.3A
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective To explore trial participants' responses to receiving a summary of the results of a trial in pregnancy. Design Qualitative study with semistructured interviews. Participants 20 women who had when pregnant participated in the ORACLE trial of antibiotics for preterm labour and preterm rupture of the membranes and requested a copy of the trial results. Results Less than a fifth of women who participated in the ORACLE trial indicated that they wished to receive the trial results. Reactions to the leaflet summarising the trial results were generally positive or neutral, although some women had difficulty in understanding the leaflet, and there was evidence of possible negative implications for women who had adverse outcomes. Women requested the results because they were interested in being able to complete their own personal narrative. They wished to know to which arm of the trial they had been allocated and the implications for their own pregnancy, and they were disappointed with receiving a generic summary. Women's accounts indicated some confusion about the trial findings. Conclusions Recommendations that research participants be routinely provided with the results of studies have been made without the benefit of research to show the consequences of doing this or how it should best be managed. Caution is needed, as is more evaluation of how feedback of results should be handled, and assessment of the risks, benefits, and costs.
引用
收藏
页码:206 / 209
页数:6
相关论文
共 26 条
[1]  
AIMS: Association for Improvements in Maternity Care, 1997, CHART ETH RES MAT CA
[2]  
Barney G., 1967, Awareness of Dying, DOI DOI 10.4324/9780203793206
[3]   Informed consent for population-based research involving genetics [J].
Beskow, LM ;
Burke, W ;
Merz, JF ;
Barr, PA ;
Terry, S ;
Penchaszadeh, VB ;
Gostin, LO ;
Gwinn, M ;
Khoury, MJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (18) :2315-2321
[4]  
Department of Health (UK), 2005, RES GOV FRAM HLTH SO
[5]   Reactions to treatment debriefing among the participants of a placebo controlled trial [J].
Di Blasi, Z ;
Crawford, F ;
Bradley, C ;
Kleijnen, J .
BMC HEALTH SERVICES RESEARCH, 2005, 5 (1)
[6]   Writing wrongs? An analysis of published discourses about the use of patient information leaflets [J].
Dixon-Woods, M .
SOCIAL SCIENCE & MEDICINE, 2001, 52 (09) :1417-1432
[7]  
Fernandez Conrad V, 2003, IRB, V25, P12, DOI 10.2307/3564300
[8]   Considerations and costs of disclosing study findings to research participants [J].
Fernandez, CV ;
Skedgel, C ;
Weijer, C .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2004, 170 (09) :1417-1419
[9]   THE RIGHTS OF PATIENTS IN RESEARCH - PATIENTS MUST COME FIRST IN RESEARCH [J].
GOODARE, H ;
SMITH, R .
BMJ-BRITISH MEDICAL JOURNAL, 1995, 310 (6990) :1277-1278
[10]   What do they know? a content analysis of women's perceptions of trial information [J].
Kenyon, S ;
Dixon-Woods, M .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2004, 111 (12) :1341-1345