scholarly journals Practical communication guidance to improve phase 1 informed consent conversations and decision-making in pediatric oncology

Cancer ◽  
2015 ◽  
Vol 121 (14) ◽  
pp. 2439-2448 ◽  
Author(s):  
Liza-Marie Johnson ◽  
Angela C. Leek ◽  
Dennis Drotar ◽  
Robert B. Noll ◽  
Susan R. Rheingold ◽  
...  
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Pediatric Oncology ◽  
Phase 1

Decision making and informed consent among participants in novel phase 1 trial designs.

2016 ◽  
Vol 34 (15_suppl) ◽  
pp. e21548-e21548
Author(s):  
Katherine Elizabeth Reeder-Hayes ◽  
Megan Roberts ◽  
Elizabeth Claire Dees
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Phase 1 ◽  
Phase 1 Trial

Valid informed consent and participative decision-making in children with cancer and their parents: A report of the SIOP working committee on psychosocial issues in pediatric oncology

2003 ◽  
Vol 40 (4) ◽  
pp. 244-246 ◽  
Author(s):  
John J. Spinetta ◽  
Giuseppe Masera ◽  
Momcilo Jankovic ◽  
Daniel Oppenheim ◽  
Antonio Gentil Martins ◽  
...  
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Pediatric Oncology ◽  
Psychosocial Issues ◽  
Children With Cancer

Oncologist views of informed consent and joint decision making in pediatric oncology

2010 ◽  
Author(s):  
Robert Olson ◽  
Juliette Hukin ◽  
Suzanne Steenburgh ◽  
Rod Rassekh ◽  
Anita Ho ◽  
...  
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Pediatric Oncology ◽  
Joint Decision

scholarly journals Suggestions from adolescents, young adults, and parents for improving informed consent in phase 1 pediatric oncology trials

Cancer ◽  
2013 ◽  
Vol 119 (23) ◽  
pp. 4154-4161 ◽  
Author(s):  
Justin N. Baker ◽  
Angela C. Leek ◽  
Halle Showalter Salas ◽  
Dennis Drotar ◽  
Robert Noll ◽  
...  
Keyword(s):  
Young Adults ◽  
Informed Consent ◽  
Pediatric Oncology ◽  
Phase 1

Communication and Decision-Making with Parents and Seriously Ill Children about Phase 1 Research Trials

2018 ◽  
pp. 184-205
Author(s):  
Melissa K. Cousino ◽  
Wynne E. Morrison ◽  
Victoria A. Miller
Keyword(s):  
Decision Making ◽  
Acute Myeloid Leukemia ◽  
Informed Consent ◽  
Ethical Issues ◽  
Phase 1 ◽  
Evidence Based ◽  
Case Scenario ◽  
Seriously Ill ◽  
Acute Myeloid

This chapter uses a case study to explore communication and decision-making with parents and seriously ill children about phase 1 research trials. The chapter begins with a case scenario about 13 year-old “Gabby,” who has relapsed high-risk acute myeloid leukemia, which brings to the forefront ethical issues specific to communication and decision-making with parents and seriously ill children about phase 1 research trials. A brief history on phase 1 research trials in pediatric oncology is provided, followed by a review of the scientific literature regarding challenges to informed consent and child assent in this context. The chapter ends with evidence-based strategies for improving informed consent for pediatric phase 1 trials and questions for discussion.

Certified Patient Decision Aids: Solving Persistent Problems with Informed Consent Law

2017 ◽  
Vol 45 (1) ◽  
pp. 12-40 ◽  
Author(s):  
Thaddeus Mason Pope
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Medical Treatment ◽  
Shared Decision Making ◽  
Decision Aids ◽  
Shared Decision ◽  
Legal Doctrine ◽  
Patient Decision Aids ◽  
Patient Decision ◽  
Decision Making Processes

The legal doctrine of informed consent has overwhelmingly failed to assure that the medical treatment patients get is the treatment patients want. This Article describes and defends an ongoing shift toward shared decision making processes incorporating the use of certified patient decision aids.

Das präoperative anästhesiologische Patientengespräch

2009 ◽  
Vol 66 (7) ◽  
pp. 503-508 ◽  
Author(s):  
Christoph Harms ◽  
Christoph H. Kindler
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Shared Decision Making ◽  
Shared Decision

Anästhesisten treffen ihre Patienten häufig in Ausnahmesituationen an, geprägt von Angst und großer Unsicherheit. Selbst zeitlich kurze Kontakte sind daher meist intensiv und bedeutsam. Das persönliche, anästhesiologische Gespräch steht am Beginn der Beziehung von Patient und Anästhesist und soll die geplanten Maßnahmen, welche der Anästhesist durchführen wird, erklären und begleiten. Ein solches Gespräch dauert heute durchschnittlich 20 Minuten. Es beinhaltet die Erhebung der Anamnese, die strukturierte und verständliche Informationsübermittlung zwischen Anästhesist und Patient (inklusive Informationen über die anästhesiologischen Interventionen, Instruktionen zum Verhalten des Patienten und die offene und klare Kommunikation von Vor- und Nachteilen sowie Risiken möglicher Anästhesieverfahren) sowie den professionellen Umgang mit den Emotionen des Patienten, insbesondere seiner präoperativen Angst. Da Patienten heute in der Anästhesiologie vermehrt in den Entscheidungsprozess mit einbezogen werden, entwickelt sich dieses Gespräch zunehmend von einer eher paternalistischen Arzt-Patienten Interaktion zu einer gemeinsamen Entscheidungsfindung, dem so genannten „shared decision making“. Formal sollte das präoperative Gespräch die bekannten Voraussetzungen für eine erfolgreiche Verständigung zwischen Patient und Arzt wie Deutlichkeit, Eindeutigkeit, identische Kodierung, Empathie und Rückmeldung erfüllen und mit dem einholen eines „informed consent“ enden.

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