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On-site electronic consent in pediatrics using generic Informed Consent Service (gICS): Creating a specialized setup
Katharina Danhauser1,2, Larissa Dorothea Lina Mantoan1,2, Jule Marie Dittmer1,2
1Department of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Insights
Electronic consent systems significantly reduce errors in pediatric studies. The generic Informed Consent Service (gICS) proved effective in capturing multiple consents for both clinical trials and biobank sample storage.
Area of Science:
- Clinical Research Informatics
- Pediatric Biobanking
- Informed Consent Technology
Background:
- Informed consent is essential for clinical trials and biobanking, especially in pediatric studies requiring assent from minors and consent from guardians.
- Electronic consent systems offer potential benefits like error reduction and streamlined documentation of multiple consents.
- Integrating electronic consent into existing research infrastructure presents challenges.
Purpose of the Study:
- To evaluate the usability of the generic Informed Consent Service (gICS) for electronic consent in pediatric studies.
- To assess the integration capabilities of gICS within a multi-user, multi-study research environment.
- To compare the error rates of electronic versus paper-based consent processes.
Main Methods:
- A 54-week study involving 1061 children and adolescents (ages 3-17) at a pediatric research setting.
- Utilized the gICS for electronic consent and assent, with separate paper-based consent for biobanking.
- Analyzed 2066 total consents/assents (945 paper-based, 1121 electronic).
Main Results:
- Electronic consent significantly reduced error susceptibility by 94.7% compared to paper-based methods.
- The gICS system was successfully implemented and integrated into the existing research infrastructure.
- 1121 electronic consents and 945 paper-based consents were collected, including 348 participants for biobanking.
Conclusions:
- The gICS is a viable and effective tool for electronic consent in pediatric research, including complex scenarios like biobanking.
- Electronic consent systems demonstrably improve data integrity and reduce errors in pediatric clinical trials.
- Successful implementation highlights the potential of gICS for broader application in various research studies.
Abstract:
Enrolling in a clinical trial or study requires informed consent. Furthermore, it is crucial to ensure proper consent when storing samples in biobanks for future research, as these samples may be used in studies beyond their initial purpose. For pediatric studies, consent must be obtained from both the child and their legal guardians, requiring the recording of multiple consents at once. Electronic consent has become more popular recently due to its ability to prevent errors and simplify the documentation of multiple consents. However, integrating consent capture into existing study software structures remains a challenge. This report evaluates the usability of the generic Informed Consent Service (gICS) of the University Medicine Greifswald (UMG) for obtaining electronic consent in pediatric studies. The setup was designed to integrate seamlessly with the current infrastructure and meet the specific needs of a multi-user, multi-study environment. The study was conducted in a pediatric research setting, where additional informed consent was obtained separately for the biobank. Over a period of 54 weeks, 1061 children and adolescents aged 3 to 17 years participated in the study. Out of these, 348 agreed also to participate in the biobank. The analysis included a total of 2066 consents and assents, with 945 paper-based and 1121 electronic consents. The study assessed the error susceptibility of electronic versus paper-based consents and found a significant reduction rate of errors of 94.7%. These findings provide valuable insights into the use of gICS in various studies and the practical implementation of electronic consent software in pediatric medicine.
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