A Patient-Centered Approach to Informed Consent

Krishnamurti, Tamar; Argo, Nichole

doi:10.1177/0272989x16636844

Cited by 22 publications

(10 citation statements)

References 36 publications

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“…No universal best practices for e-consent have emerged [ 56 , 57 ]. Moreover, although previous studies have compared different forms of consent [ 58 , 59 ], there is a lack of studies that empirically examine the consent process in the context of social media recruitment for clinical studies.…”

Section: Resultsmentioning

confidence: 99%

Ethical Issues in Social Media Recruitment for Clinical Studies: Ethical Analysis and Framework

Zimmermann¹,

Willem²,

Bredthauer³

et al. 2022

J Med Internet Res

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Background Social media recruitment for clinical studies holds the promise of being a cost-effective way of attracting traditionally marginalized populations and promoting patient engagement with researchers and a particular study. However, using social media for recruiting clinical study participants also poses a range of ethical issues. Objective This study aims to provide a comprehensive overview of the ethical benefits and risks to be considered for social media recruitment in clinical studies and develop practical recommendations on how to implement these considerations. Methods On the basis of established principles of clinical ethics and research ethics, we reviewed the conceptual and empirical literature for ethical benefits and challenges related to social media recruitment. From these, we derived a conceptual framework to evaluate the eligibility of social media use for recruitment for a specific clinical study. Results We identified three eligibility criteria for social media recruitment for clinical studies: information and consent, risks for target groups, and recruitment effectiveness. These criteria can be used to evaluate the implementation of a social media recruitment strategy at its planning stage. We have discussed the practical implications of these criteria for researchers. Conclusions The ethical challenges related to social media recruitment are context sensitive. Therefore, social media recruitment should be planned rigorously, taking into account the target group, the appropriateness of social media as a recruitment channel, and the resources available to execute the strategy.

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Section: Resultsmentioning

confidence: 99%

Ethical Issues in Social Media Recruitment for Clinical Studies: Ethical Analysis and Framework

Zimmermann¹,

Willem²,

Bredthauer³

et al. 2022

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Both Studies 1 and 2 use realistic field experiments conducted in a university research lab. Our results are therefore highly relevant for researchers and institutional review boards who are interested in ensuring that study participants provide informed consent (e.g., Krishnamurti & Argo, 2016). Outside of laboratory contexts, the results may underestimate the true effect of having another person present.…”

Section: Discussionmentioning

confidence: 93%

Don't watch me read: how mere presence and mandatory waiting periods affect consumer attention to disclosures

Chin¹,

Beckett²

2019

Behav. Public Policy

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To help people make informed decisions, policy-makers often require entities to provide consumers with informational materials known as disclosures. However, it is unclear whether consumers pay attention to disclosures. In two experiments where we manipulate the delivery of disclosures, we find that the mere presence of an observer negatively affects attention to disclosures, while introducing a mandatory waiting period after receiving a disclosure increases attention. In a third study, we analyze more than 3000 surveys answered by recent mortgage borrowers. Borrowers who report receiving disclosures at mortgage closing meetings (which are often attended by multiple stakeholders) are less likely to have questions about their disclosures than those who receive disclosures beforehand, suggesting differential attention. Our findings demonstrate that both mandatory waiting periods and the presence of observers can affect consumers’ attention to disclosures. We discuss implications of our research for policies designed to promote informed consumer decision-making.

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“…Then, based on what was learned during recruitment for Cohort 2a (message length), which is detailed in the Method section, participants for Cohort 2b (message features) were randomly assigned to receive one of four messages: shortened versions of the three messages offering financial incentives or a shortened version of the message offering optional coaching. Shortening the messages allowed us to test the effects of message length, which may be important given research finding that simpler, more concise research materials have potential to increase patient engagement in clinical research (e.g., Krishnamurti & Argo, 2016). After receiving the recruitment message, patients could click on a hyperlink to visit the MindTrails website, enroll in the program, and complete the first session (out of five total sessions completed once per week).…”

Section: Overview Of Present Study and Hypothesesmentioning

confidence: 99%

“…Studies examining patient recruitment for clinical trials point to other promotional messaging strategies that may be effective for increasing mental health service engagement. For example, research has found that patients are more likely to enroll in clinical trials when recruitment materials use concise (vs. lengthier) language (Krishnamurti & Argo, 2016; Murray et al, 2018), and when financial incentives are offered (Abdelazeem et al, 2022). These findings highlight the potential use of promotional messages, some of which can be implemented for virtually no cost (e.g., testimonials, concise language), to increase mental health service engagement.…”

Section: Overview Of Present Study and Hypothesesmentioning

confidence: 99%

Minimal effect of messaging on engagement in a digital anxiety intervention.

Silverman¹,

Boggs²,

Eberle³

et al. 2023

Professional Psychology: Research and Practice

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This study evaluated the effectiveness of different recruitment messages for encouraging enrollment in a digital mental health intervention (DMHI) for anxiety among 1,600 anxious patients in a large health care system. Patients were randomly assigned to receive a standard message, or one of five messages designed to encourage enrollment: three messages offered varying financial incentives, one message offered coaching, and one message provided consumer testimonials. Patients could then click a link in the message to visit the DMHI website, enroll, and start the first session. We examined the effects of message features and message length (short vs. long) on rates of site clicks, enrollment, and starting the first session. We also tested whether demographic and clinical factors derived from patients' electronic health records were associated with rates of enrollment and starting the first session to understand the characteristics of patients most likely to use DMHIs in this setting. Across messages, 19.4% of patients clicked a link to visit the DMHI website, but none of the messages were significantly associated with rates of site clicks, enrollment, or starting the first session. Females (vs. males) had a greater probability of enrollment. No other demographic or clinical variables were significantly associated with enrollment or starting the first session. Findings provide guidance for resource allocation decisions in larger scale DMHI implementations in health care settings. Public Significance StatementAmong anxious patients in a large health care setting, resource-intensive methods of promoting DMHI engagement (e.g., offering financial incentives or coaching) did not affect rates of clicks on a link to visit a DMHI website, enrollment, or starting the first session. Findings suggest these high-cost promotional methods may not add value in terms of increasing DMHI uptake or use when offering DMHIs at a larger scale.

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A Patient-Centered Approach to Informed Consent

Cited by 22 publications

References 36 publications

Ethical Issues in Social Media Recruitment for Clinical Studies: Ethical Analysis and Framework

Ethical Issues in Social Media Recruitment for Clinical Studies: Ethical Analysis and Framework

Don't watch me read: how mere presence and mandatory waiting periods affect consumer attention to disclosures

Minimal effect of messaging on engagement in a digital anxiety intervention.

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