Transitioning In-Person Research to Remote: A Reflection on the Taste of Medicine Study
Erin Hyer is currently a medical student at the Drexel University College of Medicine, but began assisting on the Taste of Medicine Study at the Children's Hospital of Philadelphia when it first began in 2020. Jacqueline Kopaygorodsky is currently working as a research coordinator at the Children's Hopsital of Philadelphia on the Taste of Medicine Study. This presentation was compiled from the challenges we came across while transitioning this study during the COVID-19 pandemic.
Background: Our team is studying children’s perceptions of a bitter-tasting pediatric medication (oral liquid clindamycin) and relationships between taste perception, side effects and taste receptor genetics. When the COVID-19 pandemic made enrollment of research participants in the CHOP Emergency Department impossible, we adapted our protocols to allow for remote assessments.
Methods: Secure remote communication platforms were trialed and protocols for recording the child swallowing and rating the medicine were created. We also created procedures to remotely obtain saliva samples for genetic testing.
Results: The Webex platform allowed participants’ faces to be viewed clearly throughout the encounter. Consent documentation was obtained through an online REDCap platform that emails links for participants to complete remotely. Saliva collection kits were mailed to participants and sample collection was conducted during a separate virtual encounter with a member of the research team. These remote methods allowed flexibility for study participants and allowed the study to expand its recruitment pool to multiple sites without the need to hire additional study staff. Challenges included scheduling difficulties, inability to assess reasons for non-participation of eligible individuals, technological limitations (e.g. families relying on cell phones which could not be easily held still through the encounter) and maintaining data integrity by limiting parental “cues” given off camera to child participants.
Conclusion: The pandemic accelerated production of remote research methods which can improve study enrollment rates but may lead to new selection biases and data reliability concerns.
Keywordsremote research, using secure platforms, Webex, electronic consent forms, oral liquid clindamycin, saliva collection
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