This study investigated age changes in risk perception and unrealistic optimism. Teenagers (« = 376) and parents (n = 160) evaluated the risk of experimental, occasional, and regular involvement in 14 health-related activities (e.g., getting drunk). Respondents also evaluated their comparative chances of encountering the leading causes of morbidity and mortality. Compared with adults, teenagers minimized the perceived risk of experimental and occasional involvement in health-threatening activities. Notably, teenagers were less optimistic about avoiding injury and illness than were their parents, and teenagers at greatest risk for such misfortunes were the least optimistic about avoiding them. These findings do not support traditional explanations of adolescent risk taking. The implications of these findings for understanding and preventing health-damaging behavior among adolescents are discussed.
BackgroundThe key role played by research nurses in coordinating clinical trials in a paediatric setting has developed in line with increasing complexities of trial design. A questionnaire-based survey was conducted to investigate the training of research nurses involved in paediatric trials across Europe, to identify potential training needs and compare roles across specialties and countries.MethodsA structured, cross-sectional questionnaire survey was used, with the aim of describing and quantifying research nurse experiences. The questionnaire was designed to cover four main areas of interest: demographics, training, clinical trial experience and research nurse roles/activities.ResultsThe questionnaire was completed by 341 respondents across 45 different specialties in 20 European countries. A higher percentage of research nurses within 3 years of taking up post were dissatisfied with the level of training received (16%), as compared with those in post for 3–6 years (8%) and >6 years (6%). There was a trend towards a higher percentage of respondents receiving self-funded training in mainland Europe, with reported values of 15%–20%, as compared with <5% in the UK and Ireland. Only 3% of research nurses prescribed investigational medicinal products in a clinical trial setting, with contrasting roles observed between countries.ConclusionsWhile high levels of training satisfaction were observed, 67% of respondents felt they would benefit from additional training in line with frequently changing practices. Currently, low levels of nurse prescribing are observed in a paediatric clinical trial setting across Europe. Appropriate research nurse training programmes should be promoted through national networks across Europe.
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