Evidence map›Paper›PMID 25929296›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2015

Consent revisited: the impact of return of results on participants' views and expectations about trial participation.

Carolyn Tarrant, Clare Jackson, Mary Dixon-Woods, Sarah McNicol, Sara Kenyon, Natalie Armstrong

Open access · hybridAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Trial participation as avoidance strategy: a qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2016
    Article
  11. 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

6 authors at 3 institutions in 1 country.

Carolyn TarrantSAPPHIRE, Department of Health Sciences, University of Leicester, Leicester, UK.
Clare JacksonSAPPHIRE, Department of Health Sciences, University of Leicester, Leicester, UK.
Mary Dixon-WoodsSAPPHIRE, Department of Health Sciences, University of Leicester, Leicester, UK.
Sarah McNicolThe Education & Social Research Institute, Manchester Metropolitan University, Manchester, UK.
Sara KenyonSchool of Health and Population Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
Natalie ArmstrongSAPPHIRE, Department of Health Sciences, University of Leicester, Leicester, UK.
University of Leicester · GBManchester Metropolitan University · GBUniversity of Birmingham · GB

Funding

Medical Research Council G9226450Wellcome Trust 097899
6 · The paper itself

Abstract

backgroundIncreasingly, the sharing of study results with participants is advocated as an element of good research practice. Yet little is known about how receiving the results of trials may impact on participants' perceptions of their original decision to consent.

objectiveWe explored participants' views of their decision to consent to a clinical trial after they received results showing adverse outcomes in some arms of the trial.

methodSemi-structured interviews were conducted with a purposive sample of 38 women in the UK who participated in a trial of antibiotics in pregnancy. All had received results from a follow-up study that reported increased risk of adverse outcomes for children of participants in some of the trial intervention arms. Data analysis was based on the constant comparative method.

resultsParticipants' original decisions to consent to the trial had been based on hope of personal benefit and assumptions of safety. On receiving the results, most made sense of their experience in ways that enabled them to remain content with their decision to take part. But for some, the results provoked recognition that their original expectations might have been mistaken or that they had not understood the implications of their decision to participate. These participants experienced guilt, a sense of betrayal by the maternity staff and researchers involved in the trial, and damage to trust.

conclusionsSharing of study results is not a wholly benign practice, and requires careful development of suitable approaches for further evaluation before widespread adoption.

Indexed as

Clinical Trials as TopicDecision MakingDisclosureInformed ConsentTrustAdultFemaleFollow-Up StudiesHumansInterviews as TopicMiddle AgedPregnancyQualitative Researchclinical trialdecision-makinginformed consentqualitativeresearch resultsUK

Identifiers

PMID25929296
PMCPMC4737222
OpenAlexW2023094109

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.