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Preferences among student counselors regarding informed consent practices within counselor education.Pease-Carter, Cheyenne 05 1900 (has links)
The purpose of this study was to investigate student preferences for content, timing, and method of informed consent within counselor education programs. Participants included 115 students enrolled in counseling internship courses at six counseling programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). Participants completed the Informed Consent Preferences Questionnaire (ICPQ), an instrument designed specifically for this study through systematic instrumentation development. Descriptive statistics highlighted participants' moderate to high ratings of perceived importance for an array of suggested content pieces for student informed consent. Participants varied among themselves and between items in relation to preferred timing of informed consent, and they consistently reported a desire for student informed consent to be facilitated through a combination of both oral and written methods. Results of exploratory factor analysis revealed a simple eight-factor structure within the ICPQ and suggested strong internal reliability. Correlations for participant scale scores for the eight factors revealed a variety of small to medium correlations. Results from t-test and one-way analysis of variances (ANOVA) indicated that participant preferences did not vary according to demographic variables. Finally, participants' qualitative responses revealed high levels of support for student informed consent. Findings of this study may aid counselor educators in evaluating current program informed consent practices. As a result of evaluation, counselor educators can affirm existing, and/or design new informed consent practices that accurately reflect the needs and desires of counseling students. Future researchers may also utilize the results to guide additional studies related to the practice of student informed consent.
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Informed consent: its origins, purpose, problems, and limits [electronic resource] / by Nancy M. Kettle.Kettle, Nancy M. January 2002 (has links)
Title from PDF of title page. / Document formatted into pages; contains 165 pages. / Thesis (M.A.)--University of South Florida, 2002. / Includes bibliographical references. / Text (Electronic thesis) in PDF format. / ABSTRACT: The doctrine of informed consent, defined as respect for autonomy, is the tool used to govern the relationship between physicians and patients. Its framework relies on rights and duties that mark these relationships. The main purpose of informed consent is to promote human rights and dignity. Some researchers claim that informed consent has successfully replaced patients&softsign; historical predispositions to accept physicians' advice without much explicit resistance. / 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. Consequently, ethicists, legal theorists, and physicians need to do much more to explain how human rights and human dignity relate to the practice of medicine and how the professionals can promote them in practice. / This is especially important because patients' vulnerability has increased just as the complexity and power of medical science and technology have increased. Certain health care practices can shed light on the difficulties of implementing the doctrine of informed consent and explain why it is insufficient to protect patients' rights and dignity. Defining a normal biological event as a disease, and routinely prescribing hormone drug therapy to menopausal women for all health conditions related to menopause, does not meet the standards of free informed consent. / Clinicians provide insufficient disclosure about risks related to long-term use of hormone therapies and about the absence of solid evidence to support their bias toward hormone therapies as a treatment of choice for menopause related health conditions. The contributing problem is women's failure to act as autonomous agents because they either choose not to take an active part in their own therapy or because they fear to question physicians' medical authority. To insure that patients' autonomy and free choice are a part of every physician-patient interaction, physicians and patients need actively to promote them as values that are absolutely indispensable in physicians' offices, clinics, and hospitals. / System requirements: World Wide Web browser and PDF reader. / Mode of access: World Wide Web.
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Consent, conversation, and the regulation of postmortem organ donation in a multicultural Canada /Jacob, Marie-Andreé. January 2000 (has links)
Thesis (L.L.M.)--York University, 2000. / "Graduate Programme in Law, Osgoode Hall Law School, York University." Includes bibliographical references. Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pMQ59546.
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A case study to assess participants' perceptions on voluntariness and motivations for participating in a clinical trial in Zimbabwe.Mutenherwa, Farirai. 14 June 2013 (has links)
Introduction: There is little empirical evidence on voluntariness of participation in clinical
trials due to absence of acceptable measures and universally accepted conceptual frameworks
of voluntariness. Methods: A cross-sectional study was conducted in Zimbabwe to examine
participants’ motivations, levels of voluntariness and perceptions about the effect of offers,
pressures and threats on decision making. One hundred participants were recruited from an
ongoing diagnostic trial. Questionnaires adapted from published research, the Perceived
Coercion Scale and Voluntariness Ladder were used for data collection. Results: The need to
access diagnostic services and treatment for tuberculosis was the main motivation for
enrolment in the trial. Participants were not coerced to particpate in the trial but were offered
bus fare. The offer had no effect on their decision to enroll in the trial. Conclusion:
Immediate health benefits have a key impact on participants’ decisions to enrol in a clinical
trial of a diagnostic technique. A comprehensive conceptual framework together with
validated tools for assessing voluntariness in African contexts should be developed. / Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.
