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"They should take time": Disclosure of clinical trial results as part of a social relationship

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  • Sarradon-Eck, Aline
  • Sakoyan, Juliette
  • Desclaux, Alice
  • Mancini, Julien
  • Genre, Dominique
  • Julian-Reynier, Claire

Abstract

Disclosing overall scientific results to clinical trial participants has become an ethical obligation. Here we studied how participants understand these results in view of their experience of clinical trials and illness in general and what modes of disclosure they preferred. Interviews were conducted with 29 breast cancer patients in France during 2009, using an in-depth qualitative approach. The findings obtained show that the “results” of research are understood quite differently by various patients depending on their expectations about clinical trials. Most of the women interviewed expected to receive personally tailored results at an individual encounter with their own clinical oncologist. Their preferred mode of disclosure was a consultation with their doctors because personal encounters promote mutual recognition and set up a symbolic process of exchange. The results of this study show that medical interventions should not be regarded solely from the technical point of view, but also in terms of the social relationships involved.

Suggested Citation

  • Sarradon-Eck, Aline & Sakoyan, Juliette & Desclaux, Alice & Mancini, Julien & Genre, Dominique & Julian-Reynier, Claire, 2012. ""They should take time": Disclosure of clinical trial results as part of a social relationship," Social Science & Medicine, Elsevier, vol. 75(5), pages 873-882.
  • Handle: RePEc:eee:socmed:v:75:y:2012:i:5:p:873-882
    DOI: 10.1016/j.socscimed.2012.04.022
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    1. Del Vecchio Good, Mary-Jo & Munakata, Tseunetsugu & Kobayashi, Yasuki & Mattingly, Cheryl & Good, Byron J., 1994. "Oncology and narrative time," Social Science & Medicine, Elsevier, vol. 38(6), pages 855-862, March.
    2. Dixon-Woods, Mary & Ashcroft, Richard E. & Jackson, Clare J. & Tobin, Martin D. & Kivits, Joelle & Burton, Paul R. & Samani, Nilesh J., 2007. "Beyond "misunderstanding": Written information and decisions about taking part in a genetic epidemiology study," Social Science & Medicine, Elsevier, vol. 65(11), pages 2212-2222, December.
    3. Catherine M. Will, 2011. "Mutual Benefit, Added Value?," Journal of Cultural Economy, Taylor & Francis Journals, vol. 4(1), pages 11-26, February.
    4. Timmermans, Stefan & McKay, Tara, 2009. "Clinical trials as treatment option: Bioethics and health care disparities in substance dependency," Social Science & Medicine, Elsevier, vol. 69(12), pages 1784-1790, December.
    5. 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.
    6. Potter, Sharyn J. & McKinlay, John B., 2005. "From a relationship to encounter: an examination of longitudinal and lateral dimensions in the doctor-patient relationship," Social Science & Medicine, Elsevier, vol. 61(2), pages 465-479, July.
    7. Drew, Jennifer & Stoeckle, John D. & Billings, J. Andrew, 1983. "Tips, status and sacrifice: Gift giving in the doctor-patient relationship," Social Science & Medicine, Elsevier, vol. 17(7), pages 399-404, January.
    8. Henderson, Gail E. & Easter, Michele M. & Zimmer, Catherine & King, Nancy M.P. & Davis, Arlene M. & Rothschild, Barbra Bluestone & Churchill, Larry R. & Wilfond, Benjamin S. & Nelson, Daniel K., 2006. "Therapeutic misconception in early phase gene transfer trials," Social Science & Medicine, Elsevier, vol. 62(1), pages 239-253, January.
    9. Stacey, Clare Louise & Henderson, Stuart & MacArthur, Kelly R. & Dohan, Daniel, 2009. "Demanding patient or demanding encounter?: A case study of a cancer clinic," Social Science & Medicine, Elsevier, vol. 69(5), pages 729-737, September.
    10. Hallowell, Nina & Cooke, Sarah & Crawford, Gill & Lucassen, Anneke & Parker, Michael, 2009. "Distinguishing research from clinical care in cancer genetics: Theoretical justifications and practical strategies," Social Science & Medicine, Elsevier, vol. 68(11), pages 2010-2017, June.
    11. Lupton, Deborah, 1997. "Consumerism, reflexivity and the medical encounter," Social Science & Medicine, Elsevier, vol. 45(3), pages 373-381, August.
    12. Dixon-Woods, Mary & Tarrant, Carolyn, 2009. "Why do people cooperate with medical research? Findings from three studies," Social Science & Medicine, Elsevier, vol. 68(12), pages 2215-2222, June.
    13. Featherstone, Katie & Donovan, Jenny L., 2002. ""Why don't they just tell me straight, why allocate it?" The struggle to make sense of participating in a randomised controlled trial," Social Science & Medicine, Elsevier, vol. 55(5), pages 709-719, September.
    14. McKay, Tara & Timmermans, Stefan, 2009. "The bioethical misconception: A response to Lidz," Social Science & Medicine, Elsevier, vol. 69(12), pages 1793-1796, December.
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