Evidence map›Paper›PMID 18816321›Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2008

Improving informed consent: pilot of a decision aid for women invited to participate in a breast cancer prevention trial (IBIS-II DCIS).

I Juraskova, P Butow, A Lopez, M Seccombe, A Coates, F Boyle, N McCarthy, L Reaby, J F Forbes

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00072462 (International Breast Cancer Intervention Study II), which is not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 5% of its field
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.

NCT00072462 phase3completednot on this map

International Breast Cancer Intervention Study II (IBIS-II) (DCIS)

TypeinterventionalSponsorQueen Mary University of LondonRan2003 to 2021Enrolled2,980ConditionsBreast CancerArmstamoxifen citrate, Anastrozole
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Decision aids for people considering taking part in clinical trials.The Cochrane database of systematic reviews · 2015
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. "I'm tired of seeing my friends die": Barriers and facilitators to participating in clinical trials among rural people who use drugs in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Why 'understanding' of research may not be necessary for ethical emergency research.Philosophy, ethics, and humanities in medicine : PEHM · 2020
    Review
  14. Article
  15. Evaluating Adaptation of a Cancer Clinical Trial Decision Aid for Rural Cancer Patients: A Mixed-Methods Approach.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
    Article
  16. Review
  17. Stop, think, reflect, realize-first-time mothers' views on taking part in longitudinal maternal health research.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  18. Article
  19. Development of Plain Language Supplemental Materials for the Biobank Informed Consent Process.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
    Article
  20. Facilitating psychosexual adjustment for women undergoing pelvic radiotherapy: pilot of a novel patient psycho-educational resource.Health expectations : an international journal of public participation in health care and health policy · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

I JuraskovaMedical Psychology Research Unit, School of Psychology, University of Sydney, Sydney, NSW, Australia. ilonaj@psych.usyd.edu.au
P Butow
A Lopez
M Seccombe
A Coates
F Boyle
N McCarthy
L Reaby
J F Forbes
Breast Cancer Trials · AUThe University of Sydney · AURoyal Brisbane and Women's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients and clinicians report difficulties with the process of informed consent to clinical trials and audiotape audits show that critical information is often omitted or poorly presented. Decision aids (DAs) may assist in improving consent.

aimsThis study piloted a DA booklet for a high priority breast cancer prevention trial, IBIS-II DCIS, which compares the efficacy of an aromatase inhibitor (anastrozole) with tamoxifen in women who have had surgery for ductal carcinoma in situ (DCIS).

methodThirty-one Australian women participating in the IBIS-I breast cancer prevention trial and who are currently in follow-up agreed to read the IBIS-II DCIS participant information sheet and the DCIS DA booklet, complete a set of standardized questionnaires, and provide feedback on the DA via a semi-structured phone interview.

resultsWomen found the DA helpful in deciding about trial participation, reporting that it aided their understanding over and above the approved IBIS-II DCIS participant information sheet and was not anxiety provoking. Women's understanding of the rationale and methods of clinical trials and the IBIS-II DCIS trial was very good; with more than 80% of items answered correctly. The only areas that were not understood well were the concepts of randomization and blinding.

conclusionsThis study suggests that the DA will be acceptable to and valued by potential participants in the IBIS-II DCIS study. The revised DA is currently being evaluated prospectively in a randomized controlled trial. If successful, such DAs could transform the consent process to large clinical trials and may also reduce dropout rates.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDecision Support TechniquesHealth Knowledge, Attitudes, PracticeInformed ConsentPatient SelectionTeaching MaterialsAgedAnastrozoleAromatase InhibitorsAustraliaBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingFeedbackFemaleHumansMiddle AgedAnastrozoleAromatase InhibitorsNitrilesSelective Estrogen Receptor ModulatorsTamoxifenTriazoles

Identifiers

PMID18816321
PMCPMC5060455
OpenAlexW2102586167

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.