Article
Clinical Neurology
Alessandro Perin, Tommaso Francesco Galbiati, Roberta Ayadi, Enrico Gambatesa, Eleonora Francesca Orena, Nicole Irene Riker, Hagit Silberberg, Donatella Sgubin, Torstein Ragnar Meling, Francesco DiMeco
Summary: This study demonstrates that using immersive 3D imaging technologies for informed consent can improve patients' understanding of their condition, enhance communication experience, and reduce anxiety levels. Patients in the experimental groups appreciated this new communication method and showed higher objective comprehension compared to the control group.
ACTA NEUROCHIRURGICA
(2021)
Article
Medicine, General & Internal
Abhijit Pal, Sarah Stapleton, Christina Yap, Julia Lai-Kwon, Robert Daly, Dimitrios Magkos, Bindumalini Rao Baikady, Anna Minchom, Udai Banerji, Johann De Bono, Deme Karikios, Frances Boyle, Juanita Lopez
Summary: This study aims to improve patient understanding of clinical trials by enhancing informed consent, and will test the effectiveness through a randomized controlled trial.
Article
Public, Environmental & Occupational Health
Rafael Dal-Re, Teck Chuan Voo, Soren Holm
Summary: The study investigated whether any changes were made to the original participant's information sheet/informed consent form (PIS/ICF) provided by the WHO Solidarity Plus team when transferred to participating countries. The results showed that no edits were made in 8 countries, some elements were added in 8 countries, and 3 countries did not participate. The conclusion suggests that WHO should consider adding three omitted elements in the PIS/ICFs of future similar trials.
JOURNAL OF GLOBAL HEALTH
(2023)
Article
Clinical Neurology
Felizitas A. Eichner, Joschua M. Reis, Joaquim Dores, Vladimir Pavlovic, Luisa Kress, Naeimeh Daneshkhah, Renate Weinhardt, Armin Grau, Johannes Muehler, Hassan Soda, Christopher J. Schwarzbach, Michael Schuler, Karl Georg Haeusler, Peter U. Heuschmann
Summary: The study found that stroke patients have a relatively high understanding of the informed consent procedure, but face difficulties in recalling other important aspects of the study content and procedures. Younger age, higher education, and allocation to the intervention group were associated with better understanding. The recruitment and retention benefits of an improved informed consent procedure still need to be tested in future randomized trials.
EUROPEAN JOURNAL OF NEUROLOGY
(2021)
Article
Medicine, Research & Experimental
Julia Wade, Elka Humphrys, Alba X. Realpe, Daisy M. Gaunt, Jenni Burt
Summary: The participatory and informed consent (PIC) measure was developed to assess recruiter information provision and patient understanding in recruitment discussions. The measure was evaluated and revised within the context of the OPTiMISE trial, demonstrating good feasibility, content validity, and reliability.
Article
Ethics
Dorothy Helen Boyd, Yinan Zhang, Lee Smith, Lee Adam, L. Foster Page, W. M. Thomson
Summary: This study investigated caregivers' understandings and the effectiveness of the informed consent process for children participating in a dental randomized control trial. The findings showed that some caregivers had limited understanding of the purpose of the trial, and rated the readability of the consent form higher than their understanding of the research. Most caregivers enrolled their child in the trial because they trusted the researchers and wanted to improve dental care for children.
JOURNAL OF BIOETHICAL INQUIRY
(2021)
Article
Emergency Medicine
Krista L. L. Snyder, Jon F. F. Merz
Summary: We conducted a census of trials conducted under the U.S. FDA's EFIC rule and found that 30 out of 69 completed trials were terminated early, mainly due to futility (15 trials) and poor recruitment (10 trials). The rate of trial conduct has remained relatively constant since 2001, with approximately 18 trials started in each 5-year period.
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Elizabeth R. Brassfield, Mara Buchbinder
Summary: The implementation of medical aid-in-dying (MAID) poses new challenges for clinical communication and counseling. Health care providers must balance potential harms and the obligation to inform eligible patients about MAID, as norms and policies vary across jurisdictions.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Ethics
Evelien De Sutter, Pascal Borry, David Geerts, Isabelle Huys
Summary: The personalized approach of eIC may increase participant empowerment, but there are ethical and practical challenges to consider. Interviewees stressed the importance of personal interaction with the research team and believed that face-to-face contact cannot be replaced by an electronic platform.
