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Kim JP, Ryan K, Tsungmey T, Kasun M, Roberts WA, Dunn LB, Roberts LW. Perceived protectiveness of research safeguards and influences on willingness to participate in research: A novel MTurk pilot study. J Psychiatr Res 2021; 138:200-206. [PMID: 33865169 PMCID: PMC8513533 DOI: 10.1016/j.jpsychires.2021.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 03/25/2021] [Accepted: 04/01/2021] [Indexed: 11/27/2022]
Abstract
Little is known about how individuals with mood disorders view the protectiveness of research safeguards, and whether their views affect their willingness to participate in psychiatric research. We conducted an online survey with 80 individuals (self-reported mood disorder [n = 25], self-reported good health [n = 55]) recruited via MTurk. We assessed respondents' perceptions of the protectiveness of five common research safeguards, as well as their willingness to participate in research that incorporates each safeguard. Perceived protectiveness was strongly related to willingness to participate in research for four of the safeguards. Our findings add to a limited literature on the motivations and perspectives of key stakeholders in psychiatric research.
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Affiliation(s)
- Jane Paik Kim
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 1520 Page Mill Road, Palo Alto, CA, 94304, USA.
| | - Katie Ryan
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 1520 Page Mill Road, Palo Alto, CA, USA, 94304
| | - Tenzin Tsungmey
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 1520 Page Mill Road, Palo Alto, CA, USA, 94304
| | - Max Kasun
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 1520 Page Mill Road, Palo Alto, CA, USA, 94304
| | - Willa A. Roberts
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401Quarry Road, Stanford, CA, USA, 94305-5717
| | - Laura B. Dunn
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401Quarry Road, Stanford, CA, USA, 94305-5717
| | - Laura Weiss Roberts
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401Quarry Road, Stanford, CA, USA, 94305-5717
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Doyle CK, DeMartino ES, Sperry BP, Unno S, Roberts LW, Dudzinski DM, Sulmasy DP, Mueller PS, Kramer DB, Siegler M. Statutes Governing Default Surrogate Decision Making for Mental Health Treatment. Psychiatr Serv 2021; 72:81-84. [PMID: 33050797 DOI: 10.1176/appi.ps.201900320] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The authors sought to describe state-to-state variations in the scope of statutory authority granted to default surrogates who decide on mental health treatment for incapacitated patients. METHODS The authors investigated state statutes delineating the powers of default surrogates to make decisions about mental health treatment. Statutes in all 50 U.S. states and the District of Columbia were identified and analyzed independently by three reviewers. Research was conducted from August 2017 to November 2018 and updated in January 2020. RESULTS State statutes varied in approaches to default surrogate decision making for mental health treatment. Eight states' statutes delegate broad authority to surrogates, whereas 25 states prohibit surrogates from giving consent for specific therapies. Thirteen states are silent on whether surrogates may make decisions. CONCLUSIONS Heterogeneity among state statutory laws contributes to complexity of treating patients without decisional capacity. This variability encumbers efforts to support surrogates and clinicians and may contribute to health disparities.
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Affiliation(s)
- Cavan K Doyle
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - Erin S DeMartino
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - Beau P Sperry
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - Sei Unno
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - Laura Weiss Roberts
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - David M Dudzinski
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - Daniel P Sulmasy
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - Paul S Mueller
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - Daniel B Kramer
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
| | - Mark Siegler
- Neiswanger Institute for Bioethics, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois (Doyle); Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota (DeMartino); David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Sperry); School of Law, Loyola University Chicago, Chicago (Unno); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California (Roberts); Department of Cardiology, Massachusetts General Hospital, Boston (Dudzinski); Departments of Medicine and Philosophy, Georgetown University, Washington, D.C. (Sulmasy); Department of General Internal Medicine, Mayo Clinic Health System, La Crosse, Wisconsin (Mueller); Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston (Kramer); MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago (Siegler)
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