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Communicating With Diverse Patients About Participating in a Biobank: A Randomized Multisite Study Comparing Electronic and Face-to-Face Informed Consent Processes
Journal article   Open access   Peer reviewed

Communicating With Diverse Patients About Participating in a Biobank: A Randomized Multisite Study Comparing Electronic and Face-to-Face Informed Consent Processes

Christian M Simon, Kai Wang, Laura A Shinkunas, Daniel T Stein, Paul Meissner, Maureen Smith, Rebecca Pentz and David W Klein
Journal of empirical research on human research ethics, Vol.17(1-2), pp.144-166
02/2022
DOI: 10.1177/15562646211038819
PMCID: PMC8712348
PMID: 34410195
url
https://doi.org/10.1177/15562646211038819View
Published (Version of record) Open Access

Abstract

Some individuals’ understanding of informed consent (IC) information may improve with electronic delivery, but others may benefit from face-to-face (F2F). This randomized, multisite study explores how individuals from diverse backgrounds understand electronic IC documents versus F2F, their confidence in understanding, and enrollment in research. A total of 501 patients at two U.S. biobanks with diverse populations participated. There were no overall differences between electronic and F2F understanding, but F2F predicted higher confidence in understanding and enrollment. Ethnicity and a higher educational level predicted higher understanding and confidence. Study findings suggest that electronic consent may lead to better understanding for non-Hispanic patients of higher socioeconomic status. F2F processes may lead to better understanding and higher enrollment of patients from Hispanic and lower socioeconomic levels. Researchers should carefully consider how they implement electronic IC processes and whether to maintain an F2F process to better address the needs and limitations of some populations.

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