1999
DOI: 10.1046/j.1523-5394.1999.75010.x
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Parents' Perceptions of Randomization in Pediatric Clinical Trials

Abstract: What most distinguished parents who refused from those who accepted randomization was not their knowledge and information about randomized clinical trials. By far, the majority of QIs that accurately predicted acceptors and refusers involved parents' beliefs, values, and perceptions. Further research is needed to determine interventions that may enable the healthcare team to provide information and decisional support most effectively to improve the informed consent process.

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Cited by 51 publications
(39 citation statements)
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“…The randomization process should be explained more explicitly: Parents need to be clearly informed that random assignment is one of the procedures that differentiates participating in the randomized clinical trial (and other trial designs) from standard treatment [18, 35,[44][45][46]. Therefore it is necessary to indicate to parents when the clinician is discussing trial-related issues and when they are discussing standard treatment issues [35].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The randomization process should be explained more explicitly: Parents need to be clearly informed that random assignment is one of the procedures that differentiates participating in the randomized clinical trial (and other trial designs) from standard treatment [18, 35,[44][45][46]. Therefore it is necessary to indicate to parents when the clinician is discussing trial-related issues and when they are discussing standard treatment issues [35].…”
Section: Discussionmentioning
confidence: 99%
“…The randomization process should be explained more clearly: Parents need to be clearly informed that random assignment is one of the procedures that differentiates participating in the RCT from standard treatment [18,35,[44][45][46]. The lack of understanding of randomization may result in a parent's disappointment [32,43] that their child was assigned to the control group.…”
Section: Parent's Comprehensionmentioning
confidence: 99%
“…43 Altruism, although frequently cited by parents as a motivation for participation in trials, 49,62,63 may be a secondary consideration in their decision. 26,45,64 The seriousness of the child's condition and the urgency surrounding trial entry and parents' resulting sense of vulnerability have also been found to be important influences on how parents experience recruitment to trials. 31,32,55,65 However, the relationship between anxiety, vulnerability and trial decisions may be mediated or moderated by factors such as trust in medical research 66 and the parent-practitioner relationship.…”
Section: Influences On Parents' Decision To Enter Their Child Into a mentioning
confidence: 99%
“…The first issue involves the unique challenges that arise when subjects of the proposed trial are minors, and both the parent and child preferences need to be considered, separately and jointly. Relatively little empirical information is available concerning the determinants of parental permission for participation in a randomized controlled 66 . However, attitudes, beliefs, and values, such as the desire for decisional control, have been cited as barriers to participation.…”
Section: Discussionmentioning
confidence: 99%