Trial Outcomes & Findings for Easy-to-Read Informed Consent (ETRIC) for Hematopoietic Cell Transplantation Clinical Trials (BMT CTN 1205) (NCT NCT02081248)

NCT ID: NCT02081248

Last Updated: 2022-12-08

Results Overview

The primary objective of the trial is to compare objective comprehension scores on the Quality of Informed Consent (part A) instrument between subjects randomized to the ETRIC versus the standard consent arms. The QuIC-A is scored on a normalized scale from 0 to 100, with a higher score indicating a greater level of comprehension.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

198 participants

Primary outcome timeframe

Within 7 days of consent discussion

Results posted on

2022-12-08

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Consent
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Overall Study
STARTED
98
100
Overall Study
COMPLETED
76
87
Overall Study
NOT COMPLETED
22
13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Easy-to-Read Informed Consent (ETRIC) for Hematopoietic Cell Transplantation Clinical Trials (BMT CTN 1205)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Consent
n=98 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=100 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Total
n=198 Participants
Total of all reporting groups
Age, Continuous
61 years
n=5 Participants
61 years
n=7 Participants
61 years
n=5 Participants
Sex: Female, Male
Female
45 Participants
n=5 Participants
43 Participants
n=7 Participants
88 Participants
n=5 Participants
Sex: Female, Male
Male
53 Participants
n=5 Participants
57 Participants
n=7 Participants
110 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
87 Participants
n=5 Participants
94 Participants
n=7 Participants
181 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Race/Ethnicity, Customized
White
85 Participants
n=5 Participants
88 Participants
n=7 Participants
173 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Annual Household Income
Less than $40,000
11 Participants
n=5 Participants
19 Participants
n=7 Participants
30 Participants
n=5 Participants
Annual Household Income
$40,000-79,999
25 Participants
n=5 Participants
20 Participants
n=7 Participants
45 Participants
n=5 Participants
Annual Household Income
$80,000 or More
22 Participants
n=5 Participants
26 Participants
n=7 Participants
48 Participants
n=5 Participants
Annual Household Income
Unknown or Not Reported
40 Participants
n=5 Participants
35 Participants
n=7 Participants
75 Participants
n=5 Participants
Education Level
High School or Less
20 Participants
n=5 Participants
35 Participants
n=7 Participants
55 Participants
n=5 Participants
Education Level
Post-high School, but Less than Graduate Degree
29 Participants
n=5 Participants
27 Participants
n=7 Participants
56 Participants
n=5 Participants
Education Level
Graduate Degree or More
15 Participants
n=5 Participants
11 Participants
n=7 Participants
26 Participants
n=5 Participants
Education Level
Other
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Education Level
Unknown or Not Reported
29 Participants
n=5 Participants
21 Participants
n=7 Participants
50 Participants
n=5 Participants
Parent Clinical Trial
BMT CTN 0901
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Parent Clinical Trial
BMT CTN 1101
25 Participants
n=5 Participants
22 Participants
n=7 Participants
47 Participants
n=5 Participants
Parent Clinical Trial
BMT CTN 1203
50 Participants
n=5 Participants
51 Participants
n=7 Participants
101 Participants
n=5 Participants
Parent Clinical Trial
BMT CTN 1301
13 Participants
n=5 Participants
16 Participants
n=7 Participants
29 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Within 7 days of consent discussion

Population: Participants completing the QuIC-A assessment

The primary objective of the trial is to compare objective comprehension scores on the Quality of Informed Consent (part A) instrument between subjects randomized to the ETRIC versus the standard consent arms. The QuIC-A is scored on a normalized scale from 0 to 100, with a higher score indicating a greater level of comprehension.

Outcome measures

Outcome measures
Measure
Standard Consent
n=71 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=81 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Quality of Informed Consent Part A (QuIC-A) Score
81.8 units on a scale
Standard Deviation 9.5
80.5 units on a scale
Standard Deviation 8.7

SECONDARY outcome

Timeframe: Within 7 days of consent discussion

Population: Participants completing the QuIC-B assessment

The Quality of Informed Consent Part B measures participants' perception of their understanding of cancer clinical trials to address 13 independent domains of informed consent. The QuIC-B is scored on a normalized scale from 0 to 100, with a higher score indicating a greater level of perceived understanding.

Outcome measures

Outcome measures
Measure
Standard Consent
n=71 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=81 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Quality of Informed Consent Part B (QuIC-B) Score
98.2 units on a scale
Interval 91.9 to 100.0
96.4 units on a scale
Interval 89.3 to 100.0

SECONDARY outcome

Timeframe: WIthin 7 days of consent discussion

Population: Participants completing the modified DICCT assessment

The Modified Deaconess Informed Consent Comprehension Test (DICCT) uses semi-structured interviews to assess subject's understanding of the study for which they participated in an informed consent discussion. This modification of the DICCT has 11 items, each scored from 0 to 2 (0 = incorrect, 1 = partially correct, 2 = correct). The item scores are summed to produce a total score ranging from 0 to 22. A higher score indicates a higher level of comprehension.

Outcome measures

Outcome measures
Measure
Standard Consent
n=73 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=84 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Modified Deaconess Informed Consent Comprehension Test (DICCT)
15 units on a scale
Interval 13.0 to 17.0
15 units on a scale
Interval 14.0 to 17.0

SECONDARY outcome

Timeframe: Within 7 days of consent discussion

The Rapid Estimate of Adult Literacy in Medicine-Revised (REALM-R) is an 8-item word recognition test to provide clinicians with a valid quick assessment of patient health literacy. The score is computed as the number of words out of 8 that the patient pronounces correctly.

