Research attitudes

  • 文章类型: Journal Article
    背景:患有和不患有唐氏综合症(DS)的人的招募挑战会延迟研究进展和风险样本偏差。这项研究确定并量化了具有和不具有DS的个人的研究招募决策者人群的研究态度差异。
    方法:我们使用来自两个注册管理机构的数据进行分析:加州大学,IrvineConsent-to-Contact(C2C)RegistryandDS-Connect.前者代表非DS决策者的样本(N=4818),而对于后者,我们排除了DS患者,留下一群DS家庭决策者(N=976)。我们评估了DS和非DS决策者之间的研究态度问卷(RAQ)的得分。我们使用线性回归比较总RAQ评分,并使用比例赔率回归评估项目水平RAQ差异。
    结果:两个注册管理机构的决策者之间的平均总RAQ评分没有统计学差异,在调整了年龄之后,性别,种族和民族,教育,和2019年冠状病毒病(COVID-19)时间框架(Est。Diff=0.11,95%置信区间[CI]:-0.22,0.43;p=0.531)。然而,在预先指定的分析中,我们确实发现了对项目级RAQ评分态度不同的证据。具体来说,DS参与者的决策者对帮助他人的责任问题做出更有利的回应的可能性增加(DS与非DS:赔率比[OR]=1.26,95%CI:1.08,1.48),并且对医学研究将在其一生中找到主要疾病的治愈方法的问题做出更有利的回应的几率降低(DS与非DS:OR=0.77,95%CI:0.66,0.90)。
    结论:我们的研究结果为研究人员制定招募有和没有DS的个体进入临床研究的策略提供了见解。观察到的项目级别差异需要进一步调查,以指导准确的招聘策略。
    观察到唐氏综合症(DS)患者的决策者与没有DS的决策者之间的研究态度平均相似。观察到DS和非DS决策者在研究态度上的项目级别差异不同。这些结果可以帮助促进DS人群的精确招募策略。
    BACKGROUND: Recruitment challenges in people with and without Down syndrome (DS) can delay research progress and risk sample bias. This study identified and quantified differences in research attitudes across populations of research enrollment decision-makers for individuals with and without DS.
    METHODS: We performed analyses using data from two registries: the University of California, Irvine Consent-to-Contact (C2C) Registry and DS-Connect. The former represented a sample of non-DS decision-makers (N = 4818), while for the latter, we excluded individuals with DS, leaving a population of DS family decision-makers (N = 976). We assessed scores on the Research Attitudes Questionnaire (RAQ) between DS and non-DS decision-makers. We compared total RAQ scores using linear regression and assessed item-level RAQ differences using proportional odds regression.
    RESULTS: Mean total RAQ scores were not statistically different between decision-makers in the two registries, after adjusting for age, sex, race and ethnicity, education, and the coronavirus disease 2019 (COVID-19) time frame (Est. Diff = 0.11, 95% confidence interval [CI]: -0.22, 0.43; p = 0.531). However, in a pre-specified analysis, we did find evidence of differential attitudes on item-level RAQ scores. Specifically, decision-makers for participants with DS had increased odds of a more favorable response to the question of responsibility to help others (DS vs. non-DS: odds ratio [OR] = 1.26, 95% CI: 1.08, 1.48) and decreased odds of a more favorable response to the question regarding the belief that medical research would find cures for major diseases during their lifetime (DS vs. non-DS: OR = 0.77, 95% CI: 0.66, 0.90).
    CONCLUSIONS: Our findings provide insights for researchers to develop strategies for recruiting individuals with and without DS into clinical research. The observed item-level differences warrant further investigation to instruct precise recruitment strategies.
    UNASSIGNED: Research attitudes between decision-makers for individuals with Down syndrome (DS) and decision-makers without DS were observed to be similar on average.Item-level differences in research attitudes were observed to differ for DS and non-DS decision-makers.These results can help facilitate precise recruitment strategies for populations with DS.
