Parental engagement in research on paediatric lower respiratory tract infections in Indonesia
Vincentia Rizke Ciptaningtyas1,2,3, Tanjung Ayu Sumekar4,5,6, Quirijn de Mast7
1Department of Microbiology, Faculty of Medicine, Universitas Diponegoro, Jl. Prof. H. Soedarto, Semarang, SH, Tembalang, Semarang, 50275, Indonesia. ciptaningtyas_vr@fk.undip.ac.id.
Insights
Parental education and family size influence participation in pediatric lower respiratory tract infection (LRTI) research in Indonesia. Lower educated parents with larger families were more willing to join studies, highlighting communication needs.
Area of Science:
- Pediatric infectious diseases
- Clinical trial recruitment
- Public health research
Background:
- Lower respiratory tract infections (LRTIs) are a leading cause of child morbidity and mortality in Indonesia.
- Clinical research in children faces challenges due to parental concerns.
- Understanding parental considerations is vital for advancing LRTI research.
Purpose of the Study:
- To investigate parental considerations for participating in clinical studies on LRTIs in Indonesia.
- To identify factors influencing parental willingness to enroll children in LRTI research.
Main Methods:
- A cross-sectional study utilizing an online questionnaire.
- Data collected from 1236 parents across public and private elementary schools in Semarang, Indonesia.
- Analysis of responses from November 2021 to March 2022.
Main Results:
- Higher educational attainment was associated with a greater likelihood of refusing participation, especially for research involving specimen collection.
- Parents with smaller families and younger children were less inclined to participate.
- Key concerns included perceived lack of necessity, child safety during specimen collection, and a desire for personal benefit and access to study results.
Conclusions:
- Parental education level and family composition significantly impact engagement in pediatric LRTI research.
- Lower educational attainment, larger family size, and older children correlated with higher participation willingness.
- Addressing parental concerns about harm and emphasizing personal benefits requires a tailored communication strategy.
Background:
Lower respiratory tract infections (LRTIs) in children are a major concern in Indonesia as it is the leading cause of morbidity and mortality. Therefore, research on LRTIs is crucial to improve children's health. However, clinical research in children is challenging due to parental concerns. This study aims to understand parental considerations for taking part in clinical studies on LRTI in the Indonesian context.
Methods:
A cross-sectional study using a validated online questionnaire was conducted from November 2021 to March 2022. This study included parents from two public elementary schools and two private primary schools in Semarang, Indonesia. A total of 1236 responses were analysed.
Results:
There was a significant association between educational attainment and willingness to participate in general health and LRTI-related research requiring specimen collection; respondents with an advanced educational level were more likely to refuse participation in research. A similar pattern was observed among respondents with smaller families and younger children against participation in LRTI research. Most respondents who indicated not to participate explained that they did not perceive the necessity to take part and expressed their concerns about endangering their child's health as a consequence of the specimen collection. Most respondents expected a personal benefit and prioritized access to the study results for their child.
Conclusion:
Parents' educational background and family composition are important determinants of parental engagement in research on LRTI in Indonesia. Notably, parents with a lower educational level, having large families, and older children were more inclined to participate. The emphasis on concerns about potential harm and personal benefit underscores the need for a targeted communication strategy.
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