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Re: Informed or Uninformed or Misinformed Consent

Posted by Dr. Bob on October 18, 2014, at 21:20:26

In reply to Re: Informed or Uninformed or Misinformed Consent, posted by bryte on October 16, 2014, at 2:27:21

> > > Dr. Hsiung says "The mean number of attempts before eventually passing was 2.1." With a total of 31 possible answers to 10 questions, the mean number of attempts required to match 10 options with guesswork would be 3.1 -- even if the options were meaningless signals such as shapes, numbers or digits.
> >
> > 2.1 is significantly less than 3.1, so that would seen to be evidence that the options aren't meaningless signals.
>
> It says nothing about what the signals mean to whomever takes the test. The best clue those data could offer would be that half the people who take the quiz might understand the questions and half are doing nothing more than guessing while eliminating wrong answers when prompted.

That would still be better than everyone just guessing. Though of course not as good as being sure that everyone understood. Are you confident that everyone understands when informed consent is obtained in person?

> > This isn't treatment, but there are risks. I think an informed consent process protects prospective participants.
>
> What does it protect participants from, and how? Does it protect those who to pass the test by rote, guesswork, hints and brute force?
>
> From Informed Consent: Its Origin, Purpose,Problems, and Limits:
>
> "Although the doctrine of informed consent promotes ideals worth pursuing, a successful implementation of these ideals in practice has yet to occur. What has happened in practice is that attorneys, physicians, and hospital administrators often use consent forms mainly to protect physicians and medical facilities from liability." (Nancy Kettle, University of South Florida, 2002 Graduate Thesis.)

I haven't meant to claim that this is a successful implementation of ideals. What I claim is that it's more ideal than a check box.

> > Would you be interested in participating in a panel at a conference?
>
> I would be more interested in providing written comments to an independent editorial panel after reviewing a manuscript prior to publication.

I understand the appeal of being a reviewer. Participating in a conference might lead to invitations to be a reviewer. Or maybe you receive enough of those already. Either way, it's up to you.

I've presented with members of the Babble community before and would be happy to do so again. It's an opportunity for the Babble and psychiatric communities to get to know each other better.

Bob


a brilliant and reticent Web mastermind -- The New York Times
backpedals well -- PartlyCloudy


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