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Pragmatic Randomized Trials Without Standard Informed Consent?: A National Survey.


ABSTRACT:

Background

Significant debate surrounds the issue of whether written consent is necessary for pragmatic randomized, controlled trials (RCTs) with low risk.

Objective

To assess the U.S. public's views on alternatives to written consent for low-risk pragmatic RCTs.

Design

National experimental survey (2 × 2 factorial design) examining support for written consent versus general notification or verbal consent in 2 research scenarios.

Setting

Web-based survey conducted in December 2014.

Participants

2130 U.S. adults sampled from a nationally representative, probability-based online panel (response rate, 64.0%).

Measurements

Respondent's recommendation to an ethics review board and personal preference as a potential participant on how to obtain consent or notification in the 2 research scenarios.

Results

Most respondents in each of the 4 groups (range, 60.3% to 71.5%) recommended written informed consent, and personal preferences were generally in accord with that advice. Most (78.9%) believed that the pragmatic RCTs did not pose additional risks, but 62.5% of these respondents would still recommend written consent. In contrast, a substantial minority in all groups (28.5% to 39.7%) recommended the alternative option (general notification or verbal consent) over written consent.

Limitation

Framing effects could have affected respondents' attitudes, and nonrespondents may have differed in levels of trust toward research or health care institutions.

Conclusion

Most of the public favored written informed consent over the most widely advocated alternatives for low-risk pragmatic RCTs; however, a substantial minority favored general notification or verbal consent.

Primary funding source

Time-sharing Experiments for the Social Sciences and Intramural Research Program of the National Institutes of Health Clinical Center.

SUBMITTER: Nayak RK 

PROVIDER: S-EPMC5573142 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature

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Publications

Pragmatic Randomized Trials Without Standard Informed Consent?: A National Survey.

Nayak Rahul K RK   Wendler David D   Miller Franklin G FG   Kim Scott Y H SY  

Annals of internal medicine 20150901 5


<h4>Background</h4>Significant debate surrounds the issue of whether written consent is necessary for pragmatic randomized, controlled trials (RCTs) with low risk.<h4>Objective</h4>To assess the U.S. public's views on alternatives to written consent for low-risk pragmatic RCTs.<h4>Design</h4>National experimental survey (2 × 2 factorial design) examining support for written consent versus general notification or verbal consent in 2 research scenarios.<h4>Setting</h4>Web-based survey conducted in  ...[more]

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