COVID-19期间肿瘤学和姑息治疗研究的伦理考虑

IF 1 4区 医学 Q3 NURSING
Terrah Foster Akard, Mary Jo Gilmer, Verna L Hendricks-Ferguson
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引用次数: 0

摘要

背景:研究人员和临床医生必须合作考虑在大流行期间开展标准方案活动和提供干预措施的替代方法。COVID-19大流行要求许多机构的研究人员将传统的面对面研究改为虚拟活动,同时仍然坚持慈善、正义和尊重他人的医疗伦理原则。我们的目标是描述在COVID-19大流行期间修改儿科肿瘤学研究的护士调查员所面临的伦理考虑。方法回顾性分析研究案例。结果提出了两个研究案例,包括通过Facebook广告进行远程参与者招募和在儿科肿瘤学随机临床试验中虚拟交付基于网络的遗留干预。还讨论了将面对面的方法修改为远程策略的挑战,并从一项测试癌症儿童的人-动物相互作用干预的研究中提出了优点和缺点的例子。我们的病例信息可以帮助其他调查人员规划虚拟交付的行为策略,这些人群可能更喜欢远程参与研究的便利,因为在大流行期间和之后,照顾家庭成员的多重家庭责任。随着研究人员更多地了解受试者对接受协议活动的偏好(即,虚拟或亲自交付),他们可能能够减少无法收集数据的风险,因为符合条件的受试者在照顾患有严重或生命受限疾病的家庭成员期间因多重家庭责任而拒绝或退出研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ethical Considerations in Oncology and Palliative Care Research During COVID-19.

Background: Researchers and clinicians must collaborate to consider alternative approaches to conduct standard protocol activities and deliver interventions during the pandemic. The COVID-19 pandemic has required researchers at many institutions to modify traditional in-person research to virtually delivered activities and still adhere to healthcare ethical principles of beneficence, justice, and respect for persons. Our objective is to describe ethical considerations faced by nurse investigators who modified research conducted in pediatric oncology during the COVID-19 pandemic. Methods Review of research case examples. Results Two research study case examples are presented, including remote-participant recruitment via Facebook advertising and a virtually delivered web-based legacy intervention in a pediatric oncology randomized clinical trial. Challenges to modifying in-person approaches to remote strategies are also discussed, with examples of advantages and disadvantages presented from a study testing a human-animal interaction intervention for children with cancer. Discussion Our case information may assist other investigators in planning virtually delivered behavioral strategies for populations that may prefer the convenience of remote participation in research studies because of multiple family responsibilities in the care of a family member, during the pandemic and after. As researchers understand more about subjects' preferences to receive protocol activities (i.e., virtual vs. in-person delivery), they may be able to reduce risks of being unable to collect data because eligible subjects declined or withdrew from a study due to multiple-home responsibilities during the care of a family member with a serious or life-limiting condition.

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