Reactions of participants to the results of a randomised controlled trial: exploratory study

被引:67
作者
Snowdon, C
Garcia, J
Elbourne, D
机构
[1] Univ London London Sch Hyg & Trop Med, Med Stat Unit, London WC1E 7HT, England
[2] Univ Oxford, Radcliffe Infirm, Natl Perinatal Epidemiol Unit, Oxford OX2 6HE, England
来源
BMJ-BRITISH MEDICAL JOURNAL | 1998年 / 317卷 / 7150期
基金
英国惠康基金;
关键词
D O I
10.1136/bmj.317.7150.21
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To assess views of parents of babies who participated in a neonatal trial, about feedback of trial results. Design: Qualitative analysis of interviews. Setting: Parents' homes. Subjects: Parents of 24 surviving babies enrolled in a UK randomised controlled trial comparing ventilatory support by extracorporeal membrane oxygenation with conventional management Main outcome measures: Views about contents of results, reactions to results, effect of hindsight, and importance of feedback, Results: Information about mortality was well understood by the parents but morbidity was less clearly reported. Even when the content was emotionally exacting, the information was still wanted as it removed uncertainty; provided an endpoint to difficult events; promoted further discussion within couples; and acknowledged their contribution to answering an important clinical question. Conclusions: Feedback of trial results to participants should be a consideration of researchers, but a careful approach is required. This study was based on a highly selective group of parents within a particularly sensitive trial. More research is needed to assess the extent to which these results can be generalised to other trials or to groups such as bereaved parents.
引用
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页码:21 / 26
页数:6
相关论文
共 12 条
[1]  
Association for Improvements in the Maternity Services,The National Childbirth Trust, 1997, CHART ETH RES MAT CA
[2]   PERCEPTION OF QUALITY-OF-LIFE BEFORE AND AFTER DISCLOSURE OF TRIAL RESULTS - A REPORT FROM THE PROGRAM ON THE SURGICAL CONTROL OF THE HYPERLIPIDEMIAS (POSCH) [J].
BUCHWALD, H ;
FITCH, LL ;
MATTS, JP ;
JOHNSON, JW ;
HANSEN, BJ ;
STUENKEL, MR ;
BROOKS, B .
CONTROLLED CLINICAL TRIALS, 1993, 14 (06) :500-510
[3]  
Bunin GR, 1996, PEDIATRICS, V97, P486
[4]   Personal views - Age of innocence [J].
Douglas, C .
BRITISH MEDICAL JOURNAL, 1997, 314 (7087) :1134-1134
[5]  
Field D, 1996, LANCET, V348, P75
[6]   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
[7]  
Marshall S, 1996, BRIT MED J, V312, P186
[8]  
MUHR T, 1991, QUALITATIVE SOCIOLOG
[9]  
*ROYAL COLL PHYS, 1990, RES INV PATIENTS
[10]  
SCHULTE PA, 1991, J CLIN EPIDEMIOL, V44, pS57