Como consentir sem entender?

BACKGROUND: The Consent Form (CF) is an important document that informs patients about benefits and risks of a study, it assures patients the right to accept or reject participation in a procedure related to their health. Some authors believe that Consent Forms are complex and difficult to read for...

ver descrição completa

Detalhes bibliográficos
Autores: Miranda, Vanessa Da Costa, Fêde, Ângelo Bezerra De Souza, Lera, Andréa Thaumaturgo, Ueda, Aline, Antonangelo, Daniela Veiga, Brunetti, Karina, Riechelmann, Rachel [UNIFESP], Del Giglio, Auro
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/4809
Acesso em linha:http://dx.doi.org/10.1590/S0104-42302009000300028
http://repositorio.unifesp.br/handle/11600/4809
Access Level:acceso abierto
Palavra-chave:Medical Oncology
Consent Forms
Comprehension Ethics
Research
Oncologia
Termos de Consentimento
Compreensão
Ética em Pesquisa
Descrição
Resumo:BACKGROUND: The Consent Form (CF) is an important document that informs patients about benefits and risks of a study, it assures patients the right to accept or reject participation in a procedure related to their health. Some authors believe that Consent Forms are complex and difficult to read for most people. OBJECTIVE: Correlate the difficulty of understanding CF, through the Flesch Index (FI) and Flesch-Kincaid Index (FKI), used in our oncology outpatient clinic, with the profile of our patient's education. We also wanted to verify readability and presence of the information which must be part of these CF according to item IV.1 from Resolution 196/96 of the Brazilian Health Council. RESULTS: We obtained 10 CFs, according to FI and FKI the mean was 38.5 and 18.16 respectively, indicating that, at least, 18 years of study are needed for the comprehension. This result is incompatible with the Brazilian population where more than 50% have less than 8 years of study. According to the quality of the CF, they were well elaborated, and had most of the necessary contents. When the authors correlated FKI and quality of CF, they concluded that the quality of CF does not correlate with readability (p= 0.884, Pearson correlation coefficients 0.053). CONCLUSION: Despite the good content quality of most of the analyzed CF, their level of reading difficulty is not compatible with the literacy skills of a major part of the Brazilian population.