老年参与者对个体结果交付的看法:由HAEL研究主持的试验内研究(SWAT)

A. D. De Nardi, L. O. Pfeifer, N. Oliveira, C. Botton, L. Santos, D. Umpierre
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摘要

向研究参与者传达和传播个人结果是一种道德要求,然而,这种做法仍然是不寻常的。在本研究中,我们从理解(主要结果)、满意度和短期心理影响的角度调查了两种向老年参与者提供个人结果的形式。方法:本试验研究(SWAT)是一项随机、单盲(结果评估者)、平行组干预,由“老年人高血压治疗方法:生活方式研究”多中心、双组随机试验(HAEL研究)主持。2019年7月或之后进入HAEL研究的参与者符合条件。随机化由计算机生成,分配隐藏由独立调查员完成。在2019年12月至2020年9月期间,在临床研究中心的个人或小组会议上进行了个人结果的交付。结果通过一份未经验证的李克特5分制问卷和多项选择题进行评估。结果同意参加SWAT的20名参与者中,10名来自个人模式,7名来自团体模式,平均年龄为68岁。大多数参与者对两种交付形式的结果都有很好的理解——个人70%(7/10)和小组71% (5/7)(p=1.00)。两组均报告了对结果交付格式的满意度,并伴有适度的负面情绪影响。没有发现任何与研究相关的身体伤害。结论:在HAEL研究中,两种提供个体结果的格式都对部分老年参与者产生了足够的理解和满意度,负面情绪影响较低。
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Perspectives of older participants on the delivery of individual results: Study within a trial (SWAT) hosted by the HAEL Study
Background Communicating and disseminating individual results to research participants is an ethical imperative, however, this practice is still unusual. In the present study, we investigated two delivery formats of individual results to older participants on the perspectives of understanding (main outcome), satisfaction, and short-term psychological impact. Methods This Study Within A Trial (SWAT) is a randomized, single-blinded (outcome assessors), parallel-group intervention hosted by “Hypertension Approaches in the Elderly: a Lifestyle study” multicenter, two-arm, randomized trial (HAEL Study). Participants who entered the HAEL Study in July 2019 or after were eligible. Randomization was generated by computer and allocation concealment by an independent investigator. The delivery of individual results was carried out in individual or group meetings between December 2019 and September 2020 at a Clinical Research Center. Outcomes were assessed by an unvalidated questionnaire on a 5-point Likert scale and multiple choice questions. Results Of the 20 participants who agreed to participate in the SWAT, 10 from the individual format and 7 from the group format, with a mean age of 68 years old, were evaluated through per-protocol analysis. Most participants showed good understanding of their results in both delivery formats - individual 70% (7/10) and group 71% (5/7) (p=1.00). Satisfaction with the results delivery format was reported in both groups, with moderate negative emotional impact. Any research-related physical harms were not identified. Conclusion Both formats for delivering individual results generated adequate understanding and satisfaction with low negative emotional impact to a partial sample of older participants in the HAEL Study.
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