Improved pregnant women's understanding of research information by an enhanced informed consent form: a randomised controlled study nested in neonatal research.

Bibliographic Details
Title: Improved pregnant women's understanding of research information by an enhanced informed consent form: a randomised controlled study nested in neonatal research.
Authors: Nut Koonrungsesomboon, Traivaree, Chanchai, Chamnanvanakij, Sangkae, Rungtragoolchai, Pimchitr, Thanapat, Yawana, Karbwang, Juntra, Koonrungsesomboon, Nut
Source: Archives of Disease in Childhood -- Fetal & Neonatal Edition; Sep2018, Vol. 103 Issue 5, pF403-F407, 5p, 4 Charts
Subject Terms: RISK factors in premature labor, CONFIDENCE intervals, HEALTH facilities, INFORMED consent (Medical law), MEDICAL research, PATIENT satisfaction, PREGNANCY & psychology, QUESTIONNAIRES, STATISTICAL sampling, EDUCATIONAL attainment, RANDOMIZED controlled trials, RELATIVE medical risk
Geographic Terms: THAILAND
Abstract: Objective: This study aimed to test the applicability and effectiveness of the enhanced informed consent form (ICF) methodology, proposed by the Strategic Initiative for Developing Capacity in Ethical Review (SIDCER), in neonatal research requiring maternal consent.Design: A single-centre open-label randomised controlled study.Setting: Antenatal care clinics at Phramongkutklao Hospital, Thailand.Patients: 234 pregnant women who were at risk of preterm labour were enrolled; 232 individuals completed the study.Interventions: The participants were randomly assigned to read either the SIDCER ICF or the conventional ICF.Main Outcome Measures: The participants' understanding of essential trial-related information was assessed using 25 closed-ended questions. The primary endpoint was the proportion of the participants who obtained the satisfactory level of understanding at 80% (score of ≥20/25).Results: 72.5% (87/120) of the participants in the SIDCER ICF group and 59.8% (67/112) of the conventional ICF group achieved the primary endpoint (relative risk (RR)=1.212, 95% CI 1.005 to 1.462, p=0.041). The superiority of the SIDCER ICF over the conventional ICF was significant, particularly among the participants whose education was at the high school level or below (63.5% vs 44.1%, RR=1.441, 95% CI 1.022 to 2.030, p=0.031).Conclusions: The SIDCER ICF methodology is applicable to neonatal research requiring maternal consent. The SIDCER ICF significantly improved the understanding of pregnant women, particularly among those with lower levels of education. The present study confirms the value of the SIDCER ICF methodology in research involving individuals with a limited academic background. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
More Details
ISSN:13592998
DOI:10.1136/archdischild-2017-312615
Published in:Archives of Disease in Childhood -- Fetal & Neonatal Edition
Language:English