Dublin Core PKP Metadata Items Metadata for this Document
1. Title Title of document Assessing decisional capacity for research participation in psychiatric patients and their relatives
2. Creator Author's name, affiliation, country Donae Elizabeth George; Psychiatry Unit II, Christian Medical College, Vellore, Tamil Nadu, India
3. Subject Discipline(s)
3. Subject Keyword(s)
4. Description Abstract A cross-sectional study among adult inpatients with non-organic psychiatric disorders, and among their key relatives, assessed their comprehension and recall of key information in consent forms. It also assessed their capacity to consent to participate in two hypothetical randomised controlled trials (RCTs) with different potential risks and burdens, using structured questionnaires and recorded interviews. Of the 24 participants (12 patient–key relative dyads), seven patients (58%) and three key relatives (25%) were clinically judged to lack the capacity to consent. Of the remaining 14 participants s, less than half the patients (2/5; 40%) or relatives (3/9; 33%) accurately recalled 50% of the key information on both trials. Among the eight participants (3 patients, 5 relatives) independently assessed on the MacArthur Competence Assessment Tool for Clinical Research, the proportions judged competent for each trial varied with the criteria for defining competence. No one fulfilled the stringent competence criteria for both trials. Routine assessments of the capacity of psychiatric research participants, and of relatives providing proxy consent, appear to be warranted. However, neither suboptimal understanding of consent forms, nor incompetence determined by the use of formal assessment tools, necessarily denote an incapacity to consent to research if detailed clinical assessments indicate otherwise. Research into incorporating participants' health literacy and clinical status in formal assessments may help determine the optimal standards for defining competence.
5. Publisher Organizing agency, location Forum for Medical Ethics Society
6. Contributor Sponsor(s)
7. Date (YYYY-MM-DD) 2017-08-08
8. Type Status & genre
8. Type Type
9. Format File format HTML , PDF
10. Identifier Uniform Resource Identifier http://ijme.in/articles/assessing-decisional-capacity-for-research-participation-in-psychiatric-patients-and-their-relatives/
11. Source Title; vol., no. (year) Indian Journal of Medical Ethics;: Medical miracles or tools of objectification?
12. Language English=en en
13. Relation Supp. Files
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions

All articles published in IJME are available on its website free of charge. The copyright for published material belongs to IJME/FMES. IJME freely permits the reprint (or reproduction on a website) of articles from the journal, as long as this is for non-commercial use and appropriate credit is given to the author and the journal and publication details are mentioned. The commercial use of our content can be made only after obtaining permission from and on payment to IJME. This is intended to support production of the journal.