Posted by Dr. Bob on July 24, 2014, at 8:30:09
Hi, everyone,
I recently went through a year's worth of quiz results and thought some of you might be interested.
Bob
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Teleconsent: Not Just a Check Box
Objectives As more of psychiatry becomes telepsychiatry, more consent will become teleconsent. Informed consent underlies all medical treatment, but procedures that are standard in person do not necessarily transfer in a straightforward fashion to the Internet. When information is communicated online as opposed to in person, its comprehension is more difficult to assess. People who want to receive treatment may click a check box on a Web page without understandingor even readinginformation about potential risks, benefits, and alternatives.
Methods An online informed consent module was added to an online patient community. What was involved, potential risks and benefits, possible alternatives, and cost were explained (at grade level 6.7), and a 10-item quiz was administered to assess comprehension. The data from one calendar year, June 2013 through May 2014, were analysed.
Results The quiz was attempted 311 times. 288 (93%) times, the user eventually passed. The mean number of attempts before eventually passing was 2.1 (range 1-20), before never passing, 1.4 (range 1-5). Individual questions were answered correctly an average of 88% (range 77-94%) of the time.
Conclusions Valid informed consent requires assessment of decision-making capacity. It is possible to obtain valid informed consent online. One workable way of assessing decision-making capacity online is with a quiz. Quiz results could then be used to improve the process.
a brilliant and reticent Web mastermind -- The New York Times
backpedals well -- PartlyCloudy
poster:Dr. Bob
thread:1068731
URL: http://www.dr-bob.org/babble/admin/20140304/msgs/1068731.html