Abstract

ObjectiveTo explore parents’ perceptions and experience of being approached for enrolment of their preterm infant in more than one trial or study.DesignA qualitative study involving 17 in-depth semistructured interviews, with...

Highlights

  • Neonatal practice requires a strong evidence base but randomised controlled trials (RCTs) involving enrolment shortly after birth when parents may be anxious are challenging

  • Research teams must balance this additional stress against the need to achieve successful recruitment[1], whilst ensuring decisions are made in the infant’s best interests

  • Parents consider anticipated level of risk and benefit when deciding whether to join a study[6,7], but in many Neonatal Intensive Care Units (NICUs) it is common for parents to be approached for more than one study

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Summary

Introduction

Neonatal practice requires a strong evidence base but randomised controlled trials (RCTs) involving enrolment shortly after birth when parents may be anxious are challenging. Most studies suggest parents feel they made well-informed decisions achieving fully informed consent can be challenging[3,4,5]. Approach and enrolment to more than one study may raise ethical and scientific issues in the NICU8 these are seen in other settings[9]. Working with parents as part of patient public involvement (PPI) when planning, conducting and analysing studies is appropriately considered essential. Where co-enrolment does not compromise scientific integrity it might be considered unfair to deny parents a choice, and may improve generalisability of study findings[8]. Our aim here was to explore the perceptions and experiences of parents who were approached to take part in more than one research study

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