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  • 文章类型: Journal Article
    背景:医学研究生产率在全球范围内不断提高,由于面临重大挑战,第三世界国家的进展滞后,包括培训不足和人才流失。在战争爆发之前,叙利亚一直表现出缓慢的上升趋势,严重阻碍了学术增长和生产力。在这种情况下,深入了解影响研究生产率的因素对于指导教育政策和资源分配至关重要。先前评估叙利亚学者对这一问题的观点的横断面研究受到已发表的医护人员样本量小的限制,这使得很难确定使他们能够进行研究的因素。
    方法:为了应对这一挑战,我们采用了病例控制设计。我们分离了已发表的早期职业叙利亚医护人员,并将他们的特征和看法与未发表的匹配对照进行了比较。医学领域的作者,牙科,通过对PubMed和GoogleScholar的广泛搜索,确定了与任何叙利亚大学有联系的药房。这些作者被邀请填写一份涵盖参与者研究贡献的问卷,除了他们自我评估的知识,态度,和研究的障碍。问卷公开发布,以招募同等样本的匹配对照,一半由未发表的研究人员组成,另一半由没有先前研究贡献的参与者组成。
    结果:招募了十六名参与者。他们的知识,态度,感知障碍解释了研究参与和出版的46%和34%的可变性,分别(P<0.001)。参与和发表与研究相关的知识和态度较高的研究研究(P<0.001)。受访者对研究相关障碍及其学业成绩的评估在案例和对照之间没有差异。优越的研究相关知识和态度与男性相关,更高的英语能力,和更好的互联网连接。同时,课外培训和导师的支持与更积极的研究相关态度和更少的感知障碍相关。
    结论:叙利亚医疗专业人员的研究生产率与他们对医学研究的知识和态度呈正相关。值得注意的是,人口统计学差异与研究相关知识和动机的差异有关。总之,这些结果表明,通过集中力量改善课外培训干预措施和导师的支持,这是一个潜在的增强途径。
    BACKGROUND: Medical research productivity is globally increasing, with a lagging progress in third-world countries due to significant challenges, including inadequate training and brain drain. Syria had been showing a slow upward trend until the war broke out and severely hindered academic growth and productivity. A deeper understanding of the factors influencing research productivity in this context are fundamental to guide educational policies and resource allocation. Previous cross-sectional studies that evaluated the perspectives of Syrian academics on the issue were limited by the small sample size of published healthcare workers, making it difficult to identify the factors that enabled them to pursue research.
    METHODS: To address this challenge, we employed a case-control design. We isolated published early-career Syrian healthcare workers and compared their characteristics and perceptions to unpublished matched controls. Authors in the fields of medicine, dentistry, and pharmacy affiliated with any Syrian University were identified through an extensive search of PubMed and Google Scholar.These authors were invited to complete a questionnaire that covered participants\' research contributions, alongside their self-assessed knowledge, attitudes, and barriers towards research. The questionnaire was publicly published to recruit an equal sample of matching controls, with half consisting of unpublished researchers and the other half of participants without prior research contributions.
    RESULTS: Six-hundred-sixteen participants were recruited. Their knowledge, attitudes, and perceived barriers explained 46% and 34% of the variability in research involvement and publication, respectively (P < 0.001). Getting involved in and publishing research studies associated with higher research-related knowledge and attitudes (P < 0.001). Respondents\' assessment of research-related barriers and their academic scores did not differ between cases and controls. Superior research-related knowledge and attitudes were associated with male gender, higher English competency, and better internet connectivity. Meanwhile, extracurricular training and mentors\' support were associated with more positive research-related attitudes and less perceived barriers.
    CONCLUSIONS: Research productivity of medical professionals in Syria exhibits a positive correlation with their knowledge and favorable attitudes towards medical research. Noteworthy, the demographic variations are linked to disparities in research-related knowledge and motivation. In conclusion, these results suggest a potential avenue for enhancement through concentrated efforts on improving extracurricular training interventions and mentors\' support.
