制定基于证据的指导方针,以描述患者信息传单中的潜在益处和危害 (PILs),这些信息并不会造成伤害 (PrinciPILs)
Jeremy Howick1,2, Martina Svobodova1, Shaun Treweek3
1Centre for Trials Research, Cardiff University, Cardiff, UK.
Health technology assessment (Winchester, England)
|August 23, 2025
概括
为了改善临床试验信息的呈现方式,制定了七项原则,旨在减少伤害和研究浪费. 这些指导方针增强了患者信息传单,促进了伦理试验实践和更明确的益处和风险沟通.
科学领域:
- 临床试验
- 患者信息传单
- 在知情的情况下同意
背景情况:
- 患者试验说明书中的不一致信息可能导致nocebo损害,研究浪费和道德问题.
- 对潜在的益处和危害进行更清晰的沟通对于进行伦理临床试验至关重要.
研究的目的:
- 在患者信息传单中描述试验干预的好处和危害.
- 测试这些原则在改善试验招募和不良事件率方面的可行性.
- 为实施这些原则制定和传播指南.
主要方法:
- 采用混合方法方法,包括修改的德尔菲调查和协商一致会议,以确定原则.
- 通过将现有的患者信息传单转化为"原则性患者信息传单"来测试原则.
- 利用试验内研究 (SWAT) 基础设施评估对招募和不良事件的影响.
主要成果:
- 为了展示试验的好处和危害, 商定了七项共识原则.
- 为五项主体试验制定了原则性患者信息传单.
- 发表了一份针对特种部队的元分析方案,
结论:
- 建立了七个原则来协调试验的益处和危害.
- 这些原则有望减少研究浪费和信息造成的伤害.
- 实施这些原则可能会提高临床试验的伦理.
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