Providing Research Results to Participants: Attitudes and Needs of Adolescents and Parents of Children With Cancer

被引:65
作者
Fernandez, Conrad Vincent [1 ]
Gao, Jun
Strahlendorf, Caron
Moghrabi, Albert
Pentz, Rebecca Davis
Barfield, Raymond Carlton
Baker, Justin Nathaniel
Santor, Darcy
Weijer, Charles
Kodish, Eric
机构
[1] Dalhousie Univ, Dept Pediat, IWK Hlth Ctr, Halifax, NS B3K 6R8, Canada
基金
美国国家卫生研究院; 加拿大健康研究院;
关键词
CLINICAL-TRIAL; NEGATIVE AFFECT; VALIDATION; DISCLOSURE; RETURN; RISK;
D O I
10.1200/JCO.2008.18.5223
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose There is an increasing demand for researchers to provide research results to participants. Our aim was to define an appropriate process for this, based on needs and attitudes of participants. Methods A multicenter survey in five sites in the United States and Canada was offered to parents of children with cancer and adolescents with cancer. Respondents indicated their preferred mode of communication of research results with respect to implications; timing, provider, and content of the results; reasons for and against providing results; and barriers to providing results. Results Four hundred nine parents (including 19 of deceased children) and 86 adolescents responded. Most parents (n = 385; 94.2%) felt that they had a strong right to research results. For positive results, most wanted a letter or e-mail summary (n = 238; 58.2%) or a phone call followed by a letter (n = 100; 24.4%). If the results were negative, phone call (n = 136; 33.3%) or personal visits (n = 150; 36.7%) were preferred. Parents wanted the summary to include long-term sequelae and suggestions for participants (n = 341; 83.4%), effect on future treatments (n = 341; 83.4%), and subsequent research steps (n = 284; 69.5%). Understanding the researcher was a main concern about receiving results (n = 145; 35.5%). Parents felt that results provide information to support quality of life (n = 315; 77%) and raise public awareness of research (n = 282; 68.9%). Adolescents identified similar preferences. Conclusion Parents of children with cancer and adolescents with cancer feel strongly that they have a right to be offered research results and have specific preferences of how and what information should be communicated.
引用
收藏
页码:878 / 883
页数:6
相关论文
共 34 条
[1]   Use of the Internet and e-mail for health care information - Results from a national survey [J].
Baker, L ;
Wagner, TH ;
Singer, S ;
Bundorf, MK .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (18) :2400-2406
[2]   WORKERS RESPONSE TO RISK NOTIFICATION [J].
BOAL, WL ;
FRIEDLAND, J ;
SCHULTE, PA .
AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, 1995, 27 (04) :471-483
[3]   Reporting genetic results in research studies: Summary and recommendations of an NHLBI working group [J].
Bookman, EB ;
Langehorne, AA ;
Eckfeldt, JH ;
Glass, KC ;
Jarvik, GP ;
Klag, M ;
Koski, G ;
Motulsky, A ;
Wilfond, B ;
Manolio, TA ;
Fabsitz, RR ;
Luepker, RV .
AMERICAN JOURNAL OF MEDICAL GENETICS PART A, 2006, 140A (10) :1033-1040
[4]   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
[5]  
Bunin GR, 1996, PEDIATRICS, V97, P486
[6]   Informing participants of allocation to placebo at trial closure: postal survey [J].
Di Blasi, Z ;
Kaptchuk, TJ ;
Weinman, J ;
Kleijnen, J .
BMJ-BRITISH MEDICAL JOURNAL, 2002, 325 (7376) :1329-1331
[7]  
Dillman, 1978, MAIL TELEPHONE SURVE, V19
[8]   Receiving a summary of the results of a trial: qualitative study of participants' views [J].
Dixon-Woods, M ;
Jackson, C ;
Windridge, KC ;
Kenyon, S .
BMJ-BRITISH MEDICAL JOURNAL, 2006, 332 (7535) :206-209
[9]   Thresholds and boundaries in the disclosure of individual genetic research results [J].
Dressler, Lynn G. ;
Juengst, Eric T. .
AMERICAN JOURNAL OF BIOETHICS, 2006, 6 (06) :18-20
[10]   The return of research results to participants: Pilot questionnaire of adolescents and parents of children with cancer [J].
Fernandez, C. V. ;
Santor, D. ;
Weijer, C. ;
Strahlendorf, C. ;
Moghrabi, A. ;
Pentz, R. ;
Gao, J. ;
Kodish, E. .
PEDIATRIC BLOOD & CANCER, 2007, 48 (04) :441-446