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  • 文章类型: Journal Article
    近几十年来,让教师参与学位课程研究的做法正在变得流行。然而,关于研究经验对教师行为的影响知之甚少:研究经验是否会改变他们的教学实践,并导致未来职业生涯中的进一步研究工作,尤其是在独特的社会,文化,和中国的教育文化。因此,本研究以合理的行动方法考察了研究生课程中中国IET(在职英语教师)的研究态度。我们使用嵌入式混合方法研究设计来调查完成职业教育研究态度问卷(RAVE-Q)的197名IET。定量数据验证了调查的有效性,总的来说,IET对研究持积极态度。接下来,进行了半结构化访谈,调查了IET及其顾问对教师研究的看法。定性数据显示了IET之间的各种研究经验。具体来说,这项研究强调了一些接受采访的IET,他们渴望反思他们的教学并将研究应用于他们的实践,然而,教育环境使这种努力不可能。因此,这项研究质疑了先前的假设,即积极的研究态度会导致相应的研究行为。这项研究为寻求改善中国国内外IET研究态度的EFL研究生课程提供了启示。
    In recent decades, the practice of involving teachers in research in degree programs is becoming popular. Yet, little is known about the impact of research experiences on teachers\' behavior: whether research experiences change their teaching practices and lead to further research efforts in future careers, especially in the unique social, cultural, and educational culture of China. Thus, this study examines Chinese IETs\' (in-service EFL teachers\') research attitudes in a graduate program with a reasoned action approach. We used an embedded mixed methods research design to investigate a cohort of 197 IETs who completed the Research Attitudes in Vocational Education Questionnaire (RAVE-Q). The quantitative data validates the survey and shows that, in general, the IETs hold positive attitudes toward research. Next, semi-structured interviews investigating IETs and their advisors\' perceptions of teacher research were conducted. The qualitative data shows a variety of research experiences among the IETs. Specifically, this study highlighted some interviewed IETs who had the desire to be reflective about their teaching and to apply research in their practices, nevertheless, the educational contexts made such efforts impossible. Thus, this study questioned the previous assumptions that positive research attitudes lead to corresponding research behaviors. This study offers implications for EFL graduate programs seeking to improve IETs\' research attitudes both within and outside China.
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  • 文章类型: Journal Article
    背景:我们检查了具有不同程度认知功能的癌症幸存者的研究态度和参与临床研究的意愿。
    方法:这是对通过加州大学欧文分校同意联系登记处收集的数据的二次分析。癌症幸存者完成了认知功能工具(CFI),研究态度问卷(RAQ),以及参与某些研究程序的意愿(WTP)。感知认知障碍(CI)定义为最差的20%CFI评分。
    结果:这里,分析了265CI和909名认知非受损(CNI)参与者的数据。平均年龄和性别分布相似,CI参与者中的非西班牙裔白人和受教育年限较少。MoreCI参与者自我报告了阿尔茨海默病的过去诊断,轻度认知障碍,中风,抑郁症,创伤后应激障碍,和酒精滥用(所有p<0.05)。CI参与者对调查批准的药物的研究更感兴趣(92%与87%,p=0.030),腰椎穿刺(47%vs.38%,p=0.027),和尸检(78%vs.69%,p=0.022)。在移除患有共存神经精神疾病的幸存者后,在CI中,对尸检研究的兴趣在统计学上仍然较高(79%与69%,p=0.022)。
    结论:癌症和CI的参与者对传统上较少利用的研究程序和干预措施持开放态度,这可能有助于发现癌症相关认知障碍(CRCI)的发病机制和干预措施。
    BACKGROUND: We examined the research attitudes and willingness to participate in clinical research among cancer survivors with varying degrees of cognitive function.
