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Sward KA, Enriquez R, Burr J, Ozier J, Roebuck M, Elliott C, Dean JM. Consent Builder: an innovative tool for creating research informed consent documents. JAMIA Open 2022; 5:ooac069. [PMID: 35911667 PMCID: PMC9329658 DOI: 10.1093/jamiaopen/ooac069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 05/30/2022] [Accepted: 07/20/2022] [Indexed: 11/12/2022] Open
Abstract
Objective To describe process innovations related to research informed consent documents, and development and formative evaluation of Consent Builder, a platform for generating consent documents for multicenter studies. Materials and Methods Analysis of Institutional Review Board workflows and documents, followed by process redesign, document redesign, and software development. Locally developed software leverages REDCap and LaTeX. A small-scale usability study was conducted. Results Process innovations were combining document types, and conceptualizing 2-part informed consent documents: part 1 standardizing the study description and part 2 with local site verbiage. Consent Builder was implemented in the Trial Innovation Network. User survey scores were acceptable; but areas for improvement were noted. LaTeX coding was the biggest challenge for users. Discussion The process changes were generally well accepted. The software implementation uncovered un-accounted for assumptions, and variability in IRB review workflow across centers. Technical modifications may be needed before widespread implementation. Conclusion We demonstrated proof-of-concept of an approach to generate research consent documents that are consistent across sites in study description, but which allow for customization of local site verbiage. The Consent Builder tool is an example of an operational innovation, helping meet a need that arose in part due to regulations around use of Single IRB for multicenter trials.
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Affiliation(s)
- Katherine A Sward
- Department of Nursing, University of Utah, Salt Lake City, Utah, USA
- Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA
| | - Rene Enriquez
- Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA
| | - Jeri Burr
- Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA
| | - Julie Ozier
- Human Research Protection Program, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Megan Roebuck
- Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
| | - Carrie Elliott
- Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
| | - J Michael Dean
- Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA
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López-Parra M, Zamora-Carmona F, Sianes-Gallén M, López-González E, Gil-Rey D, Costa-Ventura H, Borrás-Sánchez M, Rayo-Posadas G, Arizu-Puigvert M, Vives-Vilagut R. Patient Information and Informed Consent for Research in the Elderly: Lessons Learned from a Randomized Controlled Trial. Healthcare (Basel) 2022; 10:healthcare10061036. [PMID: 35742087 PMCID: PMC9222813 DOI: 10.3390/healthcare10061036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 05/27/2022] [Accepted: 05/30/2022] [Indexed: 11/16/2022] Open
Abstract
The informed consent (IC) of subjects participating in experimental studies is the mainstay to comply with the ethical principle of autonomy to ensure that the participation is voluntary. This experience was performed within the context of a single-center randomized clinical trial in elective prosthetic surgery. Obtaining IC in clinical trials is not without difficulties, and especially in the case of vulnerable populations it can be very challenging. This work aimed to identify the difficulties during the IC process for a clinical trial in subjects older than 65 years old and quantify and describe the use of IC in front of a witness. Methods: This is a mixed methodology study with a qualitative part (focus group with 4 nurses involved in the inclusion of subjects) and a quantitative part describing the characteristics of patients who signed IC forms. Results: The main difficulties identified are related to comprehension, sensory impairments, education level, and time. IC in front of witnesses was used in 20 patients out of 508. Conclusions: The participation of subjects older than 65 years old in clinical trials requires an adaptation of the process. The use of IC in front of a witness should always be considered in studies including elderly subjects.
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Affiliation(s)
- Maria López-Parra
- Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, Sabadell, 08206 Barcelona, Spain; (F.Z.-C.); (M.S.-G.); (E.L.-G.); (D.G.-R.); (H.C.-V.); (G.R.-P.); (M.A.-P.)
- Correspondence: ; Tel.: +34-93-7458357
| | - Francesc Zamora-Carmona
- Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, Sabadell, 08206 Barcelona, Spain; (F.Z.-C.); (M.S.-G.); (E.L.-G.); (D.G.-R.); (H.C.-V.); (G.R.-P.); (M.A.-P.)
| | - Mònica Sianes-Gallén
- Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, Sabadell, 08206 Barcelona, Spain; (F.Z.-C.); (M.S.-G.); (E.L.-G.); (D.G.-R.); (H.C.-V.); (G.R.-P.); (M.A.-P.)
| | - Esmeralda López-González
- Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, Sabadell, 08206 Barcelona, Spain; (F.Z.-C.); (M.S.-G.); (E.L.-G.); (D.G.-R.); (H.C.-V.); (G.R.-P.); (M.A.-P.)
| | - Dolors Gil-Rey
- Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, Sabadell, 08206 Barcelona, Spain; (F.Z.-C.); (M.S.-G.); (E.L.-G.); (D.G.-R.); (H.C.-V.); (G.R.-P.); (M.A.-P.)
