ディシジョン・エイドの質基準から見た説明文書の現状と課題:治験関係者へのインタビュー調査を含めて

Translated title of the contribution: Current status and issues of informed consent forms from the quality standards of decision aid:Including interviews with stakeholders

Miho Fujita, Yuki Yonekura, Wakako Osaka, Kazuhiro Nakayama

Research output: Contribution to journalReview article

Abstract

Background: A primary concern of clinical trials is the protection of subjects, which is part of the voluntary consent process. However, the issues regarding informed consent, including the patients' lack of understanding of trials due to the complexity of informed consent documents(ICDs), continues to be debated. This study was conducted to determine the current state and issues of ICDs using the quality standards of Decision Aid(DA), as a basis for developing DAs for trials. Methods: ① Two independent evaluators assessed 20 ICDs using the quality of decision-making parameters(DQ standards). The evaluation was based on a two-point scale. ② Semi-structured interviews were conducted with 16 stakeholders. The interview contents were categorized and analyzed per the DQ standards domains. Results: The evaluation of ICDs revealed that more than half of the forms contained insufficient information required for good quality decision-making. The interviews also showed similar results, a predominantly negative opinion toward ICDs, and concerns about the neutrality of explanations provided by the medical staffs. Conclusion: Existing ICDs may not be useful for good-quality decisions. Results suggested the following need to be addressed for good-quality decision-making for clinical trial participation: a more precise delineation between participation and non-participation, a correct comprehension and interpretation of numerical information about trials, and think about what matters most to patients, neutral decision support. Therefore, it is necessary to develop DAs based on these results.

Translated title of the contributionCurrent status and issues of informed consent forms from the quality standards of decision aid:Including interviews with stakeholders
Original languageJapanese
Pages (from-to)247-257
Number of pages11
JournalJapanese Journal of Clinical Pharmacology and Therapeutics
Volume50
Issue number6
DOIs
Publication statusPublished - 2019 Jan 1

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)

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