title: Assessing the impact of a modified informed consent process in a South African HIV/AIDS research trial.
abstract: OBJECTIVE
  The process of informed consent may be jeopardized in cross-linguistic research trials but little is known about the factors which contribute to this. The present study was designed to assess the impact on the understanding of trial participants of the essential components of a trial, as well as on the perceptions of the participants, through enrollment via a standard versus a modified informed consent protocol.
  
  
  METHODS
  Counselors from two HIV trial sites in South Africa were trained to enroll patients for a trial, using a modified informed consent protocol. The standard and modified protocols were compared.
  
  
  RESULTS
  Marked differences were noted in effectiveness of the process after training using the modified protocol, resulting in improved patient understanding. An item analysis suggested those areas of the trial which were most difficult for counselors to communicate effectively and highlighted potential barriers and facilitators to the process.
  
  
  CONCLUSIONS
  Cultural and linguistic modifications to the informed consent process can enhance the understanding of components of a research trial and are viewed as largely positive by the participants.
  
  
  CONCLUSIONS
  Some implications for future enrollments, for developing policy and for the role of a language specialist on research ethics committees and in trial design are highlighted.
authors: University of Witwatersrand, South Africa. Claire.penn@wits.ac.za
authors: Claire
authors: C
authors: Penn
authors: Melanie
authors: M
authors: Evans
mesh_terms: D019380:Anti-HIV Agents / Q000600:supply & distribution / Q000627:therapeutic use; D035843:Biomedical Research / Q000941:ethics; D002986:Clinical Trials as Topic / Q000941:ethics*; D003142:Communication; D032882:Comprehension; D028744:Ethics Committees, Research; D015658:HIV Infections / Q000188:drug therapy; D006801:Humans; D007258:Informed Consent / Q000941:ethics* / Q000592:standards; D007802:Language; D013019:South Africa
chemical_list: D019380:Anti-HIV Agents