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"It was a snap decision": Parental and professional perspectives on the speed of decisions about participation in perinatal randomised controlled trials

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  • Snowdon, Claire
  • Elbourne, Diana
  • Garcia, Jo

Abstract

For some perinatal trials, parents can be asked to make important decisions about trial participation within limited timeframes in highly stressful circumstances. This qualitative study explores the pace of decision-making for 78 parents associated with one or more of four such trials in the UK. The themes associated with rapid decisions were concern for their baby, reactions to staff, and perceptions of the benefits and risks associated with the trial. Those who took longer to decide whether or not to participate often described similar emotions to those who made rapid decisions, but their slower decisions were because more time was available, they wanted further discussion or they found the decision particularly difficult. The majority of those who made rapid decisions felt that there were no risks associated with the trial in question, in contrast to the majority of those who made slower decisions who felt there were risks. The parents did not appear to view rapid decisions as problematic. Although there was evidence of parental vulnerability in each trial context, they largely felt that they acted swiftly and responsibly in the best interests of their child in accordance with the timeframes that were set for them.

Suggested Citation

  • Snowdon, Claire & Elbourne, Diana & Garcia, Jo, 2006. ""It was a snap decision": Parental and professional perspectives on the speed of decisions about participation in perinatal randomised controlled trials," Social Science & Medicine, Elsevier, vol. 62(9), pages 2279-2290, May.
    • Handle: RePEc:eee:socmed:v:62:y:2006:i:9:p:2279-2290
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    References listed on IDEAS

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    1. Snowdon, Claire & Garcia, Jo & Elbourne, Diana, 1997. "Making sense of randomization; responses of parents of critically ill babies to random allocation of treatment in a clinical trial," Social Science & Medicine, Elsevier, vol. 45(9), pages 1337-1355, November.
    2. Harth, S. C. & Thong, Y. H., 1995. "Parental perceptions and attitudes about informed consent in clinical research involving children," Social Science & Medicine, Elsevier, vol. 41(12), pages 1647-1651, December.
    3. Harth, S. C. & Thong, Y. H., 1995. "Parental perceptions and attitudes about informed consent in clinical research involving children," Social Science & Medicine, Elsevier, vol. 40(11), pages 1573-1577, June.
    4. Lidz, Charles W. & Appelbaum, Paul S. & Grisso, Thomas & Renaud, Michelle, 2004. "Therapeutic misconception and the appreciation of risks in clinical trials," Social Science & Medicine, Elsevier, vol. 58(9), pages 1689-1697, May.
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    2. Purva Abhyankar & Barbara A. Summers & Galina Velikova & Hilary L. Bekker, 2014. "Framing Options as Choice or Opportunity," Medical Decision Making, , vol. 34(5), pages 567-582, July.
    3. Abhyankar, Purva & Velikova, Galina & Summers, Barbara & Bekker, Hilary L., 2016. "Identifying components in consent information needed to support informed decision making about trial participation: An interview study with women managing cancer," Social Science & Medicine, Elsevier, vol. 161(C), pages 83-91.

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