COMMUNITY CONSULTATION METHODS IN A STUDY USING EXCEPTION TO INFORMED CONSENT
COMMUNITY CONSULTATION METHODS IN A STUDY USING EXCEPTION TO INFORMED CONSENT
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DOI：
10.1080/10903120802290885
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发表时间：
2008-01-01
影响因子：
2.4
通讯作者：
McClure, Katie B.
中科院分区：
文献类型：
--
作者：
Nelson, Maria;Schmidt, Terri A.;McClure, Katie B.
Objective.最有效的社区协商方式尚不清楚。我们评估了不同的咨询方式引起的社区意见的差异。方法.我们比较了一个横断面的，标准化的调查，作为复苏结果联盟（ROC）高渗盐水试验的社区咨询的一部分。调查从四个来源获得：两组随机数字拨号电话调查，社区会议的纸质调查和基于网络的调查。结果获得了361份可用的调查：186份来自电话调查1; 86份来自电话调查2（使用略有修改的措辞）; 54份来自社区会议（8份来自公开论坛; 46份来自现有会议）; 35份来自网站。除了从社区会议获得的调查结果具有最高的少数民族代表性（63.3%非白人）外，两组之间的人口统计数据相似。社区会议受访者比电话或网络受访者更愿意为自己（93.6%对77.5%）和家庭成员（95.2%对74.9%）接受实验性治疗。基于网络的调查产生的反馈最少，回应者中收入最高的人最多。结论.答复因协商方法而异。尽管调查人员做了大量广告，但公开论坛的参与率非常低。此外，这些会议的与会者对未经知情同意的拟议研究提出的反对意见最少。电话调查引发了最多的反对意见。我们建议，一个有效的方法，社区咨询是随机数字拨号补充讨论，在已经安排的活动，以针对特殊人群。
Objective. The most effective means of community consultation is unknown. We evaluated differences in community opinion elicited by varying means of consultation. Methods. We compared responses with a cross-sectional, standardized survey administered as part of the community consultation for the Resuscitation Outcomes Consortium (ROC) hypertonic saline trial. Surveys were obtained from four sources: two sets of random-digit dialing phone surveys, paper surveys from community meetings, and web-based surveys. Results. Three hundred sixty- one usable surveys were obtained: 186 from phone survey 1; 86 from phone survey 2 (using slightly modified wording); 54 from community meetings (8 from open forums; 46 from existing meetings); and 35 from a web site. Demographics were similar between the sets except that the surveys obtained from community meetings had the highest minority representation (63.3% nonwhite). Community meeting respondents were more willing than phone or web respondents to receive experimental treatment for themselves (93.6% vs. 77.5% overall) and for a family member (95.2% vs. 74.9% overall). The web-based survey generated the least feedback and had the most higher-income responders. Conclusions. Responses varied by method of consultation. The open forums were very poorly attended, despite heavy advertising by investigators. Furthermore, attendees at those meetings provided the least objection to proposed research without informed consent. Phone surveys elicited the most objections. We suggest that an efficient method of community consultation is random-digit dialing supplemented with discussion at already scheduled events to target special populations.