دورية أكاديمية

Informed Consent in Two Alzheimer's Disease Research Centers: Insights From Research Coordinators.

التفاصيل البيبلوغرافية
العنوان: Informed Consent in Two Alzheimer's Disease Research Centers: Insights From Research Coordinators.
المؤلفون: Suver CM; Sage Bionetworks, Seattle, WA, USA., Hamann JK; Sage Bionetworks, Seattle, WA, USA., Chin EM; University of Wisconsin-Madison Alzheimer's Disease Research Center, Madison, WI, USA., Goldstein FC; Emory University Goizueta Alzheimer's Disease Research Center, Atlanta, GA, USA., Blazel HM; University of Wisconsin-Madison Alzheimer's Disease Research Center, Madison, WI, USA., Manzanares CM; Emory University Goizueta Alzheimer's Disease Research Center, Atlanta, GA, USA., Doerr MJ; Sage Bionetworks, Seattle, WA, USA., Asthana SJ; University of Wisconsin-Madison Alzheimer's Disease Research Center, Madison, WI, USA., Mangravite LM; Sage Bionetworks, Seattle, WA, USA., Levey AI; Emory University Goizueta Alzheimer's Disease Research Center, Atlanta, GA, USA., Lah JJ; Emory University Goizueta Alzheimer's Disease Research Center, Atlanta, GA, USA., Edwards DF; University of Wisconsin-Madison Alzheimer's Disease Research Center, Madison, WI, USA.
المصدر: AJOB empirical bioethics [AJOB Empir Bioeth] 2020 Apr-Jun; Vol. 11 (2), pp. 114-124. Date of Electronic Publication: 2020 Mar 16.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Taylor & Francis Group, 2014- Country of Publication: United States NLM ID: 101631047 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2329-4523 (Electronic) Linking ISSN: 23294515 NLM ISO Abbreviation: AJOB Empir Bioeth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : Taylor & Francis Group, 2014-
مواضيع طبية MeSH: Alzheimer Disease*/psychology , Communication* , Professional-Patient Relations* , Research Personnel* , Research Subjects*, Biomedical Research/*ethics , Informed Consent/*ethics, Adult ; Attention ; Comprehension ; Consent Forms ; Ethics, Research ; Female ; Humans ; Male ; Qualitative Research ; Surveys and Questionnaires ; Therapeutic Misconception
مستخلص: Background : Informed consent (IC) is critical to performing ethical research. Unfortunately, the IC process and supporting IC forms are frequently burdensome and do not necessarily meet the informational needs of participants. The intersecting legal and ethical challenges of obtaining IC from individuals with memory or cognitive deficits further exacerbate existing IC shortcomings. For this reason, study coordinators play a critical role in facilitating the IC process in Alzheimer's disease (AD) research. To identify opportunities to improve how IC is obtained in AD research, we examined the IC process from the perspectives of study coordinators at two Alzheimer's Disease Research Centers (ADRC). Methods : We performed semi-structured interviews with 15 study coordinators from two ADRC sites detailing their experience obtaining IC. Interviews were conducted in private, recorded, transcribed, and independently coded using the constant comparative method of grounded theory. Key themes were explored as they emerged. Results : Coordinators reported overall satisfaction with the IC process. However, many reported difficulties maintaining participant attention, explaining complex procedures, and addressing medical misinformation. Although the centers use site-specific consent forms, coordinators at both centers stressed that their IC is too long and the supporting IC forms are too complicated. Coordinators indicated modifying the IC process to the perceived needs of individual participants. Adaptations reported include altering the cadence and vocabulary they employ, using supplemental materials, varying the order of IC topics, and limiting the depth of information presented. Conclusion : A qualitative analysis of interviews with study coordinators reveals opportunities to improve how we obtain IC in AD research. These insights will be used to create an electronic informed consent (eConsent) designed to boost engagement, enhance trust, and improve understanding by supporting participants' direct agency in the IC process.
References: J Gen Intern Med. 2013 Jan;28(1):121-6. (PMID: 22782275)
Alzheimers Dement. 2018 Oct;14(10):1334-1343. (PMID: 30293575)
JAMA. 2004 Oct 6;292(13):1593-601. (PMID: 15467062)
BMC Med Ethics. 2013 Jul 23;14:28. (PMID: 23879694)
N Engl J Med. 1986 Oct 30;315(18):1124-8. (PMID: 3762630)
Eur J Hum Genet. 2015 Feb;23(2):141-6. (PMID: 24801761)
AJOB Empir Bioeth. 2017 Jul-Sep;8(3):178-188. (PMID: 28949896)
N Engl J Med. 2015 Feb 26;372(9):855-62. (PMID: 25714163)
JAMA. 2013 Nov 27;310(20):2191-4. (PMID: 24141714)
J Law Med Ethics. 2018 Mar;46(1):72-78. (PMID: 29991882)
J Law Med Ethics. 2002 Fall;30(3):411-9. (PMID: 12497701)
J Appl Psychol. 1948 Jun;32(3):221-33. (PMID: 18867058)
Cancer Chemother Pharmacol. 2018 Nov;82(5):907-910. (PMID: 30151620)
Front Genet. 2019 Apr 05;10:289. (PMID: 31024616)
Genet Med. 2017 May;19(5):505-512. (PMID: 27735922)
CMAJ. 2012 Mar 20;184(5):533-40. (PMID: 22392947)
Innov Clin Neurosci. 2012 May;9(5-6):47-51. (PMID: 22808449)
PLoS Med. 2007 Nov 27;4(11):e324. (PMID: 18044980)
J Am Geriatr Soc. 1998 Oct;46(10):1308-10. (PMID: 9777917)
Yale J Health Policy Law Ethics. 2008 Winter;8(1):37-92. (PMID: 18564493)
Cultura (Iasi). 2017;14(2):159-172. (PMID: 29645014)
J Law Med Ethics. 2018 Mar;46(1):110-118. (PMID: 30057442)
Nurse Res. 2016 Sep;24(1):8. (PMID: 27641701)
IRB. 2010 May-Jun;32(3):7-11. (PMID: 20590051)
Contemp Clin Trials Commun. 2016 Feb 17;3:32-38. (PMID: 29736454)
Psychiatry Clin Neurosci. 2015 Aug;69(8):462-71. (PMID: 25756740)
Nat Rev Neurol. 2011 May 24;7(7):410-4. (PMID: 21610690)
Proc Natl Acad Sci U S A. 2014 Jun 10;111(23):8410-5. (PMID: 24821756)
Am J Med Genet C Semin Med Genet. 2018 Mar;178(1):75-80. (PMID: 29512940)
معلومات مُعتمدة: P30 AG062715 United States AG NIA NIH HHS; P50 AG025688 United States AG NIA NIH HHS; P50 AG033514 United States AG NIA NIH HHS
فهرسة مساهمة: Keywords: Informed consent; memory deficit; qualitative research; study coordinator
تواريخ الأحداث: Date Created: 20200317 Date Completed: 20210701 Latest Revision: 20210701
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC7266429
DOI: 10.1080/23294515.2020.1737982
PMID: 32175821
قاعدة البيانات: MEDLINE
الوصف
تدمد:2329-4523
DOI:10.1080/23294515.2020.1737982