Motunrayo F Olanrewaju
Multimedia Informed Consent Tool for a Low Literacy African Research Population: Development and Pilot-Testing
MRC Unit the Gambia|Medical Research Council|London School of Hygiene & Tropical Medicine|University of London
background international guidelines recommend use appropriate informed consent procedures low literacy research settings written information known guarantee comprehension study informationobjectives study developed evaluated multimedia informed consent tool people low literacy area malaria treatment trial planned gambia methodswe developed informed consent document malaria treatment trial multimedia tool integrating video animations audio narrations three major gambian languagesacceptability ease use multimedia tool assessed using quantitative qualitative methodsin two separate visits participants comprehension study information measured using validated digitised audio questionnaire resultsthe majority participants 70 reported multimedia tool clear easy understandparticipants high scores domains adverse eventsrisk voluntary participation study procedures lowest scores recorded question items randomisationthe differences mean scores participants recall understanding first second visits statistically significant f 1412538p000001 f 1 41 3161p000001 respectively conclusionsour locally developed multimedia tool acceptable easy administer among low literacy participants gambiait also proved effective delivering sustaining comprehension study information across diverse group participantsadditional research needed compare tool traditional consent interview gambia subsaharan settings