BMC MEDICAL ETHICS
(2021)
Article
Public, Environmental & Occupational Health
Karine Wach, Thomas Remen, Frederique Claudot
Summary: The study aimed to assess the agreement between patients' perceived understanding and objective understanding during preoperative consultations. It found that patients often rated their understanding higher than healthcare professionals, highlighting the importance of self and hetero-measurement.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Pediatrics
Elliott Mark Weiss, Katherine F. Guttmann, Aleksandra E. Olszewski, Brooke E. Magnus, Sijia Li, Scott Y. H. Kim, Anita R. Shah, Sandra E. Juul, Yvonne W. Wu, Kaashif A. Ahmad, Ellen Bendel-Stenzel, Natalia A. Isaza, Andrea L. Lampland, Amit M. Mathur, Rakesh Rao, David Riley, David G. Russell, Zeynep N. Salih, Carrie B. Torr, Joern-Hendrik Weitkamp, Uchenna E. Anani, Taeun Chang, Juanita Dudley, John Flibotte, Erin M. Havrilla, Alexandra C. O'Kane, Krystle Perez, Brenda J. Stanley, Seema K. Shah, Benjamin S. Wilfond
Summary: The study revealed that the parental experience of recruitment varied by enrollment status. Parents who declined to enroll preferred to be approached by clinical team members rather than research team members, while enrolled parents more frequently reported positive initial impressions. Many parents in both groups made their decision early in the recruitment process.
JOURNAL OF PEDIATRICS
(2021)
Article
Ethics
Jaime Fons-Martinez, Cristina Ferrer-Albero, Javier Diez-Domingo
Summary: The H2020 i-CONSENT project has developed guidelines to enhance the informed consent process in clinical studies, with most of its recommendations being judged appropriate by stakeholders. However, there were higher uncertainty ratings in the sections on general recommendations and considering gender perspectives. Improving investigators' communication skills and co-creating information were identified as key ways to enhance understanding in the informed consent process for clinical studies.
BMC MEDICAL ETHICS
(2021)
Article
Surgery
Jasmine Panton, Brendin R. Beaulieu-Jones, Jayson S. Marwaha, Alison P. Woods, Drashko Nakikj, Nils Gehlenborg, Gabriel A. Brat
Summary: This study investigated how surgeons assess and communicate risks in surgery, with a focus on the role of risk calculators. The results showed that non-clinical factors, such as health and risk literacy, affect how surgeons evaluate and communicate risks, which differs from traditional risk calculators. The study also highlighted the misalignment between surgeons' perception of risk communication and patient priorities.
AMERICAN JOURNAL OF SURGERY
(2023)
Article
Surgery
Boris Zevin, Mohammad Almakky, Ugo Mancini, David I. Robertson
Summary: Adding a digital educational platform (DEP) to a standard verbal consent for laparoscopic Roux-en-Y gastric bypass (LRYGB) improved patient's understanding of the procedure-specific risks and benefits, increased patient satisfaction, and saved over 50% of the bariatric surgeon's time during the consent discussion.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Health Care Sciences & Services
Lily N. Stalter, Nathan D. Baggett, Bret M. Hanlon, Anne Buffington, Elle L. Kalbfell, Amy B. Zelenski, Robert M. Arnold, Justin T. Clapp, Margaret L. Schwarze
Summary: Surgeons often focus on disease and treatment in surgical consultations, neglecting patients' overall health goals. Changing the focus of these conversations may better support patients' deliberation about the value of surgery.
MEDICAL DECISION MAKING
(2023)
Article
Psychiatry
Claire Hayes, Magenta Simmons, Victoria J. Palmer, Bridget Hamilton, Christine Simons, Malcolm Hopwood
AUSTRALASIAN PSYCHIATRY
(2020)
Article
Oncology
Andrew Donkor, Tim Luckett, Sanchia Aranda, Verna Vanderpuye, Jane Phillips
ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
(2020)
Article
Oncology
Georgia K. B. Halkett, Susan Merchant, Sian K. Smith, Moira O'Connor, Michael Jefford, Sanchia Aranda, Penelope Schofield
EUROPEAN JOURNAL OF CANCER CARE
(2020)
Article
Oncology
Chi-Yin Kao, Sanchia Aranda, Meinir Krishnasamy, Bridget Hamilton
EUROPEAN JOURNAL OF CANCER CARE
(2020)
Article
Psychiatry
Rachel Tindall, Magenta Simmons, Kelly Allott, Bridget Hamilton
FRONTIERS IN PSYCHIATRY
(2020)
Review
Environmental Sciences
Annie Bygrave, Kate Whittaker, Christine Paul, Elizabeth A. Fradgley, Megan Varlow, Sanchia Aranda
Summary: This systematic review revealed that cancer patients in Australia often face significant financial burden, especially for younger patients, indigenous people, and low-income households. Therefore, it is essential to consider the costs of care and decisions about where to receive care when making informed decisions about cancer care.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Health Care Sciences & Services
Andrew Donkor, Tim Luckett, Sanchia Aranda, Verna Vanderpuye, Jane L. Phillips
Summary: The study developed a resource for LMICs to self-assess their capacity to establish safe and sustainable radiotherapy services. The RESEA Guide includes 37 requirements and 120 readiness questions for LMICs to consider and answer. Further evaluation and refinement are needed to validate the guide's usability and effectiveness.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Medicine, General & Internal
Vivienne Milch, Sanchia Aranda, Karen Canfell, Megan Varlow, David M. Roder, David Currow, Cleola Anderiesz, Dorothy Keefe
MEDICAL JOURNAL OF AUSTRALIA
(2021)
Article
Emergency Medicine
Catherine Brasier, Helena Roennfeldt, Bridget Hamilton, Andrew Martel, Nicole Hill, Anthony Stratford, Sally Buchanan-Hagen, Louise Byrne, David Castle, Nadine Cocks, Larry Davidson, Lisa Brophy
Summary: This study explored the benefits and limitations of employing peer support workers with lived experience of mental distress and recovery to support individuals experiencing mental distress in the emergency department. The findings suggest that peer support workers bring important skills such as listening, de-escalation, relationship-building, and empathy to the ED. However, significant workforce and organizational support are required for successful implementation.
