医院前EFIC研究的有效社区商:从20个地点的儿科试验中吸取教训
Neil G Uspal1, Matt Hansen2, Vincent Cervantes3
1Division of Emergency Medicine, Department of Pediatrics, University of Washington.
Prehospital emergency care
|March 13, 2026
概括
付费社交媒体在信息化同意例外 (EFIC) 研究中有效地接触到社区,改善了儿科试验的参与度. 未来的研究应该优先考虑付费的社交媒体和标准化指标,以便社区咨询和公开披露.
科学领域:
- 紧急医疗 紧急医疗
- 临床研究伦理学
- 公共卫生沟通公共卫生沟通
背景情况:
- 医院前研究经常使用知情同意的例外 (EFIC),需要社区咨询 (CC) 和公开披露 (PD).
- 关于各种CC/PD策略的有效性存在有限的数据,特别是随着社交媒体的兴起.
- 儿科剂量优化在EMS (PediDOSE) 试验中的发作为评估在EFIC研究中的CC/PD提供了一个案例研究.
研究的目的:
- 在PediDOSE试验中评估CC/PD策略的频率,覆盖范围和有效性.
- 在未来的EFIC研究中确定CC/PD的最佳策略和潜在挑战.
- 为改善社区参与医院前研究提供指导.
主要方法:
- 从20个PediDOSE试验场所的CC/PD计划和报告的回顾性审查.
- 描述性统计分析特定的CC/PD策略的频率和覆盖范围.
- 评估研究地点对最初的CC/PD计划进行的修改.
主要成果:
- 所有20个地点完成了CC/PD活动;52个CC会议举行,社区小组会议的出席率很低.
- 20个网站中16个使用社交媒体进行CC/PD;Facebook上的付费社交媒体广告的覆盖范围明显更大 (中位数为13,992),而不是有机帖子 (中位数为2,504).
- 所有网站提供了西班牙语的材料和调查,11/20积极招募少数群体为CC/PD,取得了不同程度的成功.
结论:
- 由于其覆盖范围和成本效益,EFIC研究建议在公开披露中使用付费社交媒体.
- 在CC/PD活动开始之前,应该建立用于社交媒体活动成功的标准化指标.
- 社区会议应包括所有相关利益相关者,社交媒体可以增强这些努力;需要明确的计划,让儿童和少数群体参与涉及未成年人的EFIC研究.
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