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Therapeutic Misconception about Research Procedures: Does a Simple Information Chart Improve Understanding?

Gavin Campbell1, Margie D Dixon2, Minisha Lohani3

  • 1Research assistant at the Winship Cancer Institute of Emory University.

Ethics & Human Research
|February 26, 2022
PubMed
Summary

A simple chart improved patient understanding of biospecimen use in clinical trials. This helps reduce therapeutic misconception, where patients wrongly assume all samples are for their personal medical care.

Keywords:
biospecimensinformed consentnontherapeutic proceduresphase I researchresearch ethicstherapeutic misconception

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Area of Science:

  • Clinical Trials
  • Bioethics
  • Patient Education

Background:

  • Biospecimens in clinical trials serve dual purposes: patient care and research.
  • Therapeutic misconception is common, with patients often assuming all biospecimens are solely for their medical care.

Purpose of the Study:

  • To evaluate if a simple information chart can enhance patient comprehension of non-therapeutic biospecimen research procedures.
  • To assess the impact of an educational aid on understanding biospecimen allocation in phase I trials.

Main Methods:

  • A two-arm study design was employed with 101 patients.
  • The experimental group received a study-specific information chart detailing biospecimen purposes.
  • The control group answered questions without the aid.

Main Results:

  • Understanding that pretreatment blood draws were for both care and research was moderate in both groups (49% control, 62% experimental).
  • Significantly more patients in the experimental group understood that posttreatment blood draws were research-only (44% vs. 16% control; p = 0.002).

Conclusions:

  • A simple information chart can improve patient understanding of biospecimen use in clinical research.
  • Educational interventions may effectively mitigate therapeutic misconception regarding non-therapeutic research procedures.