Informed Consent Clinical Trial
Official title:
CSP #476DP - Enhancing Quality of Informed Consent (EQUIC-DP) Developmental Phase
Patients in 'parent' cooperative studies projects are interviewed about their experiences in the informed consent process.
Intervention: Immediately after giving informed consent for the parent study and before
randomization, research subjects will be asked for consent to participate in EQUIC-DP.
The parent-study staff will provide the research subject with privacy and place a call to
the coordinating center. Staff (at the EQUIC coordinating center), who will be administering
the Brief Informed Consent Evaluation Protocol (BICEP) to the research subject, will
introduce themselves. Then, the subject will be interviewed using a BICEP structured
assessment questionnaire of approximately 12-20 open ended questions, aimed at determining
the success and validity of the informed consent process of the parent study. The results of
the interviews will be used to fine-tune and adjust both the process of assessing informed
consent in this manner as well as the questionnaire itself.
Primary Hypothesis: Enhancing the Quality of Informed Consent Development Phase (EQUIC-DP)
is a pilot and instrument-development study that will be used as the base for a VA
Cooperative Studies Program-wide initiative on informed consent, called EQUIC (Enhancing the
Quality of Informed Consent). EQUIC-DP has as its primary aim the field testing and
iterative improvement of a method for measuring the success of an informed consent encounter
with a patient-subject.
Primary Outcomes: The quality of the informed consent process, as measured by the BICEP
(Brief Informed Consent Evaluation Protocol). The BICEP also offers a method to certify
informed consent in routine use.
Study Abstract: Practitioners of clinical trials have a responsibility to ensure that
patients participation in research is informed and voluntary. This implies that we should
continuously strive to improve the effectiveness of methods for informing prospective
research volunteers about experimental studies, thereby enhancing the likelihood that their
interests are respected. Innovations in informed consent should be tested in realistic
contexts (i.e., in clinical trials) and when appropriate with randomization at the first
opportunity. In this proposed project we take efforts to improve the quality of informed
consent, based on experimentation with informed consent in ongoing clinical trials in the VA
Cooperative Studies Program. The CSP is uniquely situated to serve as a testing ground for
informed consent, not only because of concerns for enhancing consent for human
experimentation, but also because of the centralized coordination of wide variety of
clinical studies representing an extraordinary range of patient capacities and
vulnerabilities. Moreover, such an effort is a special responsibility of the VA given the
profound trust placed in the research enterprise by veterans.
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