    METHODS: This is a secondary analysis of data collected through the University of California Irvine Consent-to-Contact registry. Cancer survivors completed the Cognitive Function Instrument (CFI), the Research Attitudes Questionnaire (RAQ), and willingness to participate (WTP) in certain research procedures. Perceived cognitive impairment (CI) was defined as the worst 20% CFI scores.
    RESULTS: Here, 265 CI and 909 cognitively non-impaired (CNI) participants\' data were analyzed. Mean age and sex distribution were similar, with fewer non-Hispanic Whites and education years among CI participants. More CI participants self-reported past diagnoses of Alzheimer\'s disease, mild cognitive impairment, stroke, depression, post-traumatic stress disorder, and alcohol abuse (all p < 0.05). CI participants were significantly more interested in studies investigating approved medications (92% vs. 87%, p = 0.030), lumbar puncture (47% vs. 38%, p = 0.027), and autopsy (78% vs. 69%, p = 0.022). After removing survivors with co-existing neuropsychiatric conditions, interest in autopsy studies remained statistically higher among CI (79% vs. 69%, p = 0.022).
    CONCLUSIONS: Participants with cancer and CI are open to research procedures and interventions that are traditionally less utilized, which may facilitate the discovery of the pathogenesis and interventions for cancer-related cognitive impairment (CRCI).
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  • 文章类型: Journal Article
    患有唐氏综合症(DS)的人越来越有资格接受临床试验干预,特别是用于治疗或预防阿尔茨海默病(AD)。然而,对可能有助于决定DS患者临床试验注册的研究态度知之甚少,这是目前研究中解决的一个差距。
    研究态度问卷(RAQ)是一个简短的验证工具,用于衡量影响普通人群临床试验注册决定的文化和社会因素。本文应用于有DS个体的1002个家庭的队列,这项调查是通过国家登记处(DS-Connect)进行的。InadditiontotheRAQ,收集人口统计数据。
    调查的应答率为49.9%。受访者被要求填写人口统计信息并回答RAQ的7个问题。分数通过先验分配到更有利于研究参与和参与的切点进行分层。那些不太有利的人。在这个样本中,近95%的人自我认定为DS患者的主要看护者。TheRAQscoreanalysisgenerallyindicatespositiverespondentviewstowardresearchwithparticularlyhighfavorabilityratingsfromrespondentswhopreviouslyparticipatedinresearchandfromthosewhowereolder(P=.01to.001).
    这是评估DS患者亲属研究态度的首批正式研究之一,并显示了使用这种方法回答重要问题的可行性,这些问题将指导试验者开发DS中AD的治疗方法。未来的研究将需要扩大受访者的种族和族裔组合,以及对研究态度的标准化评估对临床试验参与的作用。
    Individuals with Down syndrome (DS) are increasingly eligible for clinical trial intervention, particularly for the treatment or prevention of Alzheimer disease (AD). Yet, little is known about research attitudes that may contribute to decisions regarding clinical trial enrollment for people with DS, a gap which is addressed in the current study.
    The Research Attitudes Questionnaire (RAQ) is a brief validated instrument that measures cultural and social factors which influence clinical trial enrollment decisions in the general population. Applied herein to a cohort of 1002 families who have an individual with DS, this survey was carried out through a national registry (DS-Connect). In addition to the RAQ, demographic data were collected.
    The response rate to the survey was 49.9%. Respondents were asked to complete demographic information and to respond to the 7 question RAQ. The scores were stratified by a cut point assigned a priori into those more favorable toward research participation vs. those less favorably inclined. Within this sample, nearly 95% self-identified as the primary caretaker for the individual with DS. The RAQ score analyses generally indicated favorable respondent views toward research with particularly high favorability ratings from respondents who had previously participated in research and from those who were older (P = .01 to .001).
    This is one of the first formal studies to evaluate research attitudes among relatives of individuals with DS and shows the feasibility of using this approach to answer important questions that will guide trialists developing treatments for AD in DS. Future research will require broadening the racial and ethnic mix of respondents and the role that a standardized assessment of research attitudes will have for clinical trial participation.
