Concept | Tool(s) Used | Quantitative or Qualitative | Clinical Context | Key Points | Reference |
---|---|---|---|---|---|
Consent Process | Spielberger STAIa, Questionnaire | Quantitative | Cardiac Electrophysiology | Patients prefer to be made aware of possible risks. No significant difference between oral, written, and video consent formats. | Goldberger et al. 2011 [35] |
EDICTa | Quantitative | Liver Transplantation | Development of “Evaluation of Donor Informed Consent Tool” to assess consent comprehension. | Gordon et al. 2015 [29] | |
Narrative interviews | Qualitative | Bone-marrow Transplantation | Patients’ views toward consent process change after reporting disappointment with procedure. | Little et al. 2008 [17] | |
Telephone questionnaire | Qualitative | Open Inguinal Hernia Repairs | Patients have better recall of benefits than of complications, intraoperative details, or post-operative instructions. | Uzzaman et al. 2012 [36] | |
QuICa | Quantitative | Oncology | Therapeutic misconceptions held by participants and investigators need to be directly addressed to improve the quality of informed consent. | Joffe et al. 2001 [38] | |
Deliberative Engagement Sessions | Qualitative | General Medical Research | Patients want to be told about research and have a choice but are open to streamlining those disclosures. | Kass et al. 2016 [39] | |
BICEPa | Qualitative | General Medical Research | Independent telephone evaluations of the quality of informed consent are feasible. More focus needed on voluntariness of continued participation and that participation has purpose aside from personal benefit. | Sugarman et al. 2005 [40] | |
Decision Making | EORTC QLQ-C30a, DRSa | Quantitative | Oncology | 3 types of medical decision-making roles: passive, collaborative, and active. Time since treatment may have greatest effect on decisional regret. | Davison et al. 2003 [28] |
CAREa, SDM-Q-9a, CPS/PPSa, DRSa | Quantitative | Oncology | A patient’s desired role in the decision-making process must be assessed. | Nicolai et al. 2016 [33] | |
Systematic review | Quantitative | Health Decisions | Less decisional conflict, greater satisfaction with information provided and more involvement in the decision-making process were associated with less regret. | Becerra Perez et al. 2016 [32] | |
Qualitative data review | Qualitative | High-Risk Surgery in Older Adults | Discussion of treatment options, clarification of goals, and preparation for expected and unexpected outcomes are important for informed decision-making. | Steffens et al. 2016 [31] | |
DRSa | Quantitative | Major Thoracic and Abdominal Surgery | Clinicians need to emphasize that the patient has a real choice. Correlation between depression and decisional regret. | Wilson et al. 2017 [34] | |
Trust | Systematic review, thematic synthesis | Qualitative | Renal Transplantation | Tenuous eligibility causes patients to feel unfairly dismissed and suspicious of discrimination. | Tong et al. 2015 [20] |
Questionnaire | Quantitative | General Medical Research | Components of trust (fidelity, honesty, safety, etc.) did not emerge as distinct factors. Patients did not differentiate trust in physician researchers from trust in medical researchers generally. | Hall et al. 2006 [37] | |
Emotions | EQ-5D QoL Instrumenta | Quantitative | Renal Transplantation | Clinicians have more accurate perceptions of post-transplant quality of life than patients do. Patients may not fully understand what post-transplant treatment will look like. | Cleemput et al. 2003 [15] |
Cantril’s laddera, VASa | Quantitative | Renal Transplantation | Patients overestimate post-transplant quality of life. Low optimism found to be a risk factor for early distress. | Schulz et al. 2014 [18] | |
Semi-structured interviews | Qualitative | Islet Cell Transplantation | Patients need to be prepared for the risks involved in transplant and need to develop coping strategies for disappointment at any stage. | Speight et al. 2016 [19] | |
Systematic review, thematic synthesis | Qualitative | Renal Transplantation | Balancing concerns for their living donor along with their own health creates tension for patients. Major themes in patient attitudes towards living donor transplantion. | Hanson et al. 2015 [30] | |
Impact of Transplant | Self-report surveys, Diary, Medication Monitoring | Qualitative | Renal Transplantation | Patients had unrealistic expectations of return to normalcy and were not prepared for the challenges of living after transplantation. | Crawford et al. 2017 [16] |