Evidence map›Paper›PMID 18281293›Full record

ArticleSchizophrenia bulletin2009

Worth the risk? Relationship of incentives to risk and benefit perceptions and willingness to participate in schizophrenia research.

Laura B Dunn, Daniel S Kim, Ian E Fellows, Barton W Palmer

Abstract readComparative Study
In one paragraph

Article in Schizophrenia bulletin, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Increasing participation of people with thought disorder in clinical research.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Review
  5. Article
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  10. Attitudes of Mothers Regarding Willingness to Enroll Their Children in Research.Journal of empirical research on human research ethics : JERHRE · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Typologies of Altruistic and Financial Motivations for Research Participation.Journal of empirical research on human research ethics : JERHRE · 2016
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Screening for understanding of research in the inpatient psychiatry setting.Journal of empirical research on human research ethics : JERHRE · 2011
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Laura B DunnDepartment of Psychiatry, University of California, San Francisco, 401 Parnassus Avenue, Box GPP-0984, San Francisco, CA 94143, USA. Laura.Dunn@ucsf.edu
Daniel S Kim
Ian E Fellows
Barton W Palmer

Funding

CAPACITY TO CONSENT TO RESEARCH ON PSYCHOSISR01MH064722 · NIMH · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI PALMER, BARTON W. · 2002 to 2013
$3.1M
Enhancing Consent for Alzheimer ResearchR01AG028827 · NIA · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI PALMER, BARTON W. · 2006 to 2010
$1.4M
ENHANCING INFORMED CONSENT IN LATE-LIFE PSYCHOSISK23MH066062 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DUNN, LAURA B. · 2002 to 2006
$839k
NIA NIH HHS R01 AG028827NIMH NIH HHS MH66062NIMH NIH HHS R01 MH64722
6 · The paper itself

Abstract

objectiveProviding incentives for research participation is widely practiced but minimally studied. In schizophrenia research, questions about capacity to consent and potential vulnerability may raise concerns when offering incentives for participation. Despite empirical attention focused on consent and decision-making capacity in schizophrenia, the issue of incentives has been essentially ignored. We examined willingness to participate in research, in relation to perceived risks and benefits, among people with schizophrenia and schizoaffective disorder.

methodForty-six people with schizophrenia or schizoaffective disorder rated perceived risks and benefits of 5 hypothetical research vignettes. They also indicated whether they would be willing to participate at each of 5 incentive levels (including no compensation). Cognition was assessed with Mattis Dementia Rating Scale.

resultsRatings of risk and potential personal benefit were inversely correlated. For all scenarios, significant correlations were found between perceived risk and willingness to participate for greater compensation. Conversely, lower perceived likelihood of benefit was associated with a higher compensation threshold for participation in each scenario. Even at the highest proffered payment level for each scenario, however, a substantial proportion of respondents were not willing to participate. Risk assessment and willingness to participate (at all levels of compensation) were not associated with demographic variables or cognitive status.

conclusionsDetermining whether incentives impede voluntarism remains an important task for empirical ethics research. Assessing potential research participants' understanding and perceptions of risks, benefits, and alternatives to participation will help ensure that informed consent fulfills its mission--embodying the ethical principle of respect for persons.

Indexed as

Ethics, ResearchMotivationRisk AssessmentSchizophrenic PsychologyClinical Trials as TopicDecision MakingFemaleHumansInformed ConsentMaleMental CompetencyMiddle AgedPatient ParticipationPsychiatric Status Rating ScalesResearch DesignResearch Subjects

Identifiers

PMID18281293
PMCPMC2696364

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.