Evidence map›Paper›PMID 34006326›Full record

ArticleResearch involvement and engagement2021

Preparing accessible and understandable clinical research participant information leaflets and consent forms: a set of guidelines from an expert consensus conference.

Eleanor Coleman, Lydia O'Sullivan, Rachel Crowley, Moira Hanbidge, Seán Driver, Thilo Kroll, Aoife Kelly, Alistair Nichol, Orlaith McCarthy, Prasanth Sukumar and 1 more

Abstract read
In one paragraph

Article in Research involvement and engagement, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

  1. Pooled it
  2. Trial
  3. The Function of Non-invasive Prenatal Testing (NIPT) Request Forms in the Australian Context.Health care analysis : HCA : journal of health philosophy and policy · 2026
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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

11 authors.

Eleanor Coleman *School of Medicine, University College Dublin, Dublin, Ireland and Health Research Board-Trials Methodology Research Network, National University of Ireland, Galway, Ireland.
Lydia O'Sullivan *School of Medicine and School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland and Health Research Board-Trials Methodology Research Network, National University of Ireland, Galway, Ireland. lydia.osullivan@ucd.ie.ORCID http://orcid.org/0000-0002-7131-5048
Rachel CrowleySchool of Medicine, University College Dublin and Saint Vincent's University Hospital Medical Research and Ethics Committee, Dublin, Ireland.ORCID https://orcid.org/0000-0003-1472-4117
Moira HanbidgePatient advocate, and graduate of the Irish Platform for Patients' Organisations, Science and Industry (IPPOSI) Patient Education Programme in Health Innovation, Dublin, Ireland.
Seán DriverNational Adult Literacy Agency, Dublin, Ireland.
Thilo KrollCentre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-2082-5117
Aoife KellyClinical Research Centre, School of Medicine, University College Dublin, Dublin, Ireland.
Alistair NicholSchool of Medicine, University College Dublin, Dublin, Ireland; Clinical Research Centre, School of Medicine, University College Dublin, Dublin, Ireland; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-4689-1238
Orlaith McCarthySaint Vincent's University Hospital Research Ethics Committee, Dublin, Ireland.
Prasanth SukumarClinical Research Centre, School of Medicine, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-3229-2661
Peter DoranSchool of Medicine, University College Dublin, Dublin, Ireland; Clinical Research Centre, School of Medicine, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-2064-5335

Funding

Health Research Board HRB-TMRN-2017-1
6 · The paper itself

Abstract

backgroundIn line with Good Clinical Practice and the Declaration of Helsinki, it is the investigator's responsibility to ensure that research participants are sufficiently informed, to enable the provision of informed consent. The Participant Information Leaflet/Informed Consent Form is key to facilitating this communication process. Although studies have indicated that clinical research Participant Information Leaflets/Informed Consent Forms are not optimal in terms of accessibility, there is little or no specific guidance available. The aim of this research was to propose and agree a set of guidelines for academic researchers and sponsors for preparing accessible and understandable Participant Information Leaflets/Informed Consent Forms.

methodsA literature review identified guidance for the preparation of patient-facing documents. Following critical appraisal, key recommendations were extracted and a set of recommendations which can be applied to clinical research Participant Information Leaflets/Informed Consent Forms were prepared. These recommendations were evaluated and amended by an Expert Consensus Conference consisting of a group of key stakeholders. The stakeholders included members of a Research Ethics Committee (both lay and expert), a patient advocate, experienced clinical researchers, a plain English editor and a Data Protection Officer. Consensus was reached regarding a final set of recommendations.

results44 recommendations were agreed upon and grouped into five categories: Layout, Formatting, Content, Language and Confirming Readability. These recommendations aimed to maximize accessibility for lay participants, including readers with dyslexia, literacy or numeracy challenges, thereby improving the quality of the consent process.

conclusionsMore empirical research is needed to further improve the informed consent process for research participants. However, these recommendations are informed by the current literature and have been ratified by expert stakeholders. It is hoped that these recommendations will help investigators and sponsors to consistently and efficiently produce more accessible clinical research Participant Information Leaflets/Informed Consent Forms.

Indexed as

Clinical researchClinical trialsInformed consentParticipant information leafletsPatient and public involvementPatient information leaflets

Identifiers

PMID34006326
PMCPMC8130271

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.