Web-based Resource for Children and Adolescents about Clinical Research

面向儿童和青少年的临床研究网络资源

• 批准号: 10226693
• 负责人: Alison Elaine Parker
• 金额: $ 50.08万
• 依托单位: INNOVATION RESEARCH AND TRAINING, INC.
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-03-19 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10226693
• 关键词: Address; Adolescent; Adult; Age; Anesthesia procedures; Anxiety; Area; Attitude; Awareness; Behavior Therapy; Belief; Books; Child; Childhood; Clinical Research; Clinical Trials; Communication; Complex; Computers; Consumer Satisfaction; Consumption; Contracts; Custom; Dangerousness; Decision Making; Development; Devices; Disease; Disease Management; Education; Effectiveness; Ensure; Ethics; Ethnic Origin; Feasibility Studies; Feedback; Fright; Funding; Gender; Goals; Happiness; Health; Health Status; Health behavior; Informed Consent; Institution; Joints; Knowledge; Learning; Learning Module; Life Experience; Literature; Lung; Measures; Medical; Methods; Motivation; National Heart, Lung, and Blood Institute; Outcome; Parents; Patient Recruitments; Patient Self-Report; Pediatric Research; Pediatrics; Personal Satisfaction; Pharmaceutical Preparations; Pharmacotherapy; Phase; Placebos; Play; Procedures; Process; Protocols documentation; Questionnaires; Race; Randomized Controlled Trials; Readiness; Reporting; Research; Research Personnel; Resources; Risk; Role; Sample Size; Sampling; Sedation procedure; Self Efficacy; Small Business Innovation Research Grant; Statistical Data Interpretation; Tablets; Teenagers; Testing; Time; Trust; Uncertainty; Update; Youth; base; cognitive development; dashboard; design; early adolescence; effectiveness evaluation; experience; handheld mobile device; hands-on learning; improved; innovation; news; online resource; parent-adolescent communication; participant retention; recruit; research study; shared decision making; success; usability; user-friendly; web site; willingness

There is a need for more pediatric clinical research to ensure that youth are receiving appropriate medications, treatments, and devices that have been tested with youth rather than adults. However, recruitment barriers exist for both youth and their parents including: not understanding the importance of clinical trials, fear of procedures, fear of the unknown in research, lack of knowledge about research procedures like informed consent and concerns around placebos, and worries about poor health outcomes. Adolescents are also more likely to be involved in the decision-making process along with their parents. Therefore, both adolescents and parents need resources to help them understand pediatric clinical research and procedures as well as to encourage high quality joint decision-making related to participation in research. This Fast Track application proposes to build upon the success of an earlier version of DigiKnowIt News (DKIN), a web-based resource to educate children (ages 8-11) about pediatric clinical research. We aim to fill the gap in available resources for adolescents by creating DigiKnowIt News – Teen (DKIN: Teen), a developmentally appropriate web-based resource for youth ages 12-17, which will include an innovative section for parents and youth to practice communicating and joint decision-making. It is hypothesized that by using the resource, adolescents will report an increase in their knowledge, positive attitudes/beliefs, self-efficacy, and willingness to participate in clinical trials. Phase I will include creating a developmentally appropriate version of DKIN for adolescents using an iterative development process with feedback from youth and parent advisory panels as well as expert consultants and a feasibility study of the resource with a sample of adolescents (N=30), who will complete self- report measures about their knowledge, attitudes, and self-efficacy, as well as consumer satisfaction questionnaire to provide feedback on the resource. If DKIN-Teen is feasible, Phase II will include the creation of additional content specific to common procedures in pediatric clinical trials (e.g., sedation/anesthesia) as well as to create additional customization abilities for researchers to use the DKIN resources for study recruitment. DKIN: Teen will be optimized for use on computers, mobile devices, and tablets, and tested for Section 508 compliance, thus increasing the accessibility and usability of the web-based resource. Finally, the effectiveness of DKIN: Teen will be evaluated with a diverse group (race/ethnicity/gender/health status) of parent-adolescent pairs (N=180) for impacting youths’ knowledge, attitudes/beliefs, self-efficacy, and willingness as well as enhancing parent-adolescent communication related to participating in clinical trials. Current methods of pediatric clinical trials recruitment are haphazard, time-consuming, frustrating, inefficient, and often result in less than ideal sample size needed for statistical analysis. This highly scalable, customizable product will be designed to increase the number of adolescents who are willing to participate in clinical studies, which is needed to improve the treatments for pediatric illnesses and disorders.

有必要进行更多的儿科临床研究，以确保青少年接受适当的药物治疗，