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Informed consent is an ongoing process. It is a means of communication between
the subject, the investigator(s), and the research team. Informed consent is
not merely a written documentation of the subject's willingness to participate.
Informed consent means open communication of any information that may influence
the subject's decision to initiate or continue participation in the study. This
information must be available to the subject and the discussion regarding the
information should be documented. When the subject's participation spans several
months or even years, the investigator and the research team need to take steps
to regularly review with the participant the elements of consent described at
the time the subject originally signed consent.
Informed consent presumes two simultaneous concepts: informed decision-making
and voluntary participation. Prospective subjects must be given sufficient
information about the research and its risks and benefits in order to reach
an informed decision as to whether they will voluntarily
participate.
To obtain informed consent from a subject, the investigator must fully explain
the study to the subject. The subject must be given the opportunity and encouraged
to ask questions. Before any research procedures/tests are done, the subject
must sign and date the informed consent document in the presence of the investigator
and/or a member of the research team. The investigator must also sign and date
the informed consent document.
A witness may be required during the entire consent presentation to attest
to the accuracy of the presentation and the apparent understanding of the subject.
This person verifies that he/she witnessed the informed consent process, not
simply the signature of the subject and/or the authorized representative. The
informed consent process should take place at each protocol visit to ensure
that the subject is aware of the research and wants to continue.
All studies must include a statement in the case history (or medical record)
that informed consent was obtained prior to participation in the study. The
investigator must sign and date the statement. No screening procedures or answers
to study specific questions may be obtained prior to the subject signing the
informed consent document.
The following statement must be included in all consents for research in which
women will be included in the subject population and the use of contraceptives
is addressed: "Mount Carmel, a Catholic affiliated institution,
wishes to remind Catholic women and/or men of the official teachings of the
Roman Catholic Church regarding contraception." The statement is present to
allow Catholic women/men with the potential for child bearing the opportunity
to decide whether they would like to participate in the study, based on the
religious teachings of the church.
There are limited circumstances for which a written consent form is not required.
When the IRB does not require written consent, the IRB will ask the researcher
to prepare a script to obtain verbal consent.
The language and sentence structure of the informed consent should be written at the sixth grade reading level. Scientific
and medical terminology should be avoided whenever possible, and defined
if used. Remember that those who use medical terms in conversation may not realize that their subjects don't understand what they mean.
The Mount Carmel IRB requests that consent forms adhere to a standard format,
as shown in the sample below. The sample informed consent form
contains all of the required elements of a consent as outlined by Federal regulations.
Use this form as a template, adding the information specific to your research
study.
Tips for preparing the informed consent for your project:
- Use short sentences
- Use simple language whenever possible and define medical
or scientific terms
- Use an active voice
- Use large fonts for ease of reading
- Use tables, diagrams, and pictures
whenever appropriate
- Use sufficient space between paragraphs and in the margins
Click here to review the Informed Consent template.
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