Enhancing the “Informed” in Informed Consent: A Pilot Test of a Multimedia Presentation

Wanzer, Melissa Bekelja; Wojtaszczyk, Ann M.; Schimert, Jessica; Missert, Lisa; Baker, Susan S.; Baker, Robert L.; Dunkle, Ben

doi:10.1080/10410231003775198

Cited by 19 publications

(15 citation statements)

References 31 publications

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“…Both this study and Rosen and Kanuper (2009 ) had similar, medium eff ect sizes related to worry and information-seeking behavior. Baumgartner and Hartmann (2011) argued that an informationseeking strategy would end in negative responses; however, another previous study found that as comprehension of the informed consent form increased, anxiety decreased ( Wanzer, Wojtaszczyk, Schimert, Missert, Baker, Baker, et al , 2010 ). The state fi ndings in this study partially supported previous work that state stress would be the most infl uential factor in paying attention to one's rights; yet, the lack of state anxiety fi ndings did not fully support the arousal hypothesis ( Wilken, et al , 1999 ).…”

Section: Discussionsupporting

confidence: 58%

Personality, Sex of Participant, and Face-to-Face Interaction Affect Reading of Informed Consent Forms

Knepp

2014

Psychol Rep

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Students (N = 183) participated in a study designed to determine if each student read the informed consent form. Approximately 12% of students in the online condition followed the procedure compared with 38% in the laboratory phase. Participants with higher trait worry and those with lower emotion reappraisal were more likely to follow the procedure, while women were more likely to read the form than men. Across conditions, most students do not read informed consent documents, particularly in online formats. These findings of this research support the idea that women tend to be more information-seeking than men in health and research settings and those with higher trait worry tend to read the consent forms to alleviate uncertainty and trust concerns.

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Section: Discussionsupporting

confidence: 58%

Personality, Sex of Participant, and Face-to-Face Interaction Affect Reading of Informed Consent Forms

Knepp

2014

Psychol Rep

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“…Wanzer ve ark. 'nin [27] endoskopi yapilacak çocuklarda yaptiği bir çalişmada; bir gruba sadece yazili bilgilendirme diğer gruba hem yazili hem video bilgilendirme yaptiklarinda anksiyete değerlerinde farklilik bulmamişlardir. Ayni şekilde, Bytzer ve Lindeberg [28] kolonoskopi yapilacak hastalara video bilgilendirme yapmiş, video ile bilgilendirilen grupla kontrol grubu arasinda anksiyete açisindan farklilik bulmamişlardir.…”

Section: Discussionunclassified

The effect of multimedia information on anxiety levels of patients undergoing magnetic resonance imaging

