Evidence map›Paper›PMID 30635222›Full record

Trial reportPatient education and counseling2019

Improving quality of the informed consent process: Developing an easy-to-read, multimodal, patient-centered format in a real-world setting.

Karen A Lindsley

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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
  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

1 author.

Karen A LindsleyManager, Coordinating Center and Regulatory Knowledge & Support (RKS), Georgia Clinical &Translational Science Alliance (Georgia CTSA), Emory University, 1599 Clifton Rd NE; Suite 4.355, Atlanta, GA 30322, USA. Electronic address: klindsl@emory.edu.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
UCSF Trialnet: A Phase II Trial of Imatimib in New Onset Type I DiabetesU01DK061010 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GITELMAN, STEPHEN E · 2001 to 2018
$8.1M
Chicagoland Diabetes TrialNet Clinical CenterU01DK103153 · NIDDK · UNIVERSITY OF CHICAGO · PI PHILIPSON, LOUIS H. · 2014 to 2018
$1.4M
An Atlanta TrialNet Center: Building a Pathway to 70 Clinical Trial Subjects per YearU01DK106994 · NIDDK · EMORY UNIVERSITY · PI MUIR, ANDREW B · 2015 to 2018
$1.3M
NCATS NIH HHS UL1 TR002378NIDDK NIH HHS U01 DK061010NIDDK NIH HHS U01 DK103153NIDDK NIH HHS U01 DK106994
6 · The paper itself

Abstract

objectiveTo develop a patient-centered informed consent and assessment tool written at a 6th grade-level that is multimodal, affordable, transportable, and readily modifiable for protocol updates.

methodsThis quality improvement initiative was performed in two phases on an actively-recruiting study at a pediatric diabetes clinic. In phase I, 38 volunteers underwent the standard-paper consent process, a comprehension assessment and provided feedback. Using feedback and the structure of the Plan-Do-Study-Act cycle a multimodal consent and assessment were developed. In phase II, volunteers were randomized to the standard (n = 25) or the multimodal consent (n = 25) and all completed the same comprehension assessment via touch-screen tablet. Primary outcomes were comparison of the individual and total comprehension assessment scores.

resultsTotal comprehension scores were higher in the multimodal versus the standard consent group (p <  0.001) and on the elements of benefits (p <  0.001), risks (p <  0.001), volunteerism (p <  0.012), results (p <  0.001), confidentiality (p <  0.004) and privacy (p < 0.001).

conclusionA multimodal consent and assessment presented sequentially on a touch-screen tablet were patient-centered enhancements to standard consent. PRACTICE IMPLICATIONS: Multimodal standardization of delivery with improved readability may strengthen the informed consent process.

Indexed as

ComprehensionQuality ImprovementReadingAdolescentAdultConsent FormsHumansInformed ConsentMiddle AgedMultimediaPatient-Centered CarePatient Education as TopicProcess Assessment, Health CareYoung AdultAffordableInformed consentMultimodalPatient-centeredPDSAQuality improvementQuestionnaire developmentReal-world

Identifiers

PMID30635222
PMCPMC7429926

What OpenQuestion holds

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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.