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_______________________________________________________________ Report Information from ProQuest October 22 2016 18:55 _______________________________________________________________

22 October 2016 ProQuest

Table of contents

1. Clinical Trials; Group develops ethical strategies to use when seeking informed consent.......................... 1

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Document 1 of 1 Clinical Trials; Group develops ethical strategies to use when seeking informed consent ProQuest document link Abstract (Abstract): "These difficulties for doctors and patients raise questions about the ethical integrity of the informed consent process. In this study, we have developed a set of communication strategies underpinned by ethical, linguistic and psychological theory, designed to assist doctors in this difficult task. Links: Check for full text in other resources Full text: 2004 MAR 1 - (NewsRx.com &NewsRx.net) -- Researchers develop communication strategies to assist doctors in ethically obtaining informed consent to participate in cancer clinical trials. "Randomized clinical trials have come to be regarded as the gold standard in treatment evaluation. However, many doctors see the discussion of a clinical trial as an intrusion into the doctor- patient relationship and find these discussions difficult to initiate," scientists writing in the journal Social Science &Medicine report. "Detailed informed consent is now a requirement of patient participation in trials; however, it is known that patients commonly fail to understand and recall the information conveyed," wrote R.F. Brown and colleagues, University of Sydney, Medical Psychology Research Unit. "These difficulties for doctors and patients raise questions about the ethical integrity of the informed consent process. In this study, we have developed a set of communication strategies underpinned by ethical, linguistic and psychological theory, designed to assist doctors in this difficult task. Initially, audiotape transcripts of 26 consultations in which 10 medical oncologists invited patients to participate in clinical trials were analyzed by expert ethicists, linguists, oncologists and psychologists, using rigorous qualitative methodology," the researchers wrote. "A subset of seven of these was subjected to detailed linguistic analysis. A strategies document was developed to address themes that emerged from these analyses. This document was presented to relevant expert stakeholders. Their feedback was incorporated into the final document," the researchers stated. "Four themes emerged from the analysis; (a) shared decision- making, (b) the sequence of moves in the consultation, (c) the type and clarity of the information provided and (d) disclosure of controversial information and coercion. Detailed strategies were developed to assist doctors to communicate in these areas," they added. "We have developed a set of ethical strategies which may assist health professionals in this difficult area. A training package based on these strategies is currently being evaluated in a multicenter, randomized controlled trial," the researchers concluded. Brown and colleagues published their study in Social Science &Medicine (Developing ethical strategies to assist oncologists in seeking informed consent to cancer clinical trials. Soc Sci Med, 2004;58(2):379-390). Additional information can be obtained by contacting R.F. Brown, University of Sydney, Medical Psychology Research Unit, Blackburn Bldg. D06, Camperdown, NSW 2006, Australia. The publisher of the journal Social Science &Medicine can be contacted at: Pergamon-Elsevier Science Ltd., the Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK. The information in this article comes under the major subject areas of Oncology. This article was prepared by Health &Medicine Week editors from staff and other reports. Copyright 2004, Health &Medicine Week via NewsRx.com &NewsRx.net. Publication title: Health & Medicine Week Pages: 158

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Number of pages: 0 Publication year: 2004 Publication date: Mar 1, 2004 Year: 2004 Publisher: NewsRx Place of publication: Atlanta Country of publication: United States Publication subject: Medical Sciences ISSN: 15316459 Source type: Trade Journals Language of publication: English Document type: Expanded Reporting ProQuest document ID: 206899129 Document URL: http://search.proquest.com/docview/206899129?accountid=8289 Copyright: Copyright 2004, Health & Medicine Week via NewsRx.com & NewsRx.net Last updated: 2010-08-10 Database: ProQuest Central

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