The Lived Experience of Pediatric Gene Therapy: A Scoping Review.

IF 3.9 3区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Laura Kimberly, Cara Hunt, Katherine Beaverson, Emma James, Alison Bateman-House, Richard McGowan, Jennifer DeSante-Bertkau
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引用次数: 0

Abstract

Little is known about patients' and families' lived experiences of participating in pediatric gene therapy (GT) clinical trials. Currently, pediatric GT research targets a broad range of indications--including rare and ultra-rare diseases--which vary in severity and in the availability of alternative therapies. Pediatric GT differs meaningfully from adult GT because the decision to participate involves a dyad of both the child and parent or caregiver/s. It is critical to understand patients' and caregivers' perceptions and experiences of social, emotional, physical, and logistical burdens or benefits of participating in such trials, and how they weigh and prioritize these factors when deciding whether to participate. We conducted a scoping review of the current literature in this subject area with objectives to (1) provide an overview of existing literature, (2) identify gaps and areas for further research, and (3) better understand the lived impact of pediatric GT research on patients and their parents/caregivers. Four themes emerged, including (1) weighing risks and benefits (2) timing of GT trial participation, (3) value of clear communication, and (4) potential impact on quality of life. Notably, our sample surfaced articles about how patients/parents/caregivers were thinking about GT-their understanding of its safety, efficacy, and risks-rather than accounts of their experiences, which was our initial intention. Nevertheless, our findings offer useful insights to improve the informed consent process and promote a more patient- and family-centered approach. Moreover, our findings can contribute to patient advocacy organizations' efforts to develop educational materials tailored to patients' and families' expressed informational needs and perspectives, and can inform more patient- and family-centered policies from GT clinical trial sponsors.

儿童基因治疗的生活经验-范围综述。
对于参与儿童基因治疗(GT)临床试验的患者及其家属的生活经历知之甚少。目前,儿科GT研究针对广泛的适应症,包括罕见和超罕见疾病,这些疾病的严重程度和替代疗法的可用性各不相同。儿童GT与成人GT有很大的不同,因为参与GT的决定涉及儿童和父母或照顾者的双方。了解患者和护理人员对参与此类试验的社会、情感、身体和后勤负担或益处的看法和体验,以及他们在决定是否参加试验时如何权衡和优先考虑这些因素,这一点至关重要。我们对该主题领域的当前文献进行了范围综述,目的是a)概述现有文献,b)确定进一步研究的空白和领域,以及c)更好地了解儿科GT研究对患者及其父母/照顾者的生活影响。出现了四个主题,包括1)权衡风险和收益;2)GT试验参与的时机;3)明确沟通的价值;4)对生活质量的潜在影响。值得注意的是,我们的样本中出现了关于患者/父母/护理人员如何看待GT的文章-他们对其安全性,有效性和风险的理解-而不是他们的经历,这是我们最初的意图。尽管如此,我们的研究结果为改善知情同意过程和促进更加以患者和家庭为中心的方法提供了有用的见解。此外,我们的研究结果有助于患者权益组织开发适合患者和家属表达的信息需求和观点的教育材料,并可以为GT临床试验赞助商提供更多以患者和家庭为中心的政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Human gene therapy
Human gene therapy 医学-生物工程与应用微生物
CiteScore
6.50
自引率
4.80%
发文量
131
审稿时长
4-8 weeks
期刊介绍: Human Gene Therapy is the premier, multidisciplinary journal covering all aspects of gene therapy. The Journal publishes in-depth coverage of DNA, RNA, and cell therapies by delivering the latest breakthroughs in research and technologies. Human Gene Therapy provides a central forum for scientific and clinical information, including ethical, legal, regulatory, social, and commercial issues, which enables the advancement and progress of therapeutic procedures leading to improved patient outcomes, and ultimately, to curing diseases.
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