Thomas Waterfield
Parents' and clinicians' views on conducting paediatric diagnostic test accuracy studies without prior informed consent: Qualitative insight from the Petechiae in Children study (PiC)
Waterfield, Thomas; Lyttle, Mark D.; Shields, Michael; Fairley, Derek; Roland, Damian; McKenna, James; Woolfall, Kerry
Authors
Mark Lyttle mark.lyttle@uwe.ac.uk
Michael Shields
Derek Fairley
Damian Roland
James McKenna
Kerry Woolfall
Abstract
Objective: The Petechiae in Children (PiC) study assesses the utility of presenting features and rapid diagnostic tests in the diagnosis of serious bacterial infection in feverish children with non-blanching rashes. An embedded qualitative study explored parents’ and clinicians’ views on the acceptability of the PiC study, including the use of research without prior consent (RWPC) in studies of diagnostic test accuracy.
Design: Semistructured qualitative interviews. Analysis was thematic and broadly interpretive, informed by the constant comparative approach.
Participants: Fifteen parents were interviewed 55 (median) days since their child’s hospital attendance (range 13–95). Five clinicians involved in recruitment, and consent were interviewed.
Results: Parents and clinicians supported RWPC for the PiC study and future emergency paediatric diagnostic test accuracy studies as long as there is no harm to the child and emergency care is not delayed. Parents and clinicians made recommendations around the timing and conduct of a consent discussion, which were in line with RWPC guidance. Parents enrolled in the PiC study preferred a design that included consent discussions with the research team over the alternative of ‘opt-out’ consent only.
Conclusions: This embedded qualitative study demonstrates that RWPC is appropriate for use in paediatric emergency studies of diagnostic test accuracy and that the approach used in PiC was appropriate. Future diagnostic studies involving additional invasive procedures or an opt-out only approach to consent would benefit from exploring parent and clinician views on acceptability at the pretrial stage.
Citation
Waterfield, T., Lyttle, M. D., Shields, M., Fairley, D., Roland, D., McKenna, J., & Woolfall, K. (2019). Parents' and clinicians' views on conducting paediatric diagnostic test accuracy studies without prior informed consent: Qualitative insight from the Petechiae in Children study (PiC). Archives of Disease in Childhood, 104(10), 979-983. https://doi.org/10.1136/archdischild-2019-317117
Journal Article Type | Article |
---|---|
Acceptance Date | Apr 25, 2019 |
Online Publication Date | Jun 7, 2019 |
Publication Date | Sep 20, 2019 |
Deposit Date | Jul 15, 2020 |
Publicly Available Date | Mar 28, 2024 |
Journal | Archives of Disease in Childhood |
Print ISSN | 0003-9888 |
Electronic ISSN | 1468-2044 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 104 |
Issue | 10 |
Pages | 979-983 |
DOI | https://doi.org/10.1136/archdischild-2019-317117 |
Keywords | Pediatrics, Perinatology, and Child Health |
Public URL | https://uwe-repository.worktribe.com/output/6137434 |
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Parents’ and clinicians’ views on conducting paediatric diagnostic test accuracy studies
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http://creativecommons.org/licenses/by-nc/4.0/
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