Evidence map›Paper›PMID 23484041›Full record

Trial reportPloS one2013

Interactive informed consent: randomized comparison with paper consents.

Michael C Rowbotham, John Astin, Kaitlin Greene, Steven R Cummings

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02332837 (Interactive Tool for Informed Consent), which is not on this map. Cited by 69 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 4 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.

NCT02332837 nawithdrawnnot on this mapstarted 2019, after this paper: background citation

Interactive Tool for Informed Consent: A Randomized Controlled Trial

TypeinterventionalSponsorThinkWellRan2019 to 2020Enrolled0ConditionsInformed ConsentArmsIntervention A: Questionnaire accuracy, Intervention B: Questionnaire speed of completion, Intervention C: Questionnaire Completion rate
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Comparative Effectiveness of eConsent: Systematic Review.Journal of medical Internet research · 2023
    Pooled it
  2. Pooled it
  3. Strategies to improve recruitment to randomised trials.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Pooled it
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  8. Effectiveness of Visual Methods in Information Procedures for Stem Cell Recipients and Donors.Turkish journal of haematology : official journal of Turkish Society of Haematology · 2017
    Trial
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  10. Interactive multimedia consent for biobanking: a randomized trial.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    Trial
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  12. A randomized controlled trial of an electronic informed consent process.Journal of empirical research on human research ethics : JERHRE · 2014
    Trial
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9 more citing papers are in PubMed but not listed here.

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.

Michael C RowbothamCalifornia Pacific Medical Center Research Institute, San Francisco, California, USA. rowbotm@cpmcri.org
John Astin
Kaitlin Greene
Steven R Cummings

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Informed consent is the cornerstone of human research subject protection. Many subjects sign consent documents without understanding the study purpose, procedures, risks, benefits, and their rights. Proof of comprehension is not required and rarely obtained. Understanding might improve by using an interactive system with multiple options for hearing, viewing and reading about the study and the consent form at the subject's own pace with testing and immediate feedback. This prospective randomized study compared the IRB-approved paper ICF for an actual clinical research study with an interactive presentation of the same study and its associated consent form using an iPad device in two populations: clinical research professionals, and patients drawn from a variety of outpatient practice settings. Of the 90 participants, 69 completed the online test and survey questions the day after the session (maximum 36 hours post-session). Among research professionals (n = 14), there was a trend (p = .07) in the direction of iPad subjects testing better on the online test (mean correct  =  77%) compared with paper subjects (mean correct = 57%). Among patients (n = 55), iPad subjects had significantly higher test scores than standard paper consent subjects (mean correct = 75% vs 58%, p < .001). For all subjects, the total time spent reviewing the paper consent was 13.2 minutes, significantly less than the average of 22.7 minutes total on the three components to be reviewed using the iPad (introductory video, consent form, interactive quiz). Overall satisfaction and overall enjoyment slightly favored the interactive iPad presentation. This study demonstrates that combining an introductory video, standard consent language, and an interactive quiz on a tablet-based system improves comprehension of research study procedures and risks.

Indexed as

Audiovisual AidsClinical Trials as TopicComprehensionConsent FormsHumansInformed ConsentOnline SystemsProspective StudiesRandom AllocationResearch Subjects

Identifiers

PMID23484041
PMCPMC3590180

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.