Recruitment of subjects for clinical trials after informed consent: does gender and educational status make a difference?
B Gitanjali, R Raveendran, DG Pandian, S Sujindra
Department of Pharmacology, JIPMER, Pondicherry - 605006, India. , India
CONTEXT: Researchers and investigators have argued that getting fully informed written consent may not be possible in the developing countries where illiteracy is widespread. AIMS: To determine the percentage of patients who agree to participate in a trial after receiving either complete or partial information regarding a trial and to find out whether there were gender or educational status-related differences. To assess reasons for consenting or refusing and their depth of understanding of informed consent. SETTINGS AND DESIGN: A simulated clinical trial in two tertiary health care facilities on in-patients. METHODS AND MATERIAL: An informed consent form for a mock clinical trial of a drug was prepared. The detailed / partial procedure was explained to a purposive sample of selected in-patients and their consent was asked for. Patients were asked to free list the reasons for giving or withholding consent. Their depth of understanding was assessed using a questionnaire. Chi-square test was used for statistical analyses. RESULTS: The percentages of those consenting after full disclosure 29/102 (30%) and after partial disclosure 15/50 (30%) were the same. There was a significant (p=0.043) gender difference with a lesser percentage of females (30%) consenting to participation in a trial. Educational status did not alter this percentage. Most patients withheld consent because they did not want to give blood or take a new drug. Understanding of informed consent was poor in those who consented. CONCLUSIONS: The fact that only one-third of subjects are likely to give consent to participate in a trial needs to be considered while planning clinical trials with a large sample size. Gender but not educational status influences the number of subjects consenting for a study. Poor understanding of the elements of informed consent in patients necessitates evolving better methods of implementing consent procedures in India.
Department of Pharmacology, JIPMER, Pondicherry - 605006, India.
|How to cite this article:|
Gitanjali B, Raveendran R, Pandian D G, Sujindra S. Recruitment of subjects for clinical trials after informed consent: does gender and educational status make a difference?.J Postgrad Med 2003;49:109-13
|How to cite this URL:|
Gitanjali B, Raveendran R, Pandian D G, Sujindra S. Recruitment of subjects for clinical trials after informed consent: does gender and educational status make a difference?. J Postgrad Med [serial online] 2003 [cited 2021 Oct 21 ];49:109-13
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2003;volume=49;issue=2;spage=109;epage=13;aulast=Gitanjali;type=0