Informed consent for cataract surgery: Patient understanding of verbal, written, and videotaped information

Shukla, Anita N.; Daly, Mary K.; Legutko, Paul A.

doi:10.1016/j.jcrs.2011.07.030

Cited by 67 publications

(90 citation statements)

References 6 publications

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“…Modern ethics committees demand highly detailed PILs which may perversely reduce the quality of the consent decision by discouraging thorough reading and reducing assimilation of information. 29 This observation is supported by the current findings. As a matter for debate, we suggest the introduction of a supplementary and abbreviated PIL with a checklist of fundamental concepts to be covered during the informed consent process (this would include the division between researcher and clinician roles).…”

Section: Comparison With the Existing Literaturesupporting

confidence: 91%

Recruiting ethnic minority participants to a clinical trial: a qualitative study

et al. 2013

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ObjectivesTo compare the motives and experiences of different ethnic groups participating in a randomised double blind placebo-controlled trial of montelukast in preschool wheeze, and to assess parents’ or guardians’ understanding of trial procedures and their implications, including the collection of genetic material.DesignQualitative interviews with parents or guardians.SettingInterviews occurred in the homes of London children recruited to a national multicentre clinical trial following primary and secondary care attendance with wheeze.Participants42 parents (20 of Bangladeshi origin, 10 white UK, 12 other ethnicities) of preschool children enrolled in a clinical trial.ResultsBangladeshi families were relatively reluctant to participate in the qualitative study, despite strong engagement with the parent study. Anxiety related to wheezing was a common primary motive for trial enrolment. Parents viewed the trial as a route to improved treatment. Verbal delivery of trial information appeared more effective than study literature, especially for Bangladeshi families, with low parental literacy and high levels of trust in medical professionals potential contributors to this effect. All ethnic groups expressed a low understanding and/or retention of essential study concepts such as randomisation and genetic testing.ConclusionsBangladeshi families are particularly motivated to participate in clinical trials despite variable comprehension of study concepts. This motivation is more strongly contingent on strong researcher-subject rapport than on the quality of study literature. Trial teams seeking to recruit from South Asian populations should emphasise face-to-face verbal explanation of trial concepts and procedures and consider modified trial literature.

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Section: Comparison With the Existing Literaturesupporting

confidence: 91%

Recruiting ethnic minority participants to a clinical trial: a qualitative study

et al. 2013

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“…For this reason, numerous reports have studied the best way of communicating essential information to the patient 1–3. This includes verbal discussion, use of videotaped presentation, and use of leaflets and written consent forms, allowing patients to digest information at their own pace 14–17…”

Section: Introductionmentioning

confidence: 99%

Role of the treating surgeon in the consent process for elective refractive surgery

Schallhorn

Hannan²,

Teenan³

et al. 2016

OPTH

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PurposeTo compare patient’s perception of consent quality, clinical and quality-of-life outcomes after laser vision correction (LVC) and refractive lens exchange (RLE) between patients who met their treating surgeon prior to the day of surgery (PDOS) or on the day of surgery (DOS).DesignRetrospective, comparative case series.SettingOptical Express, Glasgow, UK.MethodsPatients treated between October 2015 and June 2016 (3972 LVC and 979 RLE patients) who attended 1-day and 1-month postoperative aftercare and answered a questionnaire were included in this study. All patients had a thorough preoperative discussion with an optometrist, watched a video consent, and were provided with written information. Patients then had a verbal discussion with their treating surgeon either PDOS or on the DOS, according to patient preference. Preoperative and 1-month postoperative visual acuity, refraction, preoperative, 1-day and 1-month postoperative questionnaire were compared between DOS and PDOS patients. Multivariate regression model was developed to find factors associated with patient’s perception of consent quality.ResultsPreoperatively, 8.0% of LVC and 17.1% of RLE patients elected to meet their surgeon ahead of the surgery day. In the LVC group, 97.5% of DOS and 97.2% of PDOS patients indicated they were properly consented for surgery (P=0.77). In the RLE group, 97.0% of DOS and 97.0% of PDOS patients stated their consent process for surgery was adequate (P=0.98). There was no statistically significant difference between DOS and PDOS patients in most of the postoperative clinical or questionnaire outcomes. Factors predictive of patient’s satisfaction with consent quality were postoperative satisfaction with vision (46.7% of explained variance), difficulties with night driving, close-up vision or outdoor/sports activities (25.4%), visual phenomena (12.2%), dry eyes (7.5%), and patient’s satisfaction with surgeon’s care (8.2%).ConclusionPerception of quality of consent was comparable between patients that elected to meet the surgeon PDOS, and those who did not.

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“…To optimize information imprinting, a combination of verbal and written instructions is advocated [16].…”

Section: Discussionmentioning

confidence: 99%

The Timing of Instructions Given to Patients Subjected to Third Molar Removal: Effect on Memory and Pain

Mark¹,

Schortinghuis²,

F³

et al. 2018

Int Arch Oral Maxillofac Surg

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Informed consent for cataract surgery: Patient understanding of verbal, written, and videotaped information

Cited by 67 publications

References 6 publications

Recruiting ethnic minority participants to a clinical trial: a qualitative study

Recruiting ethnic minority participants to a clinical trial: a qualitative study

Role of the treating surgeon in the consent process for elective refractive surgery

The Timing of Instructions Given to Patients Subjected to Third Molar Removal: Effect on Memory and Pain

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