Use of a Multimedia Presentation for Informed Consent

NCT ID: NCT01955070

Last Updated: 2013-10-07

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

Clinical Phase

NA

Total Enrollment

184 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2012-12-31

Brief Summary

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This is a prospective cohort study in which the standard verbal informed consent process for ketamine sedation is compared to a multimedia informed consent process. The goals include determining if parents prefer a multimedia consent process and evaluating the effectiveness of multimedia consent process.

Detailed Description

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BACKGROUND: Informed consent (IC) is an ethical process for ensuring patient autonomy. Multimedia presentations (MMP) often aid the IC process for research studies. Thus, it follows that MMP would improve IC in clinical settings.

OBJECTIVE: To determine if MMP for the IC process for ketamine sedation improves parental satisfaction and comprehension as compared to standard practice.

DESIGN/METHODS: This two phase study compared two methods of IC for ketamine sedation of pediatric patients. Phase one was a randomized, prospective study that compared the standard verbal consent to a MMP. Phase two implemented the MMP into daily work flow. Parents completed a survey evaluating their satisfaction of the IC process and assessing their knowledge of ketamine sedation. Primary outcome measures were parental overall satisfaction with the IC process and knowledge of ketamine sedation.

Conditions

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Improving Informed Consent Process

Keywords

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Informed consent Ethics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Implementation

Multimedia Presentation for Ketamine sedation

Group Type EXPERIMENTAL

Multimedia Presentation for Ketamine sedation

Intervention Type OTHER

PowerPoint presentation created with approval of section of emergency medicine for informed consent for ketamine sedation

Intervention

Multimedia Presentation for Ketamine sedation

Group Type EXPERIMENTAL

Multimedia Presentation for Ketamine sedation

Intervention Type OTHER

PowerPoint presentation created with approval of section of emergency medicine for informed consent for ketamine sedation

Control

Patients that received the standard consent with signed consent form

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Multimedia Presentation for Ketamine sedation

PowerPoint presentation created with approval of section of emergency medicine for informed consent for ketamine sedation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Receiving ketamine sedation for fracture reduction
* Less than 18 years of age
* English as primary language

Exclusion Criteria

* patients who received medications in addition to ketamine for sedation
* Families where English was not the primary language
Minimum Eligible Age

1 Year

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nationwide Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sandra Spencer

Assistant Professor of Clinical Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sandra P Spencer, MD

Role: PRINCIPAL_INVESTIGATOR

Nationwide Childrens, Department of Emergency Medicine

Locations

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Nationwide Childrens

Columbus, Ohio, United States

Site Status

Countries

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United States

References

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Akkad A, Jackson C, Kenyon S, Dixon-Woods M, Taub N, Habiba M. Informed consent for elective and emergency surgery: questionnaire study. BJOG. 2004 Oct;111(10):1133-8. doi: 10.1111/j.1471-0528.2004.00240.x.

Reference Type BACKGROUND
PMID: 15383117 (View on PubMed)

Baren J, Campbell CF, Schears RM, Shofer FS, Datner EM, Hollander JE. Observed behaviors of subjects during informed consent for an emergency department study. Ann Emerg Med. 2010 Jan;55(1):9-14. doi: 10.1016/j.annemergmed.2009.09.023. Epub 2009 Nov 22.

Reference Type BACKGROUND
PMID: 19931940 (View on PubMed)

Agre P, Rapkin B. Improving informed consent: a comparison of four consent tools. IRB. 2003 Nov-Dec;25(6):1-7. No abstract available.

Reference Type BACKGROUND
PMID: 15035248 (View on PubMed)

Flory J, Emanuel E. Interventions to improve research participants' understanding in informed consent for research: a systematic review. JAMA. 2004 Oct 6;292(13):1593-601. doi: 10.1001/jama.292.13.1593.

Reference Type BACKGROUND
PMID: 15467062 (View on PubMed)

Nwomeh BC, Hayes J, Caniano DA, Upperman JS, Kelleher KJ. A parental educational intervention to facilitate informed consent for emergency operations in children. J Surg Res. 2009 Apr;152(2):258-63. doi: 10.1016/j.jss.2008.01.008. Epub 2008 Feb 4.

Reference Type BACKGROUND
PMID: 18374948 (View on PubMed)

Spencer SP, Stoner MJ, Kelleher K, Cohen DM. Using a Multimedia Presentation to Enhance Informed Consent in a Pediatric Emergency Department. Pediatr Emerg Care. 2015 Aug;31(8):572-6. doi: 10.1097/PEC.0000000000000513.

Reference Type DERIVED
PMID: 26221786 (View on PubMed)

Other Identifiers

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MMP for Informed Consent

Identifier Type: -

Identifier Source: org_study_id