Intervention Review

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Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures

  1. Paul Kinnersley1,*,
  2. Katie Phillips1,
  3. Katherine Savage1,
  4. Mark J Kelly2,
  5. Elinor Farrell1,
  6. Ben Morgan1,
  7. Robert Whistance3,
  8. Vicky Lewis4,
  9. Mala K Mann5,
  10. Bethan L Stephens1,
  11. Jane Blazeby6,
  12. Glyn Elwyn1,
  13. Adrian GK Edwards1

Editorial Group: Cochrane Consumers and Communication Group

Published Online: 6 JUL 2013

Assessed as up-to-date: 17 JUL 2012

DOI: 10.1002/14651858.CD009445.pub2


How to Cite

Kinnersley P, Phillips K, Savage K, Kelly MJ, Farrell E, Morgan B, Whistance R, Lewis V, Mann MK, Stephens BL, Blazeby J, Elwyn G, Edwards AGK. Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD009445. DOI: 10.1002/14651858.CD009445.pub2.

Author Information

  1. 1

    Cardiff University, Cochrane Institute of Primary Care and Public Health, School of Medicine, Cardiff, Wales, UK

  2. 2

    Cardiff University, South East Wales Trials Unit, Institute of Translation, Innovation, Methodology and Engagement, Cardiff, Wales, UK

  3. 3

    University of Bristol, Academic Unit of Surgical Research, School of Social and Community Medicine, Bristol, UK

  4. 4

    Wales Deanery for Postgraduate Medical and Dental Education, Cardiff, Wales, UK

  5. 5

    Information Services, Cardiff University, Support Unit for Research Evidence (SURE), Cardiff, Wales, UK

  6. 6

    University of Bristol, Section of Healthcare Research, The School of Social and Community Medicine, Bristol, UK

*Paul Kinnersley, Cochrane Institute of Primary Care and Public Health, School of Medicine, Cardiff University, 3rd Floor, Neuadd Meirionnydd, Heath Park, Cardiff, Wales, CF14 4XN, UK. kinnersley@cf.ac.uk.

