紧急部门研究中老年人的数字知情同意
Chelsea Edwards1, Fuad Abujarad1
1Yale University School of Medicine, New Haven, CT 06519, USA.
Applied Human Factors and Ergonomics Conference
|July 25, 2025
概括
一个基于平板电脑的数字知情同意程序有效地招募了1002名老年人参加急诊室的老年人虐待研究,提高了理解和研究完成率.
科学领域:
- 老年学是指老年学的学科.
- 临床研究方法论 临床研究方法论
- 公共卫生 公共卫生
背景情况:
- 传统的基于纸张的知情同意 (IC) 通常是漫长和令人困惑的,特别是在繁忙的临床环境中,如急诊室 (ED).
- 有效的CI对于临床研究和医疗程序至关重要,确保参与者了解研究目的,程序,风险和益处.
- 在ED的老年人需要一个明确和可访问的IC过程,特别是对于敏感的研究主题,如老年人虐待.
研究的目的:
- 描述基于平板电脑的数字IC流程的实施,用于招募老年人参加ED的老年虐待研究.
- 在现实研究环境中评估虚拟多媒体交互知情同意 (VIC) 工具的可行性和有效性.
- 为了提高参与者在涉及敏感健康信息的研究中的理解,满意度和保留能力.
主要方法:
- 使用了虚拟多媒体交互式知情同意 (VIC) 工具,包括数字指导,动画视频,文字转化为语音和自动回教.
- 招募了1002名年龄在60岁及以上的参与者,参加了在ED中进行的VOICES老年人虐待干预研究.
- 采用以用户为中心的设计方法,以确保数字IC过程优先考虑参与者的隐私,自主性和理解力.
主要成果:
- 在1204名符合条件的参与者中,有1012人 (84%) 完成了数字IC过程,并参加了VOICES研究.
- 99%的同意参与者完全完成了这项研究,这表明保留率很高.
- 不完成IC的原因主要是医疗或与疼痛有关的原因,其中16%的人没有参加.
结论:
- 一个基于平板电脑的数字IC过程,就像VIC工具一样,可以有效地招募和保留老年人在ED环境中进行的敏感研究中.
- 数字IC中的多媒体功能和交互元素增强了参与者的理解和决策,潜在地改善了研究完成.
- 需要进一步的研究,直接比较数字和传统的IC方法,以优化不同临床群体的招聘和保留.
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