Alternative consent models for comparative effectiveness studies: Views of patients from two institutions

Autor: Rachel Fabi, Sean Tunis, Rachael Moloney, Donna A. Messner, Danielle Whicher, Kristina Hallez, Nancy E. Kass, James M Pitcavage, Ruth R. Faden, Stephanie R. Morain
Rok vydání: 2016
Předmět:
Zdroj: AJOB Empirical Bioethics. 7:92-105
ISSN: 2329-4523
2329-4515
DOI: 10.1080/23294515.2016.1156188
Popis: Background: Informed consent requirements generally require a lengthy process and signed documentation for patients to participate in clinical research. With growing interest in comparative effectiveness research (CER), whereby patients receive approved (nonexperimental) medicines for their medical condition, questions have been raised whether the same consent requirements should apply. Little input from patients has been part of these debates. Methods: We conducted two “deliberative engagement sessions” with patients from Johns Hopkins Community Physicians (JHCP) and Geisinger Health System (GHS). Full-day sessions introduced participants to two different CER designs (observational vs. randomized) comparing two antihypertensive medications and three disclosure or consent approaches: Opt-In, Opt-Out, and “General Approval.” Sessions consisted of presentations and extensive discussion at small group tables. Pre- and posttest surveys were completed by participants before and after all-day discussion...
Databáze: OpenAIRE