Outcome measures

Outcome measures
Measure
Standard Consent
n=98 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=100 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
REALM-R Score
8
62 Participants
69 Participants
REALM-R Score
Less Than 8
15 Participants
17 Participants
REALM-R Score
Not Completed
21 Participants
14 Participants

SECONDARY outcome

Timeframe: Within 7 days of consent discussion

The Newest Vital Sign is a screening tool that identifies patients at risk for low health literacy. It consists of a nutritional label accompanied by five questions about information on the label. The score is equal to the number of questions answered correctly.

Outcome measures

Outcome measures
Measure
Standard Consent
n=98 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=100 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Newest Vital Sign (NVS) Score
Less Than 4
11 Participants
16 Participants
Newest Vital Sign (NVS) Score
4
53 Participants
52 Participants
Newest Vital Sign (NVS) Score
5
13 Participants
18 Participants
Newest Vital Sign (NVS) Score
Not Completed
21 Participants
14 Participants

SECONDARY outcome

Timeframe: Within 7 days of consent discussion

Population: Participants completing the STAI assessment

The State Trait Anxiety Inventory (STAI) measures anxiety and distinguishes it from depressive syndromes. It has two subscales: the State Anxiety Scale evaluates the current state of anxiety, asking how respondents feel "right now," and Trait Anxiety Scale evaluating relatively stable aspects of "anxiety proneness". The STAI has 40 items, 20 items allocated to each subscale, with each item scored on a 4 point Likert scale. The subscale scores shown are averages of the items in the subscale ranging from 1.0 to 4.0, with a higher score indicating a greater level of anxiety.

Outcome measures

Outcome measures
Measure
Standard Consent
n=72 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=80 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
State Trait Anxiety Inventory (STAI) Score
State Anxiety Scale
2.5 units on a scale
Interval 2.3 to 2.6
2.5 units on a scale
Interval 2.3 to 2.6
State Trait Anxiety Inventory (STAI) Score
Trait Anxiety Scale
2.4 units on a scale
Interval 2.2 to 2.5
2.3 units on a scale
Interval 2.1 to 2.5

SECONDARY outcome

Timeframe: Within 7 days of consent discussion

Population: Participants completing the satisfaction questionnaire

A short study specific questionnaire and selected questions from the Quality of Informed Consent (QuIC) supplement questionnaire will query participants about their overall satisfaction with the consent process, helpfulness of information provided, and comprehension of key study-specific elements of treatment. Seven questions are included, each scored on a five point Likert scale. The overall score is the average of the item scores, ranging from 1.0 to 5.0, with a higher score indicating a higher level of satisfaction.

Outcome measures

Outcome measures
Measure
Standard Consent
n=72 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=82 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Participant Satisfaction With Consent Process
4.2 units on a scale
Interval 3.7 to 4.9
4.1 units on a scale
Interval 3.9 to 4.7

SECONDARY outcome

Timeframe: Within 7 days of consent discussion

Population: Participants completing the information location assessment

Participants are asked to identify select items within the consent document and the time taken to locate items is measured. Patients who were not able to identify a given section were assigned the maximum time allotted to find each section (180 seconds).

Outcome measures

Outcome measures
Measure
Standard Consent
n=76 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=85 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Participant Information Location Time
Finding Main Goal for Study
22 seconds
Interval 11.0 to 60.0
30 seconds
Interval 11.0 to 63.0
Participant Information Location Time
Finding Who to Contact for Questions
15 seconds
Interval 7.0 to 34.0
20 seconds
Interval 10.0 to 45.0
Participant Information Location Time
Finding Risks and Benefits Section
20 seconds
Interval 14.0 to 30.0
20 seconds
Interval 10.0 to 40.0
Participant Information Location Time
Finding How to Leave the Study
24 seconds
Interval 15.0 to 60.0
30 seconds
Interval 11.0 to 60.0
Participant Information Location Time
Finding Study Procedures
43 seconds
Interval 21.0 to 83.0
36 seconds
Interval 18.0 to 96.0

SECONDARY outcome

Timeframe: Within 7 days of consent discussion

Population: Consent rates are computed specific to each trial

The consent rate is the rate at which participants provided consent to participate in the parent trial.

Outcome measures

Outcome measures
Measure
Standard Consent
n=98 Participants
This arm will receive the Consent Form Specific Format 1 'standard consent'. The standard consents are already approved and used for the BMT CTN 0901, 1101, 1203, and 1301 trials. Consent Form Specific Format 1: The Consent Form Specific Format 1 is the 'Standard Consent'. The standard consent does not have the format of two-columns with changes in layout readability, organization of content, typography and use of plain language. Standard consents are already used by sites for the BMT CTN 0901, 1101, 1203, and 1301 clinical trials.
Easy-to-Read Informed Consent
n=100 Participants
This arm will receive the Consent Form Specific Format 2 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent (ETRIC) is the newly approved consent. Consent Form Specific Format 2: The Consent Form Specific Format 2 is the 'Easy-to-Read Informed Consent'.The Easy-to-Read Informed Consent is two-columns with changes in layout readability, organization of content, typography and use of plain language.
Consent Rate on Parent Trial
BMT CTN 0901
2 Participants
3 Participants
Consent Rate on Parent Trial
BMT CTN 1101
13 Participants
10 Participants
Consent Rate on Parent Trial
BMT CTN 1203
22 Participants
25 Participants
Consent Rate on Parent Trial
BMT CTN 1501
9 Participants
7 Participants

Adverse Events

Standard Consent

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Easy-to-Read Informed Consent

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Adam Mendizabal, PhD

The Emmes Corporation

Phone: 301-251-1161

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place