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Child and parent reactions to participation in clinical research
Nancy Kassam-Adams1, Elana Newman
1TraumaLink and Center for Pediatric Trauma Stress, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. nlkaphd@mail.med.upenn.edu
Insights
Research participation is safe for injured children and their parents, with most reporting positive experiences and no distress. Feeling helpful was the most valued aspect of joining medical studies.
Area of Science:
- Pediatric Psychology
- Clinical Research Ethics
Background:
- Medical research often involves vulnerable pediatric populations experiencing illness, injury, or distress.
- Limited empirical data exists on the impact of research participation on these children.
- This study addresses the need for evidence on children's and parents' reactions to research.
Purpose of the Study:
- To assess injured children's and their parents' reactions to participating in a research study.
- To examine how demographic, injury, and acute stress variables correlate with these reactions.
Main Methods:
- Surveyed 203 injured children (aged 5-17) and 200 parents.
- Utilized standard questionnaires to measure research reactions.
- Participants were involved in a study on acute posttraumatic stress.
Main Results:
- A majority of children (52%) and parents (74%) were glad to participate.
- Most participants felt positive about contributing to research (77% of children, 90% of parents).
- Distress from participation was infrequent (5% for both children and parents); older children reported more positive research experiences.
Conclusions:
- Research interviews following traumatic injury pose minimal risk of distress for pediatric participants and their families.
- The primary benefit reported by participants was the altruistic value of helping others.
- Integrating participant reaction assessments into clinical research is feasible and recommended.
Background:
Psychological and psychiatric research studies in medical settings often enroll children who are ill, injured, coping with pain or undergoing stressful medical procedures. Yet empirical evidence to date regarding the effects of research on these participants is scarce. This study assessed reactions of injured children and their parents to research participation and examined associations with demographic, injury and acute stress variables.
Methods:
Administered standard research reactions questionnaires to 203 injured children (5-17) and 200 parents participating in a study of acute posttraumatic stress.
Results:
Fifty-two percent of children and 74% of parents were glad they had participated; 77% of children and 90% of parents felt good about helping others. Self-reported distress from study participation was uncommon (5% of children and parents). Child age was associated with more positive appraisals of the research process and with greater trust in and information about elements of informed consent.
Conclusions:
Participation in a research interview following traumatic injury had little risk of generating distress for children or parents. The most commonly reported positive aspect of research participation was feeling good about helping others. This study supports the feasibility of incorporating standardized assessment of participant reactions in clinical research protocols.
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