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Should involvement in a trial be discussed at a bereavement follow up visit? Views of clinicians and bereaved parents from the bracelet study (bereavement and randomised controlled trials)

When patients die, bereaved families may be offered support by their local clinicians. Patients recruited into trials are both patients and trial participants. The BRACELET Study considered whether any response for parents of babies who died after enrolment in a neonatal intensive care (NIC) trial might be triggered by a baby's status as trial participant, at a bereavement follow-up (BFU) appointment.

Thirty five clinicians and 51 bereaved parents involved with five NIC trials were interviewed. Most clinical interviewees stated they would not change their approach to supporting parents in the BFU because a baby had been enrolled in a trial as they believed it was not an issue parents wanted to discuss, it was not relevant, and/or it was not a topic for which relevant clinical information, such as impact of a trial intervention, would be available.

The parents largely confirmed these views. This could be because at the time of the BFU they did not want to discuss trial participation; and/or did not think about discussing trial participation.

The significance of a trial changed over time for the majority of parents. By the time of the interviews, mostly some years after the death, many had become more keen to engage in questions about the research. By this time however, they were usually no longer in contact with either the neonatologists or the trials coordinators.

Further research is needed to consider how best to provide longer term support for families whose relatives died after trial participation.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( https://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated.

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Snowdon, C., Brocklehurst, P., Tasker, R. et al. Should involvement in a trial be discussed at a bereavement follow up visit? Views of clinicians and bereaved parents from the bracelet study (bereavement and randomised controlled trials). Trials 14, O81 (2013). https://doi.org/10.1186/1745-6215-14-S1-O81

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  • DOI: https://doi.org/10.1186/1745-6215-14-S1-O81

Keywords

  • Public Health
  • Clinical Information
  • Longe Term
  • Trial Intervention
  • Trial Participant