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Titolo:
Enhancing informed consent for research and treatment
Autore:
Dunn, LB; Jeste, DV;
Indirizzi:
VA San Diego Healthcare Serv, Geriatr Psychiat Div, Psychiat Serv, San Diego, CA 92161 USA VA San Diego Healthcare Serv San Diego CA USA 92161 n Diego, CA 92161 USA Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA Univ Calif San Diego San Diego CA USA 92103 hiat, San Diego, CA 92103 USA
Titolo Testata:
NEUROPSYCHOPHARMACOLOGY
fascicolo: 6, volume: 24, anno: 2001,
pagine: 595 - 607
SICI:
0893-133X(200106)24:6<595:EICFRA>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
CANCER CLINICAL-TRIALS; LONG-TERM CARE; PSYCHIATRIC RESEARCH; DECISION-MAKING; ELDERLY PEOPLE; ETHICAL DILEMMAS; MENTAL-ILLNESS; INFORMATION; COMPREHENSION; COMPETENCE;
Keywords:
bioethics; schizophrenia; competency; decision making; psychiatric disorders;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
88
Recensione:
Indirizzi per estratti:
Indirizzo: Jeste, DV VA San Diego Healthcare Serv, Geriatr Psychiat Div, Psychiat Serv, 116V-1,3350 La Jolla Village Dr, San Diego, CA 92161 USA VA San Diego Healthcare Serv 116V-1,3350 La Jolla Village Dr San Diego CA USA 92161
Citazione:
L.B. Dunn e D.V. Jeste, "Enhancing informed consent for research and treatment", NEUROPSYCH, 24(6), 2001, pp. 595-607

Abstract

Increased scrutiny of informed consent calls for further research into decision making by patients who may be at risk for impairments. We review interventions designed to improve patient understanding of informed consent. A number of studies, within as well as outside psychiatry, have evaluated theeffectiveness of specific interventions, as well as possible "predictors" of understanding of consent, such as subject characteristics, psychiatric symptoms, and cognitive impairment. Deficits in patients' understanding of informed consent may be partially related to poorly conceived, written, or organized informed consent materials; these deficits may be remediable with educational interventions. We find that effective interventions include corrected feedback, multiple learning trials, and more organized or simplifiedconsent forms. Educational levels of patients generally correlate with levels of understanding. Even among individuals with psychiatric illness or cognitive impairment, deficits in understanding can be remedied with certain educational interventions. A variety of interventions can enhance understanding of informed consent. (C) 2001 American College of Neuropsychopharmacology. Published by Elsevier Science. Inc.

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Documento generato il 25/01/20 alle ore 15:41:53