Evidence map›Paper›PMID 34665142›Full record

ArticleJMIR formative research2021

Comparing a Multimedia Digital Informed Consent Tool With Traditional Paper-Based Methods: Randomized Controlled Trial.

Fuad Abujarad, Peter Peduzzi, Sophia Mun, Kristina Carlson, Chelsea Edwards, James Dziura, Cynthia Brandt, Sandra Alfano, Geoffrey Chupp

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02537886 (Development of Patient Centered Virtual Multimedia Interactive Informed Consent Tool to Improve Patient Comprehension and Consent), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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.

NCT02537886 completednot on this map

Development of Patient Centered Virtual Multimedia Interactive Informed Consent Tool to Improve Patient Comprehension and Consent

TypeobservationalSponsorYale UniversityRan2016 to 2018Enrolled50ConditionsPatient Centered Outcomes ResearchArmsPatient Centered Virtual Multimedia Interactive Informed Consent tool (VIC)
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Comparative Effectiveness of eConsent: Systematic Review.Journal of medical Internet research · 2023
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Enhancing randomized clinical trials with digital twins.NPJ systems biology and applications · 2025
    Review
  9. Article
  10. Article
  11. Medical researchersZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Digital consent in gynecology: an evaluation of patient experience.Archives of gynecology and obstetrics · 2024
    Article
  17. Review
  18. Narrative review of telemedicine applications in decentralized research.Journal of clinical and translational science · 2024
    Review
  19. Article
  20. Review
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

9 authors at 1 institution in 1 country.

Fuad AbujaradDepartment of Emergency Medicine, School of Medicine, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-1195-6812
Peter PeduzziDepartment of Biostatistics, School of Public Health, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-7634-6804
Sophia MunDepartment of Chronic Disease Epidemiology, School of Public Health, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-9972-9824
Kristina CarlsonDepartment of Emergency Medicine, School of Medicine, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-4842-7500
Chelsea EdwardsDepartment of Emergency Medicine, School of Medicine, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0002-4490-8606
James DziuraDepartment of Emergency Medicine, School of Medicine, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0001-8953-6183
Cynthia BrandtDepartment of Emergency Medicine, School of Medicine, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0001-8179-1796
Sandra AlfanoDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0003-4566-3433
Geoffrey ChuppDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, United States.ORCID https://orcid.org/0000-0001-9968-6564
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Feasibility of Virtual cOaching in making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)R01AG060084 · NIA · YALE UNIVERSITY · PI ABUJARAD, FUAD · 2018 to 2021
$2.0M
Patient Centered Virtual Multimedia Interactive Informed Consent (VIC)R21HS023987 · AHRQ · YALE UNIVERSITY · PI ABUJARAD, FUAD · 2015 to 2016
$300k
AHRQ HHS R21 HS023987NCATS NIH HHS UL1 TR000142NCATS NIH HHS UL1 TR001863NIA NIH HHS R01 AG060084
6 · The paper itself

Abstract

backgroundThe traditional informed consent (IC) process rarely emphasizes research participants' comprehension of medical information, leaving them vulnerable to unknown risks and consequences associated with procedures or studies.

objectiveThis paper explores how we evaluated the feasibility of a digital health tool called Virtual Multimedia Interactive Informed Consent (VIC) for advancing the IC process and compared the results with traditional paper-based methods of IC.

methodsUsing digital health and web-based coaching, we developed the VIC tool that uses multimedia and other digital features to improve the current IC process. The tool was developed on the basis of the user-centered design process and Mayer's cognitive theory of multimedia learning. This study is a randomized controlled trial that compares the feasibility of VIC with standard paper consent to understand the impact of interactive digital consent. Participants were recruited from the Winchester Chest Clinic at Yale New Haven Hospital in New Haven, Connecticut, and healthy individuals were recruited from the community using fliers. In this coordinator-assisted trial, participants were randomized to complete the IC process using VIC on the iPad or with traditional paper consent. The study was conducted at the Winchester Chest Clinic, and the outcomes were self-assessed through coordinator-administered questionnaires.

resultsA total of 50 participants were recruited in the study (VIC, n=25; paper, n=25). The participants in both groups had high comprehension. VIC participants reported higher satisfaction, higher perceived ease of use, higher ability to complete the consent independently, and shorter perceived time to complete the consent process.

conclusionsThe use of dynamic, interactive audiovisual elements in VIC may improve participants' satisfaction and facilitate the IC process. We believe that using VIC in an ongoing, real-world study rather than a hypothetical study improved the reliability of our findings, which demonstrates VIC's potential to improve research participants' comprehension and the overall process of IC.

trial registrationClinicalTrials.gov NCT02537886; https://clinicaltrials.gov/ct2/show/NCT02537886.

Indexed as

digital consentdigital healthe-consentinformed consentmobile phone

Identifiers

PMID34665142
PMCPMC8564662
OpenAlexW3207455330

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.