Informed Consent Clinical Trial
Official title:
Improving Informed Consent and Assent in Pediatric Endoscopy
Informed consent/assent in pediatric medicine is an accepted and important practice that has been rarely studied, tested for quality, or optimized for patient satisfaction. In the pursuit of enhancing and studying pediatric care, the investigators propose, as pediatric gastroenterologists, assessing the current state of parental and adolescent consent/assent in upper gastrointestinal endoscopy and offering a computer based education program to improve it. The investigators will look at outcomes that include anxiety, satisfaction, attainment of informed consent, and patient flow efficiency in a GI endoscopy suite.
Status | Completed |
Enrollment | 148 |
Est. completion date | March 2009 |
Est. primary completion date | March 2009 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Parent of child undergoing 1st, elective, outpatient, sedated, upper endoscopy (EGD) - Subject gives consent to participate - Child of parent does not have a planned endoscopy intervention. Exclusion Criteria: - Does not speak or understand English - Does not give consent to participate - Does not complete consent instrument at a minimum during study |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Chidren's Hospital of Philadelphia | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Children's Hospital of Philadelphia | Midwestern University |
United States,
Grös DF, Antony MM, Simms LJ, McCabe RE. Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): comparison to the State-Trait Anxiety Inventory (STAI). Psychol Assess. 2007 Dec;19(4):369-81. — View Citation
Standards of Practice Committee, Zuckerman MJ, Shen B, Harrison ME 3rd, Baron TH, Adler DG, Davila RE, Gan SI, Lichtenstein DR, Qureshi WA, Rajan E, Fanelli RD, Van Guilder T. Informed consent for GI endoscopy. Gastrointest Endosc. 2007 Aug;66(2):213-8. — View Citation
Woodrow SR, Jenkins AP. How thorough is the process of informed consent prior to outpatient gastroscopy? A study of practice in a United Kingdom District Hospital. Digestion. 2006;73(2-3):189-97. Epub 2006 Jul 11. — View Citation
Yacavone RF, Locke GR 3rd, Gostout CJ, Rockwood TH, Thieling S, Zinsmeister AR. Factors influencing patient satisfaction with GI endoscopy. Gastrointest Endosc. 2001 Jun;53(7):703-10. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Attainment of Informed Consent as Measured by Consent Instrument (Consent-20) | Units on a scale (score) as Measured by Consent 20 Instrument. 20 questions administered on a laptop computer and answered in private. Questions 1-5: qualitative questions about recalling procedure, risks, benefits, etc. (correct or incorrectly scored 0 or 2 points), Questions 6-20: yes or no responses, measuring delivery, voluntariness, and understanding. Each scored 0 or 2 points. Measures theoretical attainment of a minimum standard of informed consent. Worse value: Zero Best Value: 40 |
Every 1-2 months | No |
Secondary | Subject (Parental) Satisfaction as Measured by Modified Group Health Association of America-9 Survey (mGHAA-9) | Worse Value: 5 Best Value 45 Measures satisfaction on a scale per the mGHAA-9. 9 questions administered on a laptop in private. | Every 1-2 months | No |
Secondary | Subject (Parental) State Anxiety as Measured by the Spielberger-State Trait Anxiety Inventory (s-STAI) (State Section) | s-STAI as a series of question administered by laptop computer in private. 20 questions answered on Likert 4 point scale that varies based on question type. Max score 80. | 12-18 hours (Night before Endoscopy to Day of Endoscopy) | No |
Secondary | Questions Asked by Subjects (Parents) | Number of questions written down by family and asked of clinician. Question sheet given to nurse in endoscopy suite and deposited in a box. | Questions written by parents during the end of consent process (48-72 hours) | No |
Secondary | GI Suite Flow Efficiency Measured in 15 Minute Increments | At completion of study | No |
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