Programmatic Theme: Clinical Research Informatics

Abstract: Although experts have identified benefits to replacing paper with electronic consent (eConsent) for research, a comprehensive understanding of strategies to overcome barriers to adoption is unknown. To address this gap, we performed a scoping review of the literature describing eConsent in academic medical centers. Of 69 studies that met inclusion criteria, 81% (n=56) addressed ethical, legal, and social issues; 67% (n=67) described user interface/user experience considerations; 39% (n=27) compared electronic versus paper approaches; 33% (n=23) discussed approaches to enterprise scalability; and 25% (n=17) described changes to consent elections. Findings indicate a lack of a leading commercial eConsent vendor, as articles described a myriad of homegrown systems and extensions of vendor EHR patient portals. Opportunities appear to exist for researchers and commercial software vendors to develop eConsent approaches that address the five critical areas identified in the review.

Learning Objective: After participating in this session, the learner should be better able to:
- Understand the results of our scoping review about the lack of a comprehensive approach for replacing paper-based informed consent with electronic informed consent (eConsent) in an academic medical center.

Authors:

Cindy Chen (Presenter)
Weill Cornell