EQUIC-SM: Enhancing Quality of Informed Consent

NCT ID: NCT00032565

Last Updated: 2010-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

836 participants

Study Classification

OBSERVATIONAL

Study Start Date

2002-11-30

Study Completion Date

2008-03-31

Brief Summary

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Patients in 'parent' cooperative studies projects are interviewed about their experiences in the informed consent process.

Detailed Description

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Intervention: Self-Monitoring Questionnaire (a questionnaire relating to the process of IC self-administered by study coordinators) and evaluation of the informed consent process using the Brief Informed Consent Evaluation Protocol (BICEP) developed during the EQUIC-DP phase.

Primary Hypothesis: We hypothesize that by focusing attention on what may have become a routinized process, the quality of the IC encounter will be enhanced. We will evaluate the success of this intervention by having the patient-subject complete a telephone questionnaire, the BICEP (Brief Informed Consent Evaluation Protocol), after the IC process is completed.

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: Enhancing the Quality of Informed Consent Self-Monitoring (EQUIC-SM) is one component of a VA Cooperative Studies Program-wide initiative on informed consent (EQUIC). Its objective is the field testing and iterative improvement of one intervention in the informed consent (IC) process, self monitoring. Self-monitoring involves having the person obtaining IC complete a Self-Monitoring Questionnaire, or SMQ after the IC encounter with a patient-subject being recruited for a participating study. We conceive of the SMQ as an activation device which prompts the person obtaining IC to monitor how he/she conducts the IC encounter. RESEARCH DESIGN: EQUIC-SM will be conducted in conjunction with participating clinical trials of the VA CSP at multiple VAs throughout the country. Patient-subjects will be recruited from among participants in these parent studies. Parent studies will be randomized to SM protocol or to control sites.

METHODOLOGY: Patient-subjects will be informed about EQUIC-SM at the time that they are first presented with information about the parent study. The person obtaining consent will use a scripted description of EQUIC-SM. If the subject agrees, verbal consent for EQUIC-SM will be obtained. The same parent study informed consent process will be used for both the SM protocol and control arms of EQUIC-SM; however in the SM protocol arm, the person obtaining consent will complete the SMQ after the IC process. In both arms, patient-subjects will be asked to complete the BICEP interview after the parent study IC process is completed. FINDINGS: Investigators will use the results of EQUIC-SM to assess the value of the self-monitoring technique in improving the quality of informed consent. The premise is that focusing the attention of the person obtaining informed consent on the IC process will enhance the quality of the IC encounter, and thus of the informed consent obtained.

SIGNIFICANCE: Practitioners of clinical trials have a responsibility to ensure that patients participation in research be informed and voluntary. This responsibility implies that we should strive continuously to improve the effectiveness of methods for informing prospective research volunteers about experimental studies, thereby enhancing the protection of their interests. If the self-monitoring technique tested in EQUIC-SM proves to enhance the quality of informed consent, this technique may be adapted for wider use in conducting clinical trials, thus representing an important step towards this goal.

Conditions

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Healthy Informed Consent

Study Design

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Study Time Perspective

CROSS_SECTIONAL

Study Groups

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1

No intervention. Telephone interview.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Depends on 'parent' study
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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US Department of Veterans Affairs

FED

Sponsor Role lead

Responsible Party

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Department of Veterans Affairs

Principal Investigators

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Philip Lavori, PhD

Role: STUDY_CHAIR

VA Palo Alto Health Care System

Locations

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VA Medical Center, Birmingham

Birmingham, Alabama, United States

Site Status

Central Arkansas VHS Eugene J. Towbin Healthcare Ctr, Little Rock

No. Little Rock, Arkansas, United States

Site Status

VA Medical Center, Loma Linda

Loma Linda, California, United States

Site Status

VA Palo Alto Health Care System

Palo Alto, California, United States

Site Status

VA Connecticut Health Care System (West Haven)

West Haven, Connecticut, United States

Site Status

Atlanta VA Medical and Rehab Center, Decatur

Decatur, Georgia, United States

Site Status

Edward Hines, Jr. VA Hospital

Hines, Illinois, United States

Site Status

VA Medical Center, Lexington

Lexington, Kentucky, United States

Site Status

Southeast Veterans Healthcare System, New Orleans

New Orleans, Louisiana, United States

Site Status

VA Maryland Health Care System, Baltimore

Baltimore, Maryland, United States

Site Status

VA Medical Center, Jamaica Plain Campus

Boston, Massachusetts, United States

Site Status

VA Boston Healthcare System, Brockton Campus

Brockton, Massachusetts, United States

Site Status

John D. Dingell VA Medical Center, Detroit

Detroit, Michigan, United States

Site Status

VA Medical Center, Minneapolis

Minneapolis, Minnesota, United States

Site Status

VA Western New York Healthcare System at Buffalo

Buffalo, New York, United States

Site Status

VA Medical Center, Northport

Northport, New York, United States

Site Status

VA Medical Center, Durham

Durham, North Carolina, United States

Site Status

VA Medical Center, Cincinnati

Cincinnati, Ohio, United States

Site Status

VA Medical Center, Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

VA North Texas Health Care System, Dallas

Dallas, Texas, United States

Site Status

Michael E. DeBakey VA Medical Center (152)

Houston, Texas, United States

Site Status

Hunter Holmes McGuire VA Medical Center

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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Lavori PW, Wilt TJ, Sugarman J. Quality assurance questionnaire for professionals fails to improve the quality of informed consent. Clin Trials. 2007;4(6):638-49. doi: 10.1177/1740774507085144.

Reference Type DERIVED
PMID: 18042573 (View on PubMed)

Other Identifiers

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476SM

Identifier Type: -

Identifier Source: org_study_id