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Assessing participants' understanding and voluntariness of informed consent in a clinical trial in Nigeria.Adewale, Babatunde. January 2012 (has links)
Introduction: Citizens of developing countries are often in vulnerable situations because of illiteracy, unfamiliarity with medical interventions, effects of war resulting in famine, and extreme poverty. The health-related conditions that arise out of these situations however make research in these populations vital and increasing funding for research on diseases that affect the world 's poor is making such research possible. The resulting tension between the need for research and the possibility of exploitation of participants' vulnerability, mandates the development of reliable ways of ensuring that participants' consent is voluntary, adequately informed and well understood. The Nuremberg Code emphasises the requirement of voluntariness in informed consent by insisting that participants should be able to exercise freedom of choice without the intervention of any element of force, fraud , deceit, duress, or other forms of constraint
or coercion. Aim: This study assessed research participants' understanding and voluntariness of informed consent in a clinical trial. Methods: The study design was a cross-sectional analysis of the informed consent process. It consisted of qualitative and quantitative components. It was a cross-sectional survey of 75 research participants in a malaria clinical trial using questionnaires in the from of forced-choice check lists and patient self-report to assess voluntariness and understanding of informed consent. Data were analysed using SPSS V 17. Results: All the respondents involved in the clinical trial gave consent before they were recruited. The reasons for consenting to participate in the clinical trial ranged from the
opportunity to get treatment (28%), opportunity for diagnosis of ailments (32%), to prevent illness (36%) and to receive information about medical care (4%). The major benefits participants attributed to taking part in the research were the opportunity to obtain treatment (59%), diagnostic tests (35%) and education (6%). Among the research participants, 10.7% believed that they should be paid for participation and about 8% felt that payment could influence their decision to participate because it could act as a motivation. They could however not proffer an amount that they would consider significant enough to influence their decision. There was no significant association between factors that influenced participation and age (p=0.533), sex (p=0.342), education (p=0.078), religion (p=0.144) and marital status (p=0.239). Almost all (98.7%)
participants claimed that they had understood the information given to them during the consent procedure and they all gave consent without consulting anybody apart from the medical personnel.The majority of respondents - 74 (98.7%) - stated that they were not allowed to go home with the informed consent document, while 1(1 .3%) of the respondents said there was no need to go home with the informed consent document. In the assessment of understanding using the forced-choice checklist, however, only 37% understood issues concerning randomization of participants and only 28.8% understood issues about compensation for research related injury. Discussion and Conclusion: In this study, the voluntariness of participants was influenced by factors related to the benefits accrued through participation. The need for
participants to make free and informed choices based on adequate information given by the investigator cannot but be emphasized as a right and not a privilege. In light of the limited understanding about randomization and injury compensation identified in this study, there is a need for additional protection of vulnerable populations. This could be in the form of allowing adequate time to enable the improvement of participants' understanding of the consent form, using innovative ways of explaining complex concepts such as randomization, and providing the necessary support to facilitate participants' right to self-decision, except when they are incapable of consenting. / Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.
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Exploring research participant's perceptions and comprehension of the informed consent process in a pre-exposure HIV prevention study in Zimbabwe : a case study.Ruzariro, Sithembile. January 2012 (has links)
Background. An inherent challenge in HIV prevention studies is making sure that trial participants
understand the information. This study explored trial participants’ perceptions and
comprehension of the informed consent process in a pre-exposure HIV prevention
study. Method. Face-to-face in-depth interviews, using a study guide, were held with twenty
interviewees purposively selected from ex-participants of an HIV prevention study.
Audio-recorded data were transcribed, translated, coded using NVivo 8, and analysed
according to themes. Results. The participants were all women between the ages of 18 and 40. Participants felt that
key information had been given during the informed consent process. Most felt that the
process of obtaining informed consent was rushed with some participants citing a need
for more time to make a decision regarding participation. Some participants felt
pressured to sign consent forms. Some found it difficult to ask questions and mixed
feelings existed on male partner involvement in the decision-making process.
Conclusions: Participants experienced the consent process as rushed and most only fully
comprehended study concepts with time. Their concerns necessitate the reassessment
of informed consent processes in a developing world setting. / Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.
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Comprehension of health risk probabilities: the roles of age, numeracy, format, and mental representationFausset, Cara Bailey 02 July 2012 (has links)
Probabilities, an essential dimension of risk communication, can be presented in various formats including frequencies (e.g., 1 in 10), percentages (e.g., 10%), or verbal phrases (e.g., unlikely); the literature is mixed concerning which format best supports comprehension. Additionally, it is not well understood how people who vary in their level of numeracy understand those probabilities. The goal of the present three-phase within-participant study was to understand how the factors of format and numeracy influence comprehension and mental representations of probabilities for younger and older adults. Overall, the results of this research clearly indicated that comprehension and mental representation of health risk probabilities are influenced by format, age, and numeracy. To best support comprehension and comparison of health risk probabilities for younger adults and healthy older adults with varying numeracy, percent format should be used.
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Die Biomedizinkonvention des Europarates : Humanforschung, Transplantationsmedizin, Genetik, Rechtsanalyse und Rechtsvergleich /Radau, Wiltrud Christine. January 2006 (has links) (PDF)
Univ., Diss.--Düsseldorf, 2005. / Literaturverz. S. [387] - 423.
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How to say I'm sorry a study of the Veterans Administration Hospital Association's Apology and Disclosure Program /Carmack, Heather J. January 2008 (has links)
Thesis (Ph.D.)--Ohio University, June, 2008. / Title from PDF t.p. Includes bibliographical references.
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Orthognathic surgery patient values and professional judgments : a thesis submitted in partial fulfillment ... for the degree of Master of Science in Orthodontics ... /VanLandschoot, Toby W. January 2004 (has links)
Thesis (M.S.)--University of Michigan, 2004. / Includes bibliographical references.
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