Tsiao Yi Yap|Amy D. Yamokoski|Robert B. Noll|Dennis Drotar|S. J. Zyzanski|Eric Kodish
A Physician-Directed Intervention: Teaching and Measuring Better Informed Consent
Cleveland Clinic|Cleveland Clinic|Cleveland Clinic|Cleveland Clinic|Cleveland Clinic|Cleveland Clinic
improve physician communication parents using physiciandirected intervention pdi emphasizing sequenced approach informed consent conference icc childhood leukemia clinical trials physicians discuss diagnosis prognosis treatment prior offer clinical trialphysicians fellows childrens hospital philadelphia childrens national medical center recruited participate informed consent seminars subsequent halfday booster sessions training followed multisite study informed consent communication reallife iccs observed audiotaped parents interviewed icc ascertain understanding data icc interview coded analyzed trained physician performances compared untrained physicians controls two research sites data collected 2003 2007 pdi sites control sites comparisona total 102 cases included initial analyses 60 cases pdi sites 42 control cases fiftynine cases included final analysis findings revealed trained physicians followed sequenced approach often compared controls similarly physicians pdi sites tended elicit parental questions understanding openended way clarify parents questions frequently physicians control sitesacademic physicians involved current transformation clinical research trained conduct effective iccs see one one teach one approach longer adequate informed consent