Evidence map›Paper›PMID 35930740›Full record

Trial reportJournal of genetic counseling2022

The goldilocks conundrum: Disclosing discrimination risks in informed consent.

Anya E R Prince, Sonia M Suter, Wendy R Uhlmann, Aaron M Scherer

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of genetic counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. 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

4 authors.

Anya E R PrinceCollege of Law, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0002-0086-7881
Sonia M SuterGW Law, The George Washington University, Washington, District of Columbia, USA.
Wendy R UhlmannDivision of Genetic Medicine, Department of Internal Medicine, Department of Human Genetics, University of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Aaron M SchererDepartment of Internal Medicine, University of Iowa, Iowa City, Iowa, USA.

Funding

Use of Genetic Information by Life, Long-term Care, and Disability InsurersR00HG008819 · NHGRI · UNIVERSITY OF IOWA · PI PRINCE, ANYA E.R. · 2017 to 2019
$728k
NHGRI NIH HHS R00 HG008819NHGRI NIH HHS R00HG008819
6 · The paper itself

Abstract

Informed consent is a foundational ethical and legal principle in human subjects research and clinical care. Yet, there is extensive debate over how much information must be disclosed to meet ethical goals and legal requirements, especially about non-medical risks. In this online, survey-based experiment of a diverse sample of the US general population, we explored one aspect of this debate by testing whether the level of detail included in informed consent regarding genetic anti-discrimination protections alters individuals' willingness to participate in a hypothetical research study and their concerns regarding genetic discrimination. Participants were randomized to receive sample informed consent language with one of three levels of disclosure regarding the protections and limitations of the Genetic Information Nondiscrimination Act (GINA). Our sample (n = 1,195) had a mean age of 45.9 (SD = 17.9) years and 40% with ≤high school education. Participants were 51.3% female and 36.7% non-Hispanic White. On average, those who received consent language with none of GINA's limitations highlighted were more willing to participate than those who were warned about various gaps in GINA. They also had significantly lower perceived risk of discrimination than those presented with the most information about limitations. Our study found that providing more comprehensive information about GINA notably lessened willingness to participate in the hypothetical studies, highlighting the need for clinicians and researchers to thoughtfully consider how to disclose anti-discrimination risks in informed consent.

Indexed as

DisclosureInformed ConsentFemaleHumansLanguageMaleMiddle AgedSurveys and QuestionnairesdiscriminationGenetic Information Nondiscrimination Actgenetic researchgenetic testinginformed consent

Identifiers

PMID35930740
PMCPMC9722586

What OpenQuestion holds

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LicenceCC BY-NC
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.