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iCONCUR: informed consent for clinical data and bio-sample use for research

View Article: PubMed Central - PubMed

ABSTRACT

Background:: Implementation of patient preferences for use of electronic health records for research has been traditionally limited to identifiable data. Tiered e-consent for use of de-identified data has traditionally been deemed unnecessary or impractical for implementation in clinical settings.

Methods:: We developed a web-based tiered informed consent tool called informed consent for clinical data and bio-sample use for research (iCONCUR) that honors granular patient preferences for use of electronic health record data in research. We piloted this tool in 4 outpatient clinics of an academic medical center.

Results:: Of patients offered access to iCONCUR, 394 agreed to participate in this study, among whom 126 patients accessed the website to modify their records according to data category and data recipient. The majority consented to share most of their data and specimens with researchers. Willingness to share was greater among participants from an Human Immunodeficiency Virus (HIV) clinic than those from internal medicine clinics. The number of items declined was higher for for-profit institution recipients. Overall, participants were most willing to share demographics and body measurements and least willing to share family history and financial data. Participants indicated that having granular choices for data sharing was appropriate, and that they liked being informed about who was using their data for what purposes, as well as about outcomes of the research.

Conclusion:: This study suggests that a tiered electronic informed consent system is a workable solution that respects patient preferences, increases satisfaction, and does not significantly affect participation in research.

No MeSH data available.


Related in: MedlinePlus

Sharing preference by individual data item (Hx: History, FHx: Family History, Dx: Diagnosis, STD: Sexually Transmitted Disease, MD: Medical Doctor)
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ocw115-F1: Sharing preference by individual data item (Hx: History, FHx: Family History, Dx: Diagnosis, STD: Sexually Transmitted Disease, MD: Medical Doctor)

Mentions: Data sharing preferences for individual data item are presented in Figure 1. Combinations B, C, E, F were somewhat atypical and were used by 5 male participants only. Excluding these 4 options, to simplify the analyses, we recoded the response options with 4 scale ordinal scores that reflect the researcher types with whom participants were willing to share data:


iCONCUR: informed consent for clinical data and bio-sample use for research
Sharing preference by individual data item (Hx: History, FHx: Family History, Dx: Diagnosis, STD: Sexually Transmitted Disease, MD: Medical Doctor)
© Copyright Policy - cc-by-nc
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5391727&req=5

ocw115-F1: Sharing preference by individual data item (Hx: History, FHx: Family History, Dx: Diagnosis, STD: Sexually Transmitted Disease, MD: Medical Doctor)
Mentions: Data sharing preferences for individual data item are presented in Figure 1. Combinations B, C, E, F were somewhat atypical and were used by 5 male participants only. Excluding these 4 options, to simplify the analyses, we recoded the response options with 4 scale ordinal scores that reflect the researcher types with whom participants were willing to share data:

View Article: PubMed Central - PubMed

ABSTRACT

Background:: Implementation of patient preferences for use of electronic health records for research has been traditionally limited to identifiable data. Tiered e-consent for use of de-identified data has traditionally been deemed unnecessary or impractical for implementation in clinical settings.

Methods:: We developed a web-based tiered informed consent tool called informed consent for clinical data and bio-sample use for research (iCONCUR) that honors granular patient preferences for use of electronic health record data in research. We piloted this tool in 4 outpatient clinics of an academic medical center.

Results:: Of patients offered access to iCONCUR, 394 agreed to participate in this study, among whom 126 patients accessed the website to modify their records according to data category and data recipient. The majority consented to share most of their data and specimens with researchers. Willingness to share was greater among participants from an Human Immunodeficiency Virus (HIV) clinic than those from internal medicine clinics. The number of items declined was higher for for-profit institution recipients. Overall, participants were most willing to share demographics and body measurements and least willing to share family history and financial data. Participants indicated that having granular choices for data sharing was appropriate, and that they liked being informed about who was using their data for what purposes, as well as about outcomes of the research.

Conclusion:: This study suggests that a tiered electronic informed consent system is a workable solution that respects patient preferences, increases satisfaction, and does not significantly affect participation in research.

No MeSH data available.


Related in: MedlinePlus