Publication History

  1. Publication Status: New
  2. Published Online: 6 JUL 2013

SEARCH

[Figure 1]
Figure 1. Study flow diagram.
[Figure 2]
Figure 2. Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
[Figure 3]
Figure 3. Funnel plot of comparison: 2 All studies: interventions that promote informed consent, outcome: 2.7 Knowledge/retention/recall - Immediate.
[Figure 4]
Figure 4. Funnel plot of comparison: 2 All studies: interventions that promote informed consent, outcome: 2.8 Knowledge/Retention/Recall - Short term.
[Figure 5]
Figure 5. Funnel plot of comparison: 2 All studies: interventions that promote informed consent, outcome: 2.9 Knowledge/Retention/Recall - Long term.
[Figure 6]
Figure 6. Funnel plot of comparison: 2 All studies: interventions that promote informed consent, outcome: 2.16 General or procedural-related anxiety.
[Figure 7]
Figure 7. Funnel plot of comparison: 2 All studies: interventions that promote informed consent, outcome: 2.22 Satisfaction with consent process.
[Analysis 1.1]
Analysis 1.1. Comparison 1 All studies: Interventions that promote informed consent, Outcome 1 Informed consent: continuous data.
[Analysis 1.2]
Analysis 1.2. Comparison 1 All studies: Interventions that promote informed consent, Outcome 2 Patient understanding: continuous data.
[Analysis 1.3]
Analysis 1.3. Comparison 1 All studies: Interventions that promote informed consent, Outcome 3 Patient self-report of understanding: continuous data.
[Analysis 1.4]
Analysis 1.4. Comparison 1 All studies: Interventions that promote informed consent, Outcome 4 Patient self-report of understanding: dichotomous data.
[Analysis 1.5]
Analysis 1.5. Comparison 1 All studies: Interventions that promote informed consent, Outcome 5 Knowledge/retention/recall - immediate: continuous data.
[Analysis 1.6]
Analysis 1.6. Comparison 1 All studies: Interventions that promote informed consent, Outcome 6 Knowledge/retention/recall - short term: continuous data.
[Analysis 1.7]
Analysis 1.7. Comparison 1 All studies: Interventions that promote informed consent, Outcome 7 Knowledge/retention/recall - long term: continuous data.
[Analysis 1.8]
Analysis 1.8. Comparison 1 All studies: Interventions that promote informed consent, Outcome 8 Knowledge/retention/recall - immediate: dichotomous data.
[Analysis 1.9]
Analysis 1.9. Comparison 1 All studies: Interventions that promote informed consent, Outcome 9 Knowledge/retention/recall - short term: dichotomous data.
[Analysis 1.10]
Analysis 1.10. Comparison 1 All studies: Interventions that promote informed consent, Outcome 10 Knowledge/retention/recall - long term: dichotomous data.
[Analysis 1.11]
Analysis 1.11. Comparison 1 All studies: Interventions that promote informed consent, Outcome 11 Knowledge/retention/recall: non-parametric data.
[Analysis 1.12]
Analysis 1.12. Comparison 1 All studies: Interventions that promote informed consent, Outcome 12 Deliberation: continuous data.
[Analysis 1.13]
Analysis 1.13. Comparison 1 All studies: Interventions that promote informed consent, Outcome 13 Decisional conflict: continuous data.
[Analysis 1.14]
Analysis 1.14. Comparison 1 All studies: Interventions that promote informed consent, Outcome 14 General or procedural-related anxiety: continuous data.
[Analysis 1.15]
Analysis 1.15. Comparison 1 All studies: Interventions that promote informed consent, Outcome 15 General or procedure-related anxiety: dichotomous data.
[Analysis 1.16]
Analysis 1.16. Comparison 1 All studies: Interventions that promote informed consent, Outcome 16 Anxiety (or other psychological stress) with consent process: continuous data.
[Analysis 1.17]
Analysis 1.17. Comparison 1 All studies: Interventions that promote informed consent, Outcome 17 Anxiety (or other psychological stress) with consent process: dichotomous data.
[Analysis 1.18]
Analysis 1.18. Comparison 1 All studies: Interventions that promote informed consent, Outcome 18 Anxiety (or other psychological stress) with consent process: non-parametric data.
[Analysis 1.19]
Analysis 1.19. Comparison 1 All studies: Interventions that promote informed consent, Outcome 19 Anxiety (or other psychological stress) with decision-making: continuous data.
[Analysis 1.20]
Analysis 1.20. Comparison 1 All studies: Interventions that promote informed consent, Outcome 20 Satisfaction with consent process: continuous data.
[Analysis 1.21]
Analysis 1.21. Comparison 1 All studies: Interventions that promote informed consent, Outcome 21 Satisfaction with consent process: dichotomous data.
[Analysis 1.22]
Analysis 1.22. Comparison 1 All studies: Interventions that promote informed consent, Outcome 22 Satisfaction with consent process: non-parametric data.
[Analysis 1.23]
Analysis 1.23. Comparison 1 All studies: Interventions that promote informed consent, Outcome 23 Satisfaction with decision making: continuous data.
[Analysis 1.24]
Analysis 1.24. Comparison 1 All studies: Interventions that promote informed consent, Outcome 24 Satisfaction with decision making: dichotomous data.
[Analysis 1.25]
Analysis 1.25. Comparison 1 All studies: Interventions that promote informed consent, Outcome 25 Pain levels: continuous data.
[Analysis 1.26]
Analysis 1.26. Comparison 1 All studies: Interventions that promote informed consent, Outcome 26 Pain levels: dichotomous data.
[Analysis 1.27]
Analysis 1.27. Comparison 1 All studies: Interventions that promote informed consent, Outcome 27 Analgesia use: non-parametric data.
[Analysis 1.28]
Analysis 1.28. Comparison 1 All studies: Interventions that promote informed consent, Outcome 28 Desire for further information: dichotomous data.
[Analysis 1.29]
Analysis 1.29. Comparison 1 All studies: Interventions that promote informed consent, Outcome 29 Sense of control - locus of control or perception of who made the decision: continuous data.
[Analysis 1.30]
Analysis 1.30. Comparison 1 All studies: Interventions that promote informed consent, Outcome 30 Sense of control - locus of control or perception of who made the decision: dichotomous data.
[Analysis 1.31]
Analysis 1.31. Comparison 1 All studies: Interventions that promote informed consent, Outcome 31 Clinician outcome: satisfaction with the consent consultation: continuous data.
[Analysis 1.32]
Analysis 1.32. Comparison 1 All studies: Interventions that promote informed consent, Outcome 32 Clinician outcome: satisfaction with the consent consultation: dichotomous data.
[Analysis 1.33]
Analysis 1.33. Comparison 1 All studies: Interventions that promote informed consent, Outcome 33 Systems outcome: rates of uptake (or refusal) of clinical interventions/procedures: dichotomous data.
[Analysis 1.34]
Analysis 1.34. Comparison 1 All studies: Interventions that promote informed consent, Outcome 34 Systems outcome: length of consultations: continuous data.
[Analysis 1.35]