| | - Helena Costa-Ventura
- Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, Sabadell, 08206 Barcelona, Spain; (F.Z.-C.); (M.S.-G.); (E.L.-G.); (D.G.-R.); (H.C.-V.); (G.R.-P.); (M.A.-P.)
| | | | - Gemma Rayo-Posadas
- Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, Sabadell, 08206 Barcelona, Spain; (F.Z.-C.); (M.S.-G.); (E.L.-G.); (D.G.-R.); (H.C.-V.); (G.R.-P.); (M.A.-P.)
| | - Marta Arizu-Puigvert
- Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, Sabadell, 08206 Barcelona, Spain; (F.Z.-C.); (M.S.-G.); (E.L.-G.); (D.G.-R.); (H.C.-V.); (G.R.-P.); (M.A.-P.)
| | - Roser Vives-Vilagut
- Departament de Farmacologia, de Terapèutica i de Toxicologia, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, 08193 Barcelona, Spain;
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Kawasaki H, Yamasaki S, Kohama N, Fukita S, Tsunematsu M, Kakehashi M. Analysis of the Training Effect of a Nursing Undergraduate Course on the Management of Radiation-Related Health Concerns-A Single Group Experiment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17207649. [PMID: 33092176 PMCID: PMC7590150 DOI: 10.3390/ijerph17207649] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 10/12/2020] [Accepted: 10/15/2020] [Indexed: 11/16/2022]
Abstract
After the 2011 Fukushima Daiichi accident, demands regarding nursing staff's management of nuclear disasters have increased. This study aimed to evaluate a basic training program to teach undergraduate nursing students on how to deal with public anxiety following a nuclear disaster. We analyzed the data of 111 third-year nursing students attending a Japanese university. We set attainment goals in three domains (cognitive, affective, psychomotor) regarding their acquisition of consultation techniques for radiation-related health concerns. We compared pre- and post-class response scores on a knowledge test and calculated word frequencies in health consultation scenarios. The pre-class mean score was 12.2 out of 27 points and the post-class mean score (directly after the course) was 21.0, a significant increase (p < 0.001). The mean level of attainment in each of the three domains increased significantly from pre-test to post-test (p < 0.001). The variety and number of words in the health consultations also increased. Students attained the program goals for radiation-related health concerns in all domains. During disasters, there is a great need for nursing staff to administer physical and mental care to the public. This program was evaluated to be one wherein nursing staff can acquire fundamental knowledge about radiation in a short time.
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Affiliation(s)
- Hiromi Kawasaki
- Department of Public and School Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan; (S.Y.); (N.K.); (S.F.)
- Correspondence: ; Tel.: +81-82-257-5395
| | - Satoko Yamasaki
- Department of Public and School Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan; (S.Y.); (N.K.); (S.F.)
| | - Natsu Kohama
- Department of Public and School Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan; (S.Y.); (N.K.); (S.F.)
| | - Susumu Fukita
- Department of Public and School Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan; (S.Y.); (N.K.); (S.F.)
| | - Miwako Tsunematsu
- Department of Health Informatics, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan; (M.T.); (M.K.)
| | - Masayuki Kakehashi
- Department of Health Informatics, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8553, Japan; (M.T.); (M.K.)
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Ittenbach RF, Corsmo JJ, Miller RV, Korbee LL. Older Teens' Understanding and Perceptions of Risks in Studies With Genetic Testing: A Pilot Study. AJOB Empir Bioeth 2019; 10:173-181. [PMID: 31002290 DOI: 10.1080/23294515.2019.1577313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background: The consent process used in clinical research today falls markedly short of the ideal process envisioned nearly 30 years ago. Critics have suggested that the informed consent process has become challenging, formalistic, and incompletely understood by researchers and participants alike. Hence, the purpose of this pilot study was to identify and characterize important aspects of the informed consent process that teens believe impact their understanding of risks of participation in studies with genetic testing. Methods: The personal research experiences of 15 teens regarding consent/assent and research participation in studies with genetic testing were solicited through focus-group interviews. All participants had enrolled in at least one research study involving genetic testing in the prior 2 years. All groups were facilitated by the same experienced focus-group moderator. Themes and subthemes were identified, summarized, and interpreted using conventional qualitative content analysis. Results: Three overarching themes emerged from the interviews: fear of what could happen, need for additional information regarding risks, and need for autonomy and decision-making control throughout the consent process. Conclusion: Results of this pilot study provide preliminary evidence that teens can identify and characterize key issues in the informed consent/assent process when it comes to the risks of research participation. These findings are consistent with other research regarding teens' perceptions and recommendations for genetic testing research.
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Affiliation(s)
- Richard F Ittenbach
- a Division of Biostatistics and Epidemiology (MLC 5041), Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA
| | - Jeremy J Corsmo
- b Cincinnati Children's Hospital, Office of Research Compliance and Regulatory Affairs (MLC 7040) , Cincinnati , Ohio , USA
| | | | - Leslie L Korbee
- d Academic and Regulatory Monitoring Services, LLC , Cincinnati , Ohio , USA
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