CancerNCT06804837
Implement and Test Visual Consent Template and Process
A study testing Visual consent and Standard consent in people with Cancer and Alzheimer Disease, run by Washington University School of Medicine at 3 sites in United States.
Trial summary
The investigators plan to conduct a stepped wedge randomized control trial to implement and test the consent template and process in three studies. Randomization will occur at the research coordinator/research team level. Each participating research team member will begin in the standard consent arm of the study. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Cancer, Alzheimer Disease
- What is being tested?
- Visual consent and Standard consent
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 266 participants
- Where
- 3 sitesUnited States
- Study dates
- 10 Mar 2025to 24 Apr 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Eligibility Criteria for Patients:
- Adult participants (18+) eligible for one of three participating trials at Washington University, University of Utah, or University of North Carolina at Chapel Hill. The eligibility criteria for the main trials are below:
- UNC:
- Basal-like PDAC Treated with Gemcitabine, Erlotinib, and Nab-paclitaