Markman Kris M, Weicker Noelle P, Klein Andreas K, Sege Robert
Tufts Clinical and Translational Science Institute, Tufts University, Boston, MA, USA.
Tufts University School of Medicine, Boston, MA, USA.
J Clin Transl Sci. 2023 Apr 20;7(1):e108. doi: 10.1017/cts.2023.534. eCollection 2023.
Inadequate training in the interpersonal skills of conducting informed consent conversations has long been noted as a challenge for clinical research recruitment and retention. To address this critical gap, Tufts Clinical and Translational Science Institute developed regular trainings for clinical research coordinators and other research staff on the practical skills of communicating informed consent using community members as simulated patients for role-playing exercises. In this paper, we assess the reach and effectiveness of these trainings and describe the impact of employing community stakeholders as simulated patients. We found that by embedding community members in the trainings, clinical research coordinators get to hear diverse perspectives, experience a range of patient responses, and learn from the lived experience of the communities that research tries to serve. Utilizing community members as trainers also helps to dismantle traditional power dynamics by demonstrating the organization's commitment to inclusiveness and community engagement. Based on these findings, we suggest that training on informed consent include more simulated consent exercises that feature interaction with community members who can provide real-time feedback to coordinators.
长期以来，开展知情同意对话的人际沟通技巧培训不足一直被视为临床研究招募和留住参与者的一项挑战。为了弥补这一关键差距，塔夫茨临床与转化科学研究所为临床研究协调员和其他研究人员开展了定期培训，内容是使用社区成员作为模拟患者进行角色扮演练习来传达知情同意的实用技能。在本文中，我们评估了这些培训的覆盖范围和效果，并描述了将社区利益相关者作为模拟患者的影响。我们发现，通过让社区成员参与培训，临床研究协调员能够听到不同的观点，体验一系列患者反应，并从研究试图服务的社区的实际经验中学习。利用社区成员作为培训师也有助于打破传统的权力动态，展示组织对包容性和社区参与的承诺。基于这些发现，我们建议，关于知情同意的培训应包括更多模拟同意练习，其中要有与能够向协调员提供实时反馈的社区成员的互动。
