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Accelerating implementation of visual key information to improve informed consent in research: a single-institution
Angela Hill1, Ashley J Housten1, Krista Cooksey1
1Washington University in St Louis School of Medicine, St Louis, Missouri, USA.
BMJ Open
|March 19, 2025
Summary
A new visual key information (KI) template significantly improved patient understanding of clinical trial details, with 87.4% accuracy. This accessible format may reduce barriers to research participation and enhance informed consent.
Area of Science:
- Clinical Research
- Health Literacy
- Informed Consent
Background:
- Current informed consent processes often hinder effective communication of study details, potentially creating disparities in research participation.
- The mandatory key information (KI) section, introduced by the 2018 Common Rule, can be lengthy and complex, limiting its utility.
- Accessible visual aids are needed to improve comprehension of complex study information for participants.
Purpose of the Study:
- To assess the feasibility of an accessible visual key information (KI) template for improving informed consent in clinical trials.
- To evaluate the impact of a visual KI template on participant knowledge, decisional conflict, and confidence in communicating about research.
Main Methods:
- A parallel feasibility study and implementation testing were conducted at a Midwestern US academic center.
- Rapid implementation science methods were used to develop and adapt the visual KI template with expert and patient input.
- Patient participants in four clinical trials using the visual KI template were surveyed to assess knowledge, decisional conflict, and confidence.
Main Results:
- Participants achieved a high mean knowledge score of 87.4% regarding clinical trial details when using the visual KI template.
- Decisional conflict regarding trial participation was low (10.6%), and nearly all participants (96.5%) approved of the visual KI template.
- A significant majority (92.9%) felt confident discussing trial details with researchers after using the visual KI template.
Conclusions:
- Visual KI templates demonstrate potential to enhance participant comprehension and reduce barriers to clinical trial enrollment.
- Implementation science methodologies facilitate the rapid development and evaluation of effective interventions for improving informed consent.
- Accessible visual tools are crucial for promoting equitable and informed participation in research studies.
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