Leave me out: patients' characteristics and reasons for opting out of a pragmatic clinical trial involving medication adherence

LC Sandy, TJ Glorioso, K Weinfurt, J Sugarman… - Medicine, 2021 - journals.lww.com
Opt-out procedures are sometimes used instead of standard consent practices to enable
patients to exercise their autonomous preferences regarding research participation while …

Comparison of approaches for notification and authorization in pragmatic clinical research evaluating commonly used medical practices

KP Weinfurt, JM Bollinger, KM Brelsford… - Medical care, 2017 - journals.lww.com
Background: For pragmatic clinical research comparing commonly used treatments,
questions exist about if and how to notify participants about it and secure their authorization …

Reducing therapeutic misconception: a randomized intervention trial in hypothetical clinical trials

PP Christopher, PS Appelbaum, D Truong, K Albert… - PLoS …, 2017 - journals.plos.org
Background Participants in clinical trials frequently fail to appreciate key differences
between research and clinical care. This phenomenon, known as therapeutic …

Why trials lose participants: a multitrial investigation of participants' perspectives using the theoretical domains framework

R Newlands, E Duncan, J Presseau, S Treweek… - Journal of clinical …, 2021 - Elsevier
Abstract Objectives To use the Theoretical Domains Framework (TDF) to identify barriers
and enablers to participant retention in trials requiring questionnaire return and/or …

Who is willing to participate in low-risk pragmatic clinical trials without consent?

R Dal-Ré, AJ Carcas, X Carné - European Journal of Clinical …, 2017 - Springer
Purpose General notification offers a possible alternative to written informed consent for
pragmatic randomized controlled trials (pRCTs). It involves patients being informed through …

Subjects' views of obligations to ensure post-trial access to drugs, care and information: qualitative results from the Experiences of Participants in Clinical Trials (EPIC) …

N Sofaer, C Thiessen, SD Goold, J Ballou… - Journal of medical …, 2009 - jme.bmj.com
Objectives: To report the attitudes and opinions of subjects in US clinical trials about whether
or not, and why, they should receive post-trial access (PTA) to the trial drug, care and …

Ethics challenges in sharing data from pragmatic clinical trials

SR Morain, J Bollinger, K Weinfurt… - Clinical Trials, 2022 - journals.sagepub.com
Numerous arguments have been advanced for broadly sharing de-identified, participant-
level clinical trials data, and trial sponsors and journals are increasingly requiring it …

Informed consent for early-phase clinical trials: therapeutic misestimation, unrealistic optimism and appreciation

J Halpern, D Paolo, A Huang - Journal of medical ethics, 2019 - jme.bmj.com
Unrealistic therapeutic beliefs are very common—the majority of patient-subjects (up to
94%) enrol in phase 1 trials seeking and expecting significant medical benefit, even though …

Trust trumps comprehension, visceral factors trump all: A psychological cascade constraining informed consent to clinical trials: A qualitative study with stable patients

M Rost, R Nast, BS Elger, D Shaw - Research Ethics, 2021 - journals.sagepub.com
This paper addresses psychological factors that might interfere with informed consent on the
part of stable patients as potential early-phase clinical trial participants. Thirty-six …

Patients' beliefs regarding informed consent for low-risk pragmatic trials

R Dal-Ré, AJ Carcas, X Carné, D Wendler - BMC medical research …, 2017 - Springer
Background The requirement to obtain written informed consent may undermine the
potential of pragmatic randomized clinical trials (pRCTs) to improve evidence-based care …