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Assessment of a shortened informed consent form for pediatric research: a pilot study
Peter D Murray1,2, Barbara E Bierer3,4, Steven Hirschfeld5
1The Department of Pediatrics, Floating Hospital for Children at Tufts Medical Center, Boston, MA, USA. PM7DN@hscmail.mcc.virginia.edu.
Insights
A simplified informed consent form (ICF) did not improve participant understanding of clinical trial components. Further comparison of shortened and conventional ICFs in actual trials is needed.
Area of Science:
- Clinical Research
- Human Participant Protection
Background:
- The informed consent process is crucial in clinical research.
- The informed consent form (ICF) is central to protecting human participants.
Purpose of the Study:
- To evaluate if a shortened, simplified ICF with an appendix enhances participant understanding compared to a conventional ICF.
- Assessing the impact of ICF simplification on comprehension of study details.
Main Methods:
- Developed a shortened ICF from a conventional version for a neonatal study.
- Randomly assigned either the shortened or conventional ICF to parental advocacy group members.
- Collected participant feedback via surveys on their understanding and perception of the distributed ICF.
Main Results:
- Higher participant satisfaction with the shortened ICF, with 76% finding it "short and to the point" versus 68% for the conventional ICF.
- Despite perceived brevity, participants in the shortened ICF group indicated it lacked sufficient information.
- No statistically significant differences were observed in the understanding of key study components between the two groups.
Conclusions:
- A shortened informed consent form did not significantly alter participant comprehension of clinical trial information.
- Future research should directly compare shortened and conventional ICFs within active clinical trials to validate these findings.
Background:
Inherent to clinical research is the informed consent process, with the informed consent form (ICF), a key component of human participant protections. We wished to examine whether a shortened and simplified ICF, accompanied by an appendix, improved participant understanding of a study compared with a conventional ICF.
Methods:
A shortened ICF was developed from an existing conventional ICF for a neonatal study. Either the shortened or conventional ICF was randomly distributed to members of two parental advocacy groups. Participants answered survey questions about the form they received.
Results:
Thirty-one out of forty-one (76%) parents in the shortened ICF and 28/41 (68%) in the conventional ICF group responded. Significantly more parents in the shortened ICF group found their form "short and to the point". Although they also stated that the shortened ICF did not provide enough information, there were no significant differences between groups measuring the understanding of key study components.
Conclusion:
A shortened ICF did not impact the understanding of the clinical trial. It will be important to compare the shortened and conventional forms in actual clinical trials.
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