EMERGENCY MEDICINE AUSTRALASIA
(2022)
Article
Medicine, General & Internal
Eva Segelov, Christine Carrington, Sanchia Aranda, David Currow, John R. Zalcberg, Alexander G. Heriot, Linda Mileshkin, John Coutsouvelis, Jeremy L. Millar, Brian T. Collopy, Jon D. Emery, Phoebe Zhang, Simon Cooper, Carmel O'Kane, Janet Wale, Stephen J. Hancock, Anthony Sulkowski, John Bashford
Summary: Sponsored by the Australian Council on Healthcare Standards, a consensus-driven process using a modified Delphi methodology was conducted to determine a set of clinical indicators for cancer service provision in Australia. After a series of meetings and deliberations, a final set of 16 indicators was established by a multidisciplinary steering group and stakeholder group. This inaugural cancer clinical indicator set aims to drive continual improvement in cancer care provision across Australia and internationally.
MEDICAL JOURNAL OF AUSTRALIA
(2021)
Article
Nursing
Hosu Ryu, Bridget Hamilton, Bronwyn Tarrant
Summary: The study explored the experiences of early career mental health nurses working in a specialist eating disorder inpatient unit in Australia. Participants commonly reported feelings of anxiety and frustration when interacting with patients, attempting to understand themselves and others through countertransference. It is recommended that nurses have appropriate opportunities to discuss and reflect on their feelings in order to enhance their practice and professional resilience.
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
(2022)
Review
Nursing
Rachael Sabrinskas, Bridget Hamilton, Catherine Daniel, John Oliffe
Summary: This review summarizes the literature on the epidemiology and prevention of hanging suicides, emphasizing the need for improving education and policies related to controlled environments and medical management. It also highlights the importance of including the lived experiences of survivors to advance the current prevention agenda.
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
(2022)
Article
Health Care Sciences & Services
Kees van Gool, Jane Hall, Philip Haywood, Dan Liu, Serena Yu, Samuel B. G. Webster, Bahare Moradi, Sanchia Aranda
Summary: This study examines the recent trends in funding for radiotherapy services from 2009-10 to 2021-22 and provides policy implications. The research reveals a 78% increase in demand for radiotherapy services while funding has increased by 137%. Despite the main driver of funding growth being the Extended Medicare Safety Net, patients are facing increasing financial barriers. Therefore, there is a need to review policies on funding radiotherapy services to ensure easy and affordable access for all patients in need of treatment, while maintaining reasonable costs for the government.
AUSTRALIAN HEALTH REVIEW
(2023)
Article
Public, Environmental & Occupational Health
Qingwei Luo, Dianne L. O'Connell, Xue Qin Yu, Clare Kahn, Michael Caruana, Francesca Pesola, Peter Sasieni, Paul B. Grogan, Sanchia Aranda, Citadel J. Cabasag, Isabelle Soerjomataram, Julia Steinberg, Karen Canfell
Summary: Through statistical modeling projections, Australia's age-standardized incidence rate for all cancers is expected to remain relatively stable or decline in the next 25 years, but the number of new cancer cases and deaths will significantly increase. Treatment delays during the COVID-19 pandemic may lead to an increase in cancer deaths among patients.
LANCET PUBLIC HEALTH
(2022)
Article
Public, Environmental & Occupational Health
Annie Bygrave, Kate Whittaker, Sanchia A. M. Aranda
JOURNAL OF PUBLIC HEALTH RESEARCH
(2020)