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Development and Validation of a Stakeholder-Driven, Self-Contained Electronic Informed Consent Platform for
Bethany Y Norton1,2, James Liu1,2, Sara A Lewis1,2
1Barrow Neurological Institute, Phoenix Children's, Phoenix, Arizona, USA.
AJOB Empirical Bioethics
|June 23, 2025
Summary
An electronic informed consent (iConsent) application improved participant understanding and satisfaction in trio-based genomic research, demonstrating feasibility and enhanced study reach.
Area of Science:
- Genomic research
- Informed consent process
- Participant engagement
Background:
- Traditional informed consent methods often result in low participant understanding and satisfaction.
- Electronic consent is gaining traction in genomics, but data for trio-based studies are limited.
- This study focuses on cerebral palsy genomic research.
Purpose of the Study:
- To design, develop, implement, and validate an electronic informed consent (iConsent) application for trio-based genomic research.
- To assess participant understanding and satisfaction with the iConsent application.
- To ensure the iConsent application meets stakeholder requirements and facilitates genomic data sharing.
Main Methods:
- Incorporated stakeholder feedback (researchers, patient advocates, IRB members) into iConsent development.
- Integrated principles from prior electronic consenting research and multimedia learning theory.
- Assessed participant understanding using an interactive teachback format.
Main Results:
- Participants demonstrated high understanding and retention of human subjects information.
- High participant satisfaction was reported with the iConsent application.
- Participant understanding, clarity, privacy, and study goal explanations correlated with overall satisfaction.
Conclusions:
- The iConsent application is a feasible approach for trio-based genomic research.
- The iConsent approach satisfies multiple stakeholder requirements.
- Electronic consent can enhance participant understanding and satisfaction while broadening study reach.
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