communication about childrens clinical trials as observed and experienced qualitative study of parents and practitioners沟通关于儿童的临床试验,观察和经历了定性研究的父母和实践者.pdf

Communication about Children’s Clinical Trials as Observed and Experienced: Qualitative Study of Parents and Practitioners 1 ¤ 2 3 1 4 Valerie Shilling * , Paula R. Williamson , Helen Hickey , Emma Sowden , Michael W. Beresford , Rosalind L. Smyth5, Bridget Young1 1 Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom, 2 Department of Biostatistics, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom, 3 Medicines for Children Research Network Clinical Trials Unit, Alder Hey Children’s NHS Foundation Trust, Liverpool, United Kingdom, 4 Department of Women’s and Children’s Medicine, Institute of Translational Medicine, University of Liverpool, Alder Hey Children’s NHS Foundation Trust, Liverpool, United Kingdom, 5 University of Liverpool, Alder Hey Children’s NHS Foundation Trust, Liverpool, United Kingdom Abstract Background: Recruiting children to clinical trials is perceived to be challenging. To identify ways to optimise recruitment and its conduct, we compared how parents and practitioners described their experiences of recruitment to clinical trials. Methods and Findings: This qualitative study ran alongside four children’s clinical trials in 11 UK research sites. It compared analyses of semi-structured interviews with analyses of audio-recordings of practitioner-family dialogue during trial recruitment discussions. Parents from 59 families were interviewed; 41 had participated in audio-recorded recruitment discussions. 31 practitioners were interviewed. Parents said little in the recruitment discussions contributing a median 16% of the total dialogue and asking a median of one question. Despite this, parents rep