A Randomized Pilot Trial of the Donor Conception Tool to Empower Parental Telling and Talking (TELL Tool) with Their Children About Their Genetic Origins.

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES Journal of Pediatric Health Care Pub Date : 2024-07-17 DOI:10.1016/j.pedhc.2024.06.006

Patricia E Hershberger, Valerie Gruss, Alana D Steffen, Kirby Adlam, Martha Driessnack, Harold D Grotevant, Susan C Klock, Lauri A Pasch, Ruchi Bhagat, Agatha M Gallo

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Abstract

Introduction: Parents who use donated gametes or embryos to form their families struggle with telling their children about their genetic origins. We developed the Tool to Empower Parental Telling and Talking (TELL Tool) to support parents in disclosure to their children and an eBook attention control.

Method: A randomized parallel, two-group, attention-controlled clinical pilot trial was conducted online during COVID-19. Feasibility, acceptability, and preliminary effects among parents with children aged 1-16 years were examined.

Results: Over 10 months, our target of 75 parents were enrolled (85% of eligible [95% confidence interval (CI), 76% to 91%]), and 68% (95% CI: 57% to 78%) were retained at 12 weeks. At 4 and 12 weeks, positive trends were found for parental disclosure, telling confidence, and anxiety compared with attention controls.

Discussion: The study protocol is feasible, and the TELL Tool is acceptable to parents and demonstrates a positive effect on parents' ability to tell their children. The results support the implementation of a large efficacy trial.

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捐赠受孕工具的随机试点试验，以增强父母与子女谈论其遗传起源的能力（TELL 工具）。

导言：使用捐献配子或胚胎组建家庭的父母在向子女讲述自己的基因起源时会遇到很多困难。我们开发了 "增强父母讲述和交流能力的工具"（TELL Tool），以支持父母向子女披露信息，并开发了电子书注意力对照：方法：在 COVID-19 期间，我们在网上进行了一项随机平行、两组、注意力控制的临床试验。结果：在 10 个月的时间里，我们的目标受试者人数达到了 75 人：在 10 个月的时间里，我们的目标是招募 75 名家长（符合条件的家长占 85%[95% 置信区间 (CI)：76% 至 91%]），12 周后，68%（95% 置信区间：57% 至 78%）的家长被保留下来。在 4 周和 12 周时，发现与关注对照组相比，家长披露信息、倾诉信心和焦虑呈积极趋势：讨论：研究方案是可行的，TELL 工具为家长所接受，并对家长告诉孩子的能力产生了积极影响。研究结果支持开展大型疗效试验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.