Outcomes from Returning Individual versus Only Study-Wide Biomonitoring Results in an Environmental Exposure Study Using the Digital Exposure Report-Back Interface (DERBI).
Outcomes from Returning Individual versus Only Study-Wide Biomonitoring Results in an Environmental Exposure Study Using the Digital Exposure Report-Back Interface (DERBI).
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DOI：
10.1289/ehp9072
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发表时间：
2021-11
影响因子：
10.4
通讯作者：
Cohn BA
中科院分区：
文献类型：
--
作者：
Brody JG;Cirillo PM;Boronow KE;Havas L;Plumb M;Susmann HP;Gajos KZ;Cohn BA
研究参与者希望收到他们对环境化学品的生物监测结果，道德准则鼓励报告。然而，很少有研究定量评估参与者对个人暴露报告的反应，数字方法也没有得到评估。我们隔离了接收个人结果与仅研究范围内的结果的影响，并调查了黑人参与者的影响是否不同。我们随机分配了来自儿童健康和发展研究的295名妇女的子集，其中一半是黑人，以获得个人环境化学结果或仅研究范围（汇总）结果的报告。报告包括42种化学品和脂质的结果，并使用数字暴露报告返回界面（DERBI）编制。妇女在阅读报告前后接受了采访。我们使用Wilcoxon秩和检验、Wilcoxon-Pratt符号秩检验和多元回归分析了不同报告类型和种族的网站活动、情绪反应和参与未来研究的意图。在报告后访谈之前，个人报告组花在报告上的时间大约是汇总组的两倍。在个人报告参与者（）中，84%（78）的人查看了主页上突出显示的至少一个个人结果的化学组信息;在综合报告参与者（）中，66%（62）的人查看了任何化学组页面。两组人都报告了强烈的积极情绪（好奇，知情，感兴趣，尊重）在报告之前和之后收到的结果和轻微的消极情绪（无助，害怕，担心）。虽然大多数参与者在报告后仍然不担心，但两组的担心都增加了一点。在黑人参与者中，更高的报告后担忧与高水平的化学物质有关。参与者的动机是他们的个人结果，以访问有关化学品来源和潜在的健康影响的在线信息。反馈与担忧的小幅增加有关，这可能会激励适当的行动。个人报告反馈增加了黑人参与者对暴露报告的参与。https://doi.org/10.1289/EHP9072
Study participants want to receive their biomonitoring results for environmental chemicals, and ethics guidelines encourage reporting back. However, few studies have quantitively assessed participants’ responses to individual exposure reports, and digital methods have not been evaluated. We isolated effects of receiving personal results vs. only study-wide findings and investigated whether effects differed for Black participants. We randomly assigned a subset of 295 women from the Child Health and Development Studies, half of whom were Black, to receive a report with personal environmental chemical results or only study-wide (aggregate) findings. Reports included results for 42 chemicals and lipids and were prepared using the Digital Exposure Report-Back Interface (DERBI). Women were interviewed before and after viewing their report. We analyzed differences in website activity, emotional responses, and intentions to participate in future research by report type and race using Wilcoxon rank sum tests, Wilcoxon-Pratt signed ranks tests, and multiple regression. The personal report group spent approximately twice as much time on their reports as the aggregate group before the post-report-back interview. Among personal-report participants (), 84% (78) viewed chemical group information for at least one personal result highlighted on their home page; among aggregate-report participants (), 66% (62) viewed any chemical group page. Both groups reported strong positive feelings (curious, informed, interested, respected) about receiving results before and after report-back and mild negative feelings (helpless, scared, worried). Although most participants remained unworried after report-back, worry increased by a small amount in both groups. Among Black participants, higher post report-back worry was associated with having high levels of chemicals. Participants were motivated by their personal results to access online information about chemical sources and potential health effects. Report-back was associated with a small increase in worry, which could motivate appropriate action. Personal report-back increased engagement with exposure reports among Black participants. https://doi.org/10.1289/EHP9072