Parents' perceptions of their infants' participation in randomized controlled trials
Kim Cartwright1, Liam Mahoney, Susan Ayers
1Developmental Brain Behaviour Laboratory, School of Psychology, University of Southampton, Highfield, Southampton, UK. klc3g08@soton.ac.uk
Insights
Parents generally had positive experiences when their infants participated in randomized control trials (RCTs). Ensuring parents
Area of Science:
- Neonatal Research Ethics
- Clinical Trial Participation
- Parental Perceptions
Background:
- Infant participation in randomized control trials (RCTs) is crucial for advancing neonatal care.
- Understanding parental perspectives on infant involvement in clinical research is essential for ethical and effective trial conduct.
Purpose of the Study:
- To explore parents' perceptions of their infants' participation in randomized control trials (RCTs).
- To understand the implications of RCT participation for both the infant and the parents themselves.
Main Methods:
- A qualitative study employing semistructured interviews with parents of infants who participated in RCTs.
- Participants were recruited from neonatal intensive care units (NICUs) and via a charity's website.
- Data were analyzed using systematic thematic analysis.
Main Results:
- Five key themes emerged: initial reactions to enrollment approach, parent-clinician interactions, decision-making process, implications for parents, and effects on infants.
- Parents reported mostly positive experiences regarding their infants' participation in RCTs.
- The study highlighted the importance of addressing parents' individual needs throughout the research process.
Conclusions:
- Clinicians should be encouraged to approach parents for infant enrollment in clinical research due to generally positive parental experiences.
- Emphasizes the need for comprehensive support and attention to parents' individual needs from enrollment through follow-up in neonatal RCTs.
Objective:
To explore parents' perceptions of their infants' participation in randomized control trials (RCTs) and the implications of the RCT for their infant and themselves.
Design:
A qualitative study using semistructured interviews.
Setting:
Participants were identified from neonatal intensive care unit (NICU) clinical registers and from responses to an advertisement put on the website of United Kingdom special care baby charity, BLISS. Interviews were conducted with parents face-to-face in their homes or over the telephone.
Participants:
Sixteen parents of 12 infants born prematurely or with complications at full term and who had participated in one of three RCTs while receiving intensive care in one of seven NICUs.
Methods:
Interviews were audio-taped or digitally recorded, transcribed verbatim, and analyzed using systematic thematic analysis using WinMax qualitative software.
Results:
Five main themes emerged from the data. The themes were parents' immediate reactions to being approached about RCT enrollment, interactions between parents and clinicians upon the approach of enrollment and during the RCT, making the decision to enroll their infants, implications of the RCT for parents, and effects of the RCT on the infants.
Conclusions:
Clinicians should be encouraged to approach parents about enrollment of their infants in clinical research given that parents reported mostly positive experiences related to this participation. However, appropriate measures should be taken to ensure that the individual needs of parents are being met throughout the entire research process from enrollment to follow-up.
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