Evidence map›Paper›PMID 33892597›Full record

Trial reportClinical trials (London, England)2021

Randomized comparison of two interventions to enhance understanding during the informed consent process for research.

Holly A Taylor, Daphne Washington, Nae-Yuh Wang, Hiten D Patel, Daniel E Ford, Nancy E Kass, Joseph Ali

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical trials (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. JAMIA open · 2022
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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

7 authors.

Holly A TaylorDepartment of Bioethics, National Institutes of Health Clinical Center, Bethesda, MD, USA.ORCID 0000-0001-6811-9356
Daphne WashingtonFamily League of Baltimore, Baltimore, MD, USA.
Nae-Yuh WangJohns Hopkins School of Medicine, Baltimore, MD, USA.
Hiten D PatelDepartment of Urology, Loyola University Medical Center, Maywood, IL, USA.ORCID 0000-0003-4028-010X
Daniel E FordJohns Hopkins School of Medicine, Baltimore, MD, USA.
Nancy E KassJohns Hopkins Bloomberg School of Public Health and Berman Institute of Bioethics, Baltimore, MD, USA.
Joseph AliJohns Hopkins Bloomberg School of Public Health and Berman Institute of Bioethics, Baltimore, MD, USA.

Funding

QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
Intramural NIH HHS Z99 CL999999NCATS NIH HHS UL1 TR003098
6 · The paper itself

Abstract

BACKGROUND/

aimsMany investigators have tested interventions to improve research participant understanding of information shared during the informed consent process, using a variety of methods and with mixed results. A valid criticism of most consent research is that studies are often conducted in simulated research settings rather than ongoing clinical studies. The present study rigorously tested two simple and easily adoptable strategies for presenting key consent information to participants eligible to enroll in six actual clinical trials (i.e. six parent studies).

methodsIn collaboration with the study team from each parent study, we developed two consent interventions: a fact sheet and an interview-style video. The content of each of the intervention was based on the information shared in the consent form approved for each parent study. Participants were randomized to the standard consent process, or to one of the two interventions. Once exposed to the assigned consent mode, participants were asked to complete an assessment of understanding. The study was powered to determine whether those exposed to the fact sheet or video performed better on the consent assessment compared to those exposed to the standard consent. We also assessed participant satisfaction with the consent process.

resultsA total of 284 participants were randomized to one of the three consent arms. Assessments of understanding were completed with a total of 273 participants from July 2017 to April 2019. Participants exposed to the video had better understanding scores compared to those exposed to the standard consent form process (

conclusionThis randomized study of two novel consent interventions across six different clinical trials demonstrated a statistically significant difference in participant understanding based on overall scores among those exposed to the video intervention compared to those exposed to the standard consent.

Indexed as

Consent FormsInformed ConsentComprehensionHumansVideo RecordingInformed consentinterventionsrandomized trialunderstanding

Identifiers

PMID33892597
PMCPMC10173028

What OpenQuestion holds

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Registered trials

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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.