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  • 文章类型: Journal Article
    研究能够通过调查有效的干预措施,然后通过公共卫生政策实施这些措施来改善大量人口的生活。虽然对医学或科学本科生和研究生的倾向进行了研究,对于攻读公共卫生硕士学位的学生认为研究的目的是什么知之甚少。他们的观念和倾向将塑造他们的研究追求和职业方向,影响社区的健康结果。我们的研究结果表明,MPH学生将改善社区生活视为研究的最重要目的。然而,当受到导师的影响时,学生更倾向于追求研究,许多学生仍然声称他们要么缺乏完成研究的信心和技能,要么无意追求学位以外的研究,这表明需要对课程进行调整。
    Research is able to improve the lives of big populations by investigating effective interventions and then implementing those through public health policies. Whilst research on the inclination of Medical or Science undergraduate and postgraduate students has been conducted, little is known about what students pursuing a Masters degree in Public Health perceive the purpose of research to be. Their perceptions and inclinations will shape their research pursuits and career directions, which impacts the health outcomes of the community. Our findings suggest MPH students see improving the lives of the community as the most important purpose of research. Student\'s had more inclination to pursue research when influenced by a mentor however, many students still claimed that they either lacked confidence and skills in completing research or had no intention of pursuing research beyond their degrees, which suggests the need for curriculum adjustments.
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  • 文章类型: Journal Article
    背景:研究参与在培养有效实践的临床医生方面发挥着不可或缺的作用,循证医学。临床医生参与研究,然而,正在下降。鉴于医学院期间的研究与未来的研究成果之间的联系,促进医学生研究是解决这一短缺的途径之一。在澳大利亚,学生的研究态度和参与在文献中没有得到很好的记录。因此,本研究旨在调查研究实践,动机,以及澳大利亚医学生之间的障碍,以确定是否需要在澳大利亚医学院课程中进一步整合研究。
    方法:使用横断面研究设计来探索研究经验和态度,以及在莫纳什大学五年医学课程的所有年份中注册的学生中进行研究的推动者和障碍。问卷是通过结合几个医学生研究调查的问题创建的,包括李克特量表,多项选择和自由文本回答评估研究经验,态度,动机,和障碍。
    结果:7104名受访者(69.4%为女性;调查回复率36.7%)报告了可变的研究经验和兴趣。不到一半的队列(n=296;44.9%)为研究项目做出了贡献。提高专业培训计划的就业能力是追求研究的主要激励因素(n=345;51.9%),只有20.5%(n=136)的人认为对学术界的兴趣是激励因素。时间限制(n=460;65.3%)和围绕如何找到研究机会的不确定性(n=449;63.8%)是最常见的研究障碍。
    结论:莫纳什大学的医学生对研究感兴趣,但经验有限。学生们,然而,主要是出于提高专业培训的就业能力的前景;因此,医学院应该专注于鼓励追求研究的内在动机。还可能需要在医学院课程中加强研究教育和机会的整合,以便为学生提供进行研究和实践循证医学所需的技能。
    BACKGROUND: Research engagement plays an integral role in developing clinicians that practice effective, evidence-based medicine. Research participation by clinicians, however, is declining. Given the link between research during medical school and future research output, promotion of medical student research is one avenue by which this shortage can be addressed. Student research attitudes and participation in Australia are not well-documented in the literature. This study therefore aims to investigate research practices, motivators, and barriers amongst Australian medical students in order to determine whether there is a need for further integration of research within Australian medical school curriculums.
    METHODS: A cross-sectional study design was used to explore research experience and attitudes, as well as the enablers and barriers to research amongst students enrolled in all years of the five-year medical course at Monash University. A questionnaire was created by combining questions from several surveys on medical student research and comprised Likert scales, multiple choice options and free-text responses assessing research experience, attitudes, motivators, and barriers.
