The University of Utah, Salt Lake City, USA.
Case Western Reserve University, Cleveland, OH, USA.
J Empir Res Hum Res Ethics. 2020 Oct;15(4):252-260. doi: 10.1177/1556264620913455. Epub 2020 Apr 3.
Obtaining informed consent for bloodspot research from newborn screening is particularly challenging due to the hectic environment of the postnatal period and the relatively abstract nature of future, unspecified research on the biospecimens. A randomized controlled trial was conducted in three Michigan hospitals to compare two different consent processes (video and interactive tablet "app") with standard brochure-based consent in the Michigan BioTrust for Health. Results indicated higher knowledge scores for the video and app groups as well as significantly higher scores on satisfaction, amount of information, and clarity with the information provided. More research is needed to find the right amount of information for informed decision-making, and additional feasibility studies are needed to assess implementation strategies.
由于新生儿筛查期间环境繁忙,且对生物样本的未来、未指定的研究具有相对抽象的性质,因此获得知情同意进行血斑研究极具挑战性。在密歇根州的三家医院进行了一项随机对照试验,以比较密歇根生物信托健康中心中基于标准宣传册的标准知情同意书,以及使用视频和交互式平板电脑“应用程序”的两种不同同意书流程。结果表明,视频和应用程序组的知识得分更高,对信息的满意度、信息量和清晰度得分也显著更高。还需要更多的研究来找到用于知情决策的正确信息量,并需要更多的可行性研究来评估实施策略。