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Efforts to improve understanding through the use of multimedia and enhanced consent forms have had only limited success. Having a study team member or a neutral educator spend more time talking one-on-one to study participants appears to be the most effective available way of improving research participants' understanding; however, further research is needed.
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Flory et al. (Tue,) studied this question.
synapsesocial.com/papers/69d729d8523bf2ea07f509d2 — DOI: https://doi.org/10.1001/jama.292.13.1593
James Flory
Ezekiel J. Emanuel
JAMA
National Institutes of Health Clinical Center
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