Preferences for Accessing Electronic Health Records for Research Purposes: Views of Parents Who Have a Child With a Known or Suspected Genetic Condition

Dec 1, 2020, 00:00
10.1016/j.jval.2020.06.016
https://www.valueinhealthjournal.com/article/S1098-3015(20)34357-6/fulltext
Title : Preferences for Accessing Electronic Health Records for Research Purposes: Views of Parents Who Have a Child With a Known or Suspected Genetic Condition
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(20)34357-6&doi=10.1016/j.jval.2020.06.016
First page : 1639
Section Title : PREFERENCE-BASED ASSESSMENTS
Open access? : No
Section Order : 1639

Objectives

The purpose of this study was to examine parental preferences for researchers accessing their child’s electronic health record across 3 groups: those with a child with (1) a known genetic condition (fragile X syndrome FXS), (2) a suspected genetic condition (autism spectrum disorder [ASD]), and (3) no known genetic condition (typically developing).

Methods

After extensive formative work, a discrete choice experiment was designed consisting of 5 attributes, each with 2 or 3 levels, including (1) type of researcher, (2) the use of personally identifiable information, (3) the use of sensitive information, (4) personal importance of research, and (5) return of results. Stratified mixed logit and latent class conditional logit models were examined.

Results

Parents of children with FXS or ASD had relatively higher preferences for research conducted by nonprofits than parents of typically developing children. Parents of children with ASD also preferred research using non-identifiable and nonsensitive information. Parents of children with FXS or ASD also had preferences for research that was personally important and returned either summary or individual results. Although a few child and family characteristics were related to preferences, they did not overall define the subgroups of parents.

Conclusions

Although electronic health record preference research has been conducted with the general public, this is the first study to examine the opinions of parents who have a child with a known or suspected genetic condition. These parents were open to studies using their child's electronic health record because they may have more to gain from this type of research.

Categories :
  • Decision Modeling & Simulation
  • Electronic Medical & Health Records
  • Genetic, Regenerative & Curative Therapies
  • Patient-Centered Research
  • Specialized Treatment Areas
  • Stated Preference & Patient Satisfaction
  • Study Approaches
Tags :
  • autism spectrum disorder
  • discrete choice experiment
  • electronic health records
  • fragile X syndrome
  • genetic conditions
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