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Published on: August 25, 2014
Parental perspectives long term after neonatal clinical trial participation: a survey
Thomas Salaets1, Emilie Lavrysen2, Anne Smits2
1Department of Development and Regeneration, KULeuven, Leuven, Belgium. thomas.salaets@kuleuven.be.
Insights
Parents generally reported positive long-term experiences and satisfaction after their neonate participated in clinical trials. However, communication and follow-up in neonatal drug trials need improvement.
Area of Science:
- Neonatal research
- Clinical trial ethics
- Parental perspectives
Background:
- Recruiting neonates for clinical trials presents ethical challenges, yet is vital for advancing neonatal care.
- Limited data exists on long-term parental experiences and emotions after infant participation in clinical trials.
- This study aimed to evaluate parental perspectives long-term post-neonatal interventional drug trial participation.
Purpose of the Study:
- To assess parental experiences and emotions long-term after their neonate's participation in an interventional drug trial.
- To understand parental contentment, perceived trial impact on care and health, and emotional consequences.
- To gauge parental awareness of clinical trial characteristics.
Main Methods:
- Survey distributed to parents of former neonatal interventional drug trial participants (3-13 years post-trial).
- Assessed parental satisfaction, perceived trial influence, emotional impact, and understanding of trial characteristics using Likert scales.
- Collected data from 123 parents, representing 52% of eligible families.
Main Results:
- High parental contentment with overall trial participation (median 5.00) reported by those recalling it.
- Most parents perceived no significant influence of the trial on their child's care or health.
- While most reported satisfaction and pride, a minority experienced anxiety, stress, or guilt; 27% were unaware of typical trial characteristics.
Conclusions:
- Parents generally report positive long-term experiences and minimal emotional distress after neonatal clinical trial participation.
- Effective communication regarding trial concepts and characteristics during consent and follow-up is crucial for improving neonatal clinical trials.
- Future research should focus on enhancing parental understanding and support throughout the trial process.
Background:
Although recruiting newborns is ethically challenging, clinical trials remain essential to improve neonatal care. There is a lack of empirical data on the parental perspectives following participation of their neonate in a clinical trial, especially at long term. The objective of this study is to assess experiences and emotions of parents, long term after trial participation in an interventional drug trial.
Methods:
Parents of former participants of five neonatal interventional drug trials were surveyed at long term (3-13 years ago) after participation. The survey assessed parental contentment with trial participation, perceived influence of the trial on care and health, emotional consequences of participation, and awareness of typical clinical trial characteristics on 6-point Likert scales.
Results:
Complete responses were received from 123 parents (52% of involved families). Twenty percent of parents did not remember participation. Those who remembered participation reported high contentment with overall trial participation (median 5.00), but not with follow-up (median 3.00). Most parents did not perceive any influence of the trial on care (median 2.00) and health (median 2.43). Almost all parents reported satisfaction and pride (median 4.40), while a minority of parents reported anxiety and stress (median 1.44) or guilt (median 1.33) related to trial participation. A relevant minority was unaware of typical trial characteristics (median 4.20; 27% being unaware).
Conclusions:
Overall, parents reported positive experiences and little emotional distress long term after participation. Future efforts to improve the practice of neonatal clinical trials should focus on ensuring effective communication about the concept and characteristics of a clinical trial during consent discussions and on the follow-up after the trial.
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