Evidence map›Paper›PMID 20233979›Full record

ArticleCirculation. Cardiovascular quality and outcomes2010

Patient reactions to confidentiality, liability, and financial aspects of informed consent in cardiology research.

Alice K Fortune-Greeley, N Chantelle Hardy, Li Lin, Joëlle Y Friedman, Janice S Lawlor, Lawrence H Muhlbaier, Mark A Hall, Kevin A Schulman, Jeremy Sugarman, Kevin P Weinfurt

Open access · greenAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 23% 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.

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

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Alice K Fortune-GreeleyCenter for Clinical and Genetic Economics, Duke University School of Medicine, Durham, NC 27715, USA.
N Chantelle Hardy
Li Lin
Joëlle Y Friedman
Janice S Lawlor
Lawrence H Muhlbaier
Mark A Hall
Kevin A Schulman
Jeremy Sugarman
Kevin P Weinfurt
Wake Forest University · US

Funding

Disclosing Conflict of Interest to Research ParticipantsR01HL075538 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI SUGARMAN, JEREMY · 2004 to 2008
$2.9M
NHLBI NIH HHS R01 HL075538NHLBI NIH HHS R01HL075538
6 · The paper itself

Abstract

backgroundAlthough the informed consent process is supposed to help potential research participants make informed and voluntary decisions about participating in research, little is known about how participants react to language in the informed consent document and whether their reactions are related to their willingness to enroll in clinical trials. We examined the relationship between patients' reactions to standard informed consent language and their willingness to participate in a hypothetical clinical trial. METHODS AND

resultsWe simulated the consent process for a hypothetical cardiology clinical trial with 470 patients in an outpatient cardiovascular medicine clinic at a large academic medical center. We analyzed the spontaneous comments and questions that participants made during the interviews about each section of the informed consent document. Few participants made positive comments. Participants made the most negative comments about the sections on risks, study purpose or protocol, and payment for injury. Having a negative reaction to any section was associated with a lower likelihood of participating in the clinical trial. Using a multivariable model, we found that negative reactions in the patient rights, financial disclosure, and confidentiality sections predicted willingness to participate (P<0.001).

conclusionsRecognizing elements of informed consent that elicit questions and concerns from potential research participants may help investigators design clinical research trials and model language in a way that reduces concerns or increases participant understanding, thereby enhancing informed consent for research.

Indexed as

CardiologyClinical Trials as TopicConfidentialityInformed ConsentLiability, LegalPatient SelectionResearch DesignAcademic Medical CentersAgedAmbulatory Care FacilitiesChi-Square DistributionComprehensionConflict of InterestDecision MakingFemaleHealth Knowledge, Attitudes, Practice

Identifiers

PMID20233979
PMCPMC3418870
OpenAlexW2142913262

What OpenQuestion holds

Textmetadata
LicenceTDM
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.