Analysis 1.35. Comparison 1 All studies: Interventions that promote informed consent, Outcome 35 Systems outcome: economic-time taken to consent: non-parametric data.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Interventions that promote informed consent: Face-to-face interventions and distant interventions, Outcome 1 Distant interventions: knowledge/retention/recall - immediate.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Interventions that promote informed consent: Face-to-face interventions and distant interventions, Outcome 2 Distant interventions: knowledge/retention/recall - short term.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Interventions that promote informed consent: Face-to-face interventions and distant interventions, Outcome 3 Distant interventions: anxiety (or other psychological stress) with consent process.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Interventions that promote informed consent: Face-to-face interventions and distant interventions, Outcome 4 Distant interventions: systems outcome: length of consultations.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Interventions that promote informed consent: Face-to-face interventions and distant interventions, Outcome 5 Face to face interventions: knowledge/retention/recall - immediate.
[Analysis 2.6]
Analysis 2.6. Comparison 2 Interventions that promote informed consent: Face-to-face interventions and distant interventions, Outcome 6 Face to face interventions: knowledge/retention/recall - short term.
[Analysis 2.7]
Analysis 2.7. Comparison 2 Interventions that promote informed consent: Face-to-face interventions and distant interventions, Outcome 7 Face to face interventions: anxiety (or other psychological stress) with consent process.
[Analysis 2.8]
Analysis 2.8. Comparison 2 Interventions that promote informed consent: Face-to-face interventions and distant interventions, Outcome 8 Face to face interventions: systems outcome: length of consultations.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Interventions to promote informed consent: consent on behalf of a minor and self consent, Outcome 1 Consent on behalf of a minor: knowledge/retention/recall - immediate.
[Analysis 3.2]
Analysis 3.2. Comparison 3 Interventions to promote informed consent: consent on behalf of a minor and self consent, Outcome 2 Consent on behalf of a minor: anxiety (or other psychological stress) with consent process.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Interventions to promote informed consent: consent on behalf of a minor and self consent, Outcome 3 Self-consent: knowledge/retention/recall - immediate.
[Analysis 3.4]
Analysis 3.4. Comparison 3 Interventions to promote informed consent: consent on behalf of a minor and self consent, Outcome 4 Self-consent: anxiety (or other psychological stress) with consent process.
[Analysis 4.1]
Analysis 4.1. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 1 Written: knowledge/retention/recall - immediate.
[Analysis 4.2]
Analysis 4.2. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 2 Written: knowledge/retention/recall - short term.
[Analysis 4.3]
Analysis 4.3. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 3 Written: knowledge/retention/recall - long term.
[Analysis 4.4]
Analysis 4.4. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 4 Written: general or procedural-related anxiety.
[Analysis 4.5]
Analysis 4.5. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 5 Written: anxiety (or other psychological stress) with consent process.
[Analysis 4.6]
Analysis 4.6. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 6 Written: satisfaction with consent process.
[Analysis 4.7]
Analysis 4.7. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 7 Audiovisual: knowledge/retention/recall - immediate.
[Analysis 4.8]
Analysis 4.8. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 8 Audiovisual: knowledge/retention/recall - short term.
[Analysis 4.9]
Analysis 4.9. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 9 Audiovisual: general or procedural-related anxiety.
[Analysis 4.10]
Analysis 4.10. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 10 Audiovisual: anxiety (or other psychological stress) with consent process.
[Analysis 4.11]
Analysis 4.11. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 11 Audiovisual: satisfaction with consent process.
[Analysis 4.12]
Analysis 4.12. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 12 Audiovisual: satisfaction with consent process (dichotomous).
[Analysis 4.13]
Analysis 4.13. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 13 Interactive multimedia: knowledge/retention/recall - short term.
[Analysis 4.14]
Analysis 4.14. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 14 Interactive multimedia: satisfaction with consent process.
[Analysis 4.15]
Analysis 4.15. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 15 Structured: knowledge/retention/recall - immediate.
[Analysis 4.16]
Analysis 4.16. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 16 Decision aid: knowledge/retention/recall - immediate.
[Analysis 4.17]
Analysis 4.17. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 17 Decision aid: knowledge/retention/recall - short term.
[Analysis 4.18]
Analysis 4.18. Comparison 4 Interventions that promote informed consent : Classification of interventions, Outcome 18 Decision aids: satisfaction with decision making.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Interventions that promote informed consent: Timing of intervention, Outcome 1 Before admission: knowledge/retention/recall - immediate.
[Analysis 5.2]
Analysis 5.2. Comparison 5 Interventions that promote informed consent: Timing of intervention, Outcome 2 Before admission: anxiety (or other psychological stress) with consent process.
[Analysis 5.3]
Analysis 5.3. Comparison 5 Interventions that promote informed consent: Timing of intervention, Outcome 3 Before admission: satisfaction with consent process.
[Analysis 5.4]
Analysis 5.4. Comparison 5 Interventions that promote informed consent: Timing of intervention, Outcome 4 Before admission: satisfaction with consent process (dichotomous).
[Analysis 5.5]
Analysis 5.5. Comparison 5 Interventions that promote informed consent: Timing of intervention, Outcome 5 After admission: knowledge/retention/recall - immediate.
[Analysis 5.6]
Analysis 5.6. Comparison 5 Interventions that promote informed consent: Timing of intervention, Outcome 6 After admission: anxiety (or other psychological stress) with consent process.
[Analysis 5.7]
Analysis 5.7. Comparison 5 Interventions that promote informed consent: Timing of intervention, Outcome 7 After admission: satisfaction with consent process.
[Analysis 5.8]
Analysis 5.8. Comparison 5 Interventions that promote informed consent: Timing of intervention, Outcome 8 After admission: satisfaction with consent process (dichotomous).