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加快视觉关键信息的实施,以改善研究中的知情同意:单一机构的可行性研究和实施测试
Angela Hill1, Ashley J Housten1, Krista Cooksey1
1Washington University in St Louis School of Medicine, St Louis, Missouri, USA.
BMJ open
|March 19, 2025
概括
一个新的视觉关键信息 (KI) 模板显著改善了患者对临床试验细节的理解,准确率为87.4%. 这种可访问的格式可以减少参与研究的障碍,并加强知情同意.
科学领域:
- 临床研究 临床研究
- 卫生识字 卫生识字
- 在知情同意的情况下同意.
背景情况:
- 当前的知情同意流程往往会阻碍研究细节的有效沟通,可能会在研究参与中造成差异.
- 由2018年共同规则引入的强制性关键信息 (KI) 部分可能是漫长而复杂的,限制了其实用性.
- 需要可访问的视觉辅助工具来改善参与者对复杂的研究信息的理解.
研究的目的:
- 评估可访问的可视化关键信息 (KI) 模板的可行性,以改善临床试验中的知情同意.
- 评估视觉AI模板对参与者的知识,决策冲突和沟通研究的信心的影响.
主要方法:
- 在美国中西部的一个学术中心进行了并行的可行性研究和实施测试.
- 快速实施科学方法被用于开发和调整视觉KI模板,并获得专家和患者的意见.
- 在使用视觉KI模板的四项临床试验中,对患者参与者进行了调查,以评估知识,决策冲突和信心.
主要成果:
- 当使用视觉KI模板时,参与者在临床试验细节方面获得了87.4%的高平均知识分.
- 关于参与试验的决策冲突很低 (10.6%),几乎所有参与者 (96.5%) 批准了视觉KI模板.
- 在使用视觉AI模板后,绝大多数 (92.9%) 的受访者对与研究人员讨论试验细节感到自信.
结论:
- 视觉AI模板显示了提高参与者理解和减少临床试验招生障碍的潜力.
- 实施科学方法有助于快速开发和评估有效的干预措施,以改善知情同意.
- 可访问的视觉工具对于促进公平和知情参与研究研究至关重要.
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