Acay¹,

Bakı²,

Ünlü³

et al. 2017

Pau Med J

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ÖzetAmaç:Manyetik rezonans görüntüleme (MRG) tibbin tüm alanlarinda hizla gelişen önemli bir tani araci olmuştur. Fakat son çalişmalarda MRG uygulanan hastalarin %37'sinde şiddetli anksiyete ve korku oluşumu raporlanmiştir. Çalişmamizda hastalara video bilgilendirme yaparak anksiyete düzeylerini azaltmayi amaçladik. Gereç ve yöntem: Aralik 2015 ve Şubat 2016 tarihleri arasinda 1.5 Tesla MRG cihazi kullanarak yaptiğimiz çalişmamiza klinisyen tarafindan MRG için yönlendirilen 100 hasta dahil edildi. Hastalar video bilgilendirme grubu (müdahale grubu, n=50) ve kontrol grubu (n=50) olmak üzere ikiye ayrildi. Tüm hastalarin anksiyete düzeyleri, Durumluk-Sürekli Kaygi Envanteri (STAI) ve Görsel analog skalasi (GAS) uygulanarak belirlendi. Daha önce hazirlanmiş olan 3 dakikalik video, müdahale grubundaki hastalara MRG öncesinde izletildi. Video sonrasi bu gruba STAI-S ve GAS tekrar uygulandi. MRG sonrasi ise tüm hastalara belirlediğimiz 7 sorudan oluşan anket uygulandi ve verdikleri cevaplar kaydedildi. Bulgular: Yaptiğimiz araştirma sonunda video bilgilendirme yapilan hastalarla video bilgilendirme yapilmayan hastalar arasinda MRG öncesi anksiyete değerleri arasinda anlamli bir fark bulunmadi. Video bilgilendirme sonrasinda ise bu hastalarin GAS ve STAI-S skorlarinda anlamli bir azalma görüldü (p=0.002). MRG sonrasi yapilan ankette; müdahale grubundaki hastalarin kontrol grubuna göre MR süresi ile ilgili endişelerinin anlamli bir şekilde daha az olduğu (p=0.016) ve beklediklerinden daha iyi geçtiği görüldü (p=0.022). Sonuç: Maliyet kaybina yol açmayan ve zararsiz olan bu uygulamanin hasta anksiyetesini düşürmede başarili olduğu gösterildi. Pam Tıp Derg 2017;(1):53-60Anahtar sözcükler: Anksiyete, Manyetik Rezonans Görüntüleme, Videokayit. AbstractPurpose: Magnetic resonance imaging (MRI) has been the most important and rapidly developing diagnostic tool in all spheres of medicine. However studies recently reported that severe anxiety and fear occurs in 37% of patients who underwent MRI. In our study, we aimed to reduce patient anxiety by video information. Materials and methods: Between December 2015 and February 2016 using a 1.5 Tesla MRI machine, 100 patients were enrolled in the study. Patients were divided into two groups; video information group (n = 50) and control group (n = 50). Anxiety levels of the patients were determined by applying State-Trait Anxiety Inventory (STAI) and Visual Analogue Scale (VAS). A three-minute video, which was prepared earlier, was watched by the patients in video information group before MRI. After video information, STAI-S and VAS were applied again. Subsequent to MRI, all patients were given a questionnaire consisting of seven questions and their responses were recorded. Results: Our research demonstrated no significant difference in anxiety scores of both groups before MRI. In the video information group there was a significant reduction in VAS and STAI-S scores (p = 0.002) after video information. According to the survey after MRI; in the video information group, concerns about M...

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“…Health information technology interventions can enhance informed consent by improving patients' objective comprehension of medical procedures, decreasing patients' anxiety levels, and increasing satisfaction with care. 32 Such interventions are appropriate for accommodating various learning styles and information needs that donors discussed, such as varied preferences relating to the use of statistical information.…”

Section: Discussionmentioning

confidence: 99%

Live liver donors’ information needs: A qualitative study of practical implications for informed consent

Gordon

Mullee

Skaro

et al. 2016

Surgery

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Background As live donor liver transplantation is increasingly used to expand the donor pool, concerns remain regarding ensuring live liver donors' informed consent. This study assessed donors' information preferences and perceptions of informed consent. Methods Cognitive interviews were conducted with donors by telephone about how knowledge items in a new survey instrument were material to informed consent, between November 2011 and April 2012. Thematic analysis was used to analyze qualitative data until reaching saturation. Results Twenty-nine liver donors participated (85% participation rate). Donors commonly reported being unable to understand or retain much information disclosed during education. Donors preferred information about major donation risks, e.g., death, and minor risks that would likely affect their daily lives, e.g., wound infection. Donors expressed less interest in information about their rights, confidentiality, or the medical procedure. Donors' preferences varied regarding statistical information. Many perceived the disclosure of risk information to be excessive, and rationalized risks believed to be uncommon or not serious. Donors were disappointed by the brevity of the post-donation hospital stay. Conclusions Our findings suggest that the complexity and volume of disclosed information during evaluation was difficult for donors to adequately comprehend. Donors' lack of appreciation for the seriousness of complications may undermine their ability to provide informed consent. Future research should develop effective information delivery methods to enhance informed consent.

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Enhancing the “Informed” in Informed Consent: A Pilot Test of a Multimedia Presentation

Cited by 19 publications

References 31 publications

Personality, Sex of Participant, and Face-to-Face Interaction Affect Reading of Informed Consent Forms

Personality, Sex of Participant, and Face-to-Face Interaction Affect Reading of Informed Consent Forms

The effect of multimedia information on anxiety levels of patients undergoing magnetic resonance imaging

Live liver donors’ information needs: A qualitative study of practical implications for informed consent

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