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Burden or Opportunity? Parent Experiences When Approached for Research in a Pediatric Intensive Care Unit
Erin Paquette1, Avani Shukla2, Jacob Davidson3
1Assistant professor of pediatrics at Northwestern University Feinberg School of Medicine and an adjunct professor of law at the Northwestern University Pritzker School of Law.
Insights
Parental participation in pediatric intensive care unit (PICU) research is high when approached. Key motivators include altruism and perceived low risk, while barriers involve child safety and clear communication. Minority inclusion needs attention.
Area of Science:
- Pediatric Critical Care Medicine
- Clinical Research Ethics
- Health Services Research
Background:
- Low enrollment in pediatric research, especially in critical care settings, hinders study completion.
- Understanding parental experiences and perceptions is crucial for improving pediatric research participation.
Purpose of the Study:
- To assess parental experiences and attitudes toward research participation in a pediatric intensive care unit (PICU).
- To identify motivators and barriers to research enrollment among parents of critically ill children.
- To examine potential disparities in research approach based on ethnicity.
Main Methods:
- Prospective cross-sectional survey and chart review conducted in a PICU setting.
- Survey administered to 80 parents of children admitted to the PICU.
- Data collected on parental approach rates, consent, motivators, barriers, and demographics.
Main Results:
- 54% of parents were approached for research, with 93% agreeing to participate.
- Primary motivators: altruism, low burden, low risk, and potential child benefit.
- Key barriers: perceived risk, child's critical condition, feeling overwhelmed, time constraints, and poor explanation of research.
- Hispanic parents reported being approached for research less frequently than non-Hispanic parents.
Conclusions:
- Parents in the PICU generally have positive attitudes toward research participation.
- Addressing barriers related to risk perception and clear communication is essential.
- Proactive tracking of recruitment processes is necessary to ensure equitable inclusion of minority populations in pediatric critical care research.
Abstract:
Despite an ongoing need for pediatric research, low study enrollment may impede study completion, particularly in critical care. We conducted a prospective cross-sectional survey and chart review study to assess parent experiences with research in a pediatric intensive care unit (PICU). Of the 80 parents who completed the study survey, 54% were approached to participate in a research study in the PICU, and 93% agreed to participate. Motivators included altruism, low burden, low risk, and research that would benefit the child. Barriers included risks to the child, the child's being too sick to participate, feeling overwhelmed, not having enough time to participate, the research's being burdensome, and the research's not being explained well. PICU parents had mostly favorable attitudes toward research participation. Compared with non-Hispanic survey respondents, respondents of Hispanic ethnicity less often reported having been approached for research, which further evidences the need to track research recruitment processes to help avoid underinclusion of members of minority populations.
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