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Reshaping the review of consent so we might improve participant choice

Bibliographic Data

ID21787665
AuthorsHugh Davies (0000-0003-3060-166X, Science Oxford, corresponding author)
Year2022
Volume18
Issue1
Pages3-12
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueResearch Ethics (JOURNAL)
Journal identifiersISSN: 1747-0161 • E-ISSN: 2047-6094
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/17470161211043703
OpenAlexW3200988775
LanguageEN
Citations received3
References cited14

Consent is one necessary foundation for ethical research and it’s one of the research ethics committee’s major roles to ensure that the consent process meets acceptable standards. Although on Oxford ‘A’ REC (an NHS Research Ethics Committee based in the UK) we’ve been impressed by the thought and work put into this aspect of research ethics, we’ve continued to have concerns about the suitability and effectiveness of consent processes in supporting decision making, particularly for clinical trials. There’s poor understanding of what people want to help them decide; current processes don’t provide the best grounding for informed consent and there’s inadequate public involvement. We’ve also found a lack of proportionality with researchers failing to adapt consent procedures in proportion to the burdens and consequences of the study. As a result, people are often not best helped to make an informed choice when asked to join a research study. To address these concerns, we considered how we might improve this aspect of research ethics review. Recognising the central importance of the dialogue between the volunteer and researcher, we’ve drawn up a model or flowchart of what we deem good consent practice, proposing consent should be built around four simple steps: Step 1: Introducing the study and the choices: helping the potential participants get an overview of the proposal and introducing the key issues. Step 2: Explaining all the details of the study using the detailed Participant Information Sheet. Step 3: After a gap, if necessary, reviewing and checking understanding. Step 4: Reaching agreement and recording consent. These steps, we believe, could help all involved and this article lays out ways we might improve participant choice while complying with accepted principles and current regulations

Alternative medicine · Engineering ethics · Informed consent · Political science · Public relations · Research ethics · Biomedical Ethics and Regulation · Computer Science · Engineering · Ethics in Clinical Research · Ethics in medical practice · Law · Medicine · Psychology

  • Reshaping consent so we might improve participant choice (II) – helping people decide

    Open Access•Hugh Davies, Rosie Munday et al.•Research Ethics•2023

  • Reshaping consent so we might improve participant choice (III) – How is the research participant’s understanding currently checked and how might we improve this process

    Open Access•Hugh Davies, Simon Kolstoe et al.•Research Ethics•2024

  • UK Research Ethics Committee’s review of the global first Sars-CoV-2 human infection challenge studies

    Open Access•Hugh Davies•Journal of Medical Ethics•2023

  • Interventions to Improve Research Participants' Understanding in Informed Consent for Research

    James Flory, Ezekiel J Emanuel et al.•JAMA•2004

  • Quality of informed consent in cancer clinical trials

    Open Access•Steven Joffe, E Francis Cook et al.•The Lancet•2001

  • Communicating Risks and Benefits in Informed Consent for Research

    Open Access•Lika Nusbaum, Brenda Douglas et al.•Global Qualitative Nursing Research•2017

  • It's not just what you say, it's also how you say it

    Open Access•Julia Wade, Jenny L Donovan et al.•Social Science & Medicine•2009

  • Do informed consent documents for cancer trials do what they should? A study of manifest and latent functions

    Open Access•N Armstrong, Mary Dixon-Woods et al.•Sociology of Health & Illness•2012

Unique citing works3
Citations per year1
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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