Evaluation of an Interactive, Educational Website Developed for Adolescents to Learn About Pediatric Clinical Trials: DigiKnowIt News.
Alison E Parker, Tracy M Scull, Jada Green and 1 others
PMID 40338762WHAT IT FOUND
Adolescents and parents who used a clinical-trial education website said they knew more about trials and felt more positive about them than controls.
Knowledge, fears, and willingness to join a trial did not improve.
Key findings
01Adolescents who used the website reported greater familiarity, more positive attitudes, and more confidence about clinical trials than controls, but knowledge, self-efficacy, procedural fears, likelihood, and willingness did not differ.
02Parents who used the website reported greater familiarity and more positive attitudes than controls, while beliefs, likelihood of allowing participation, and fear-related permission were only marginal differences and willingness did not differ.
03About 77% of teens and 87% of parents in the intervention group engaged with the website, and adolescents gave high satisfaction ratings for content, format, and usability.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured self-reported attitudes and intentions, not actual enrollment in a real clinical trial. No outcome was named as the primary endpoint, and several findings were only marginal, so the positive attitude and familiarity results should not be treated as a single confirmed effect. Adolescents already had high self-efficacy and high knowledge at the start, leaving little room for the website to improve these scores. The website usage was tracked separately for parents and teens, but they may have used the same link, so dosage estimates may be inaccurate. Some intervention participants did not engage with the website despite reminders, so the effect on those who used it may be different from the effect on all families assigned to it. The willingness measure used a fake disease and did not let families discuss the decision together, which may not match real trial decisions.
The easy way to misread this
Do not conclude that DigiKnowIt News makes families more likely to join a real clinical trial. The study did not show improved knowledge or willingness to participate, and the clearest changes were in familiarity, attitudes, and confidence.