Evidence map›Paper›PMID 29736454›Full record

ArticleContemporary clinical trials communications2016

A pragmatic randomized trial comparing tablet computer informed consent to traditional paper-based methods for an osteoporosis study.

A H Warriner, P J Foster, A Mudano, N C Wright, M E Melton, S E Sattui, W Calmbach, J R Curtis, M Kilgore, C E Lewis and 2 more

Abstract read
In one paragraph

Article in Contemporary clinical trials communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Comparative Effectiveness of eConsent: Systematic Review.Journal of medical Internet research · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Assessing the feasibility of the Effectiveness of Discontinuing Bisphosphonates trial: a pilot study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Trial
  5. Article
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  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Replacing Paper Informed Consent with Electronic Informed Consent for Research in Academic Medical Centers: A Scoping Review.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2020
    Article
  17. Pragmatic Clinical Trials in Osteoporosis.Current osteoporosis reports · 2019
    Review
  18. Review
  19. Improving the Informed Consent Process in Hematopoietic Cell Transplantation: Patient, Caregiver, and Provider Perspectives.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    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

12 authors.

A H WarrinerDivision of Endocrinology, Diabetes, and Metabolism, University of Alabama at Birmingham, United States.
P J FosterDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, United States.
A MudanoDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, United States.
N C WrightDepartment of Epidemiology, University of Alabama at Birmingham, United States.
M E MeltonDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, United States.
S E SattuiDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, United States.
W CalmbachDepartment of Family & Community Medicine, University of Texas Health Science Center at San Antonio, United States.
J R CurtisDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, United States.
M KilgoreDepartment of Health Care Organization and Policy, University of Alabama at Birmingham, United States.
C E LewisDivision of Preventive Medicine, University of Alabama at Birmingham, United States.
W PaceAmerican Academy of Family Physicians National Research Network, United States.
K G SaagDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMethods to improve informed consent efficiency and effectiveness are needed for pragmatic clinical trials. We compared informed consent using a tablet computer to a paper approach to assess comprehension and satisfaction of patients and clinic staff for a future osteoporosis clinical trial.

methodsNine community-based practices identified and recruited patients to compare the informed consent processes (tablet vs. paper) in a mock osteoporosis clinical trial. The tablet informed consent included an animation summarizing the trial, complete informed consent document, and questions to assess and reinforce comprehension of the study. Participants were women age ≥55 years with ≥1 year of alendronate use. We surveyed participants to assess comprehension and satisfaction and office staff for satisfaction and perceived time demands.

resultsThe nine practices enrolled 33 participants. There was not a significant difference in comprehension between the tablet vs. paper informed consent [mean (SD) tablet: 12.2 (1.0) vs. paper: 11.4 (1.7)]. Office staff preferred the tablet to the paper informed consent for identifying potential study participants (two-sided t-test p = 0.02) despite an increased perceived time spent to complete the tablet process [tablet: 28.3 min (SD 16.3) vs. paper: 19.0 min (SD 6.9); p = 0.08].

conclusionsAlthough, there were no significant differences in participant satisfaction and comprehension with the tablet informed consent compared to a paper informed consent, patients and office staff trended towards greater satisfaction with the tablet informed consent. Larger studies are needed to further evaluate the utility of electronic informed consent in pragmatic clinical trials.

Indexed as

Informed consentOsteoporosisPragmatic clinical trials

Identifiers

PMID29736454
PMCPMC5935867

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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.