Wednesday, April 21, 2004
| Topic: |
Informed Consent for Research: How "Informed" Is It? |
| Presenters: |
Dilip V. Jeste, M.D.
Estelle and Edgar Levi Chair in Aging
Director, Sam and Rose Stein Institute for Research on Aging
Professor of Psychiatry & Neurosciences
UCSD and VA San Diego Healthcare System |
| Location: |
Medical Teaching Facility (MTF) 175 |
Presentation
Abstract
: |
Dr. Dilip Jeste will discuss ways of assessing decisional capacity and enhancing informed consent. The presentation will include a brief review of the literature and data from studies of decision-making capacity, primarily in older people with schizophrenia and other psychotic disorders. |
Discussion
Questions: |
- Is decision making capacity a state or a trait?
- Should we assess every person's decision making capacity for every procedure for which s/he has to sign a consent form?
- What is the optimal, i.e., reasonably comprehensive yet practical, way of evaluating a person's capacity to consent to a given procedure?
- What are the advantages and disadvantages of enhanced methods of consent such as video-based consent? How likely is this?
- Should IRBs replace paper consent forms with video-based consent procedures?
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Discussion
Summary: |
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| Readings: |
- Palmer, B.W. (et al). Correlates of Treatment-Related Decision-Making Capacity Among Middle-Aged and Older Patients with Schizophrenia. Archives of General Psychiatry, 61. 2004. pp. 230-236
- Jeste, D.V. (et al). A collaborative model for research on decisional capacity and informed consent in older patients with schizophrenia: Bioethics unit of a geriatric psychiatry intervention research center. Psychopharmacology, 171. 2003. pp. 68-74
- Saks, E.R. (et al). The California Scale of Appreciation: A new instrument to measure the appreciation component of capacity to consent to research. American Journal of Geriatric Psychiatry, 10 (2). 2002. pp. 166-174
- Dunn, L.B. (et al). Enhancing Informed Consent for Research and Treatment. Neuropsychopharmacology, 24 (6). 2001. pp. 595-607
- Dunn, L.B. (et al). Improving Understanding of Research Consent in Middle-Aged and Elderly Patients with Psychotic Disorders. American Journal of Geriatric Psychiatry, 10 (2). 2002. pp. 142-150
- Dunn, L.B. (et al). Problem areas in the understanding of informed consent for research: study of middle-aged and older patients with psychotic disorders. Psychopharmacology, 171. 2003. pp. 81-85
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