    RESULTS: Seven hundred and four respondents (69.4% female; survey response rate 36.7%) reported variable research experience and interest. Less than half of the cohort (n = 296; 44.9%) had contributed to a research project. Increasing employability for specialty training programs was the primary motivating factor (n = 345; 51.9%) for pursuing research, with only 20.5% (n = 136) citing an interest in academia as a motivator. Time constraints (n = 460; 65.3%) and uncertainty surrounding how to find research opportunities (n = 449; 63.8%) were the most common barriers to research.
    CONCLUSIONS: Medical students at Monash University are interested in but have limited experience with research. Students are, however, primarily motivated by the prospect of increasing employability for specialist training; medical schools should therefore focus on encouraging intrinsic motivation for pursuing research. Greater integration of research education and opportunities within medical school curricula may also be required to provide students with the skills necessary to both pursue research and practice evidence-based medicine.
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  • 文章类型: Journal Article
    背景:我们试图研究种族/民族与愿意参与涉及阿尔茨海默病(AD)临床试验典型程序的研究之间的关系,并确定观察到的差异是否可以通过研究态度来解释。
    方法:我们研究了2749名年龄≥50岁的成年人,他们参加了基于社区的招募登记。
    结果:与非西班牙裔(NH)白人(n=2393,87%)相比,西班牙裔(n=191,7%),NH亚裔(n=129,5%)和NH黑人(n=36,1%)分别为44%,46%,64%的人不愿意,分别,与具有典型AD预防试验要求的研究联系,即:认知测试,脑成像,抽血,和研究性药物。探索了研究态度的调解,但没有解释观察到的差异。
    结论:我们的研究结果表明,少数民族不太愿意参与AD预防试验的典型研究。未来的工作应该集中在理解驱动这些差异的因素上。
    BACKGROUND: We sought to examine the association of race/ethnicity with willingness to engage in studies that involve procedures typical of Alzheimer\'s disease (AD) clinical trials and determine whether any observed differences could be explained by research attitudes.
    METHODS: We studied 2749 adults aged ≥50 years who enrolled in a community-based recruitment registry.
    RESULTS: Compared to non-Hispanic (NH) whites (n = 2393, 87%), Hispanics (n = 191, 7%), NH Asians (n = 129, 5%) and NH blacks (n = 36, 1%) were 44%, 46%, and 64% less willing, respectively, to be contacted for studies that have requirements typical of AD prevention trials, namely: cognitive testing, brain imaging, blood draws, and investigational medications. Mediation by research attitudes was explored, but did not explain the observed differences.
    CONCLUSIONS: Our findings suggest that ethnoracial minorities are less willing to engage in studies that are typical of AD prevention trials. Future work should focus on understanding the factors that drive these differences.
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  • 文章类型: Journal Article
    Biomedical research from high-income countries often informs practice and policy in low- and middle-income countries (LMICs) with vastly different socioeconomic and health systems. Engagement of LMIC-based researchers is integral to setting research priorities in the local context.
    A program, comprising a research seminar and workshop, and utilizing diaspora health professionals to understand research needs and build research capacity in LMICs, was created and pilot-tested at two institutions in India (65 participants) and Nepal (30 participants). Pre- and post-program surveys were instituted to assess participants\' attitudes towards research.
    In the pre-program survey, most participants (India: 76%, Nepal: 100%) perceived research as \'very/extremely important\' in their careers. However, a majority felt that finding time (India: 75%, Nepal: 81%) and funding (India: 82%, Nepal: 100%) for research was \'difficult/very difficult\'. After the program, 86-91% and 86-100% of participants from India and Nepal, respectively, felt that the various courses were very useful/useful for their research careers.
    Research is seen as an integral part of educational training and career advancement in LMICs. However, inadequate training, funding and mentorship remain a challenge. Engagement of diaspora health workers may serve as an important avenue for collaborative biomedical research capacity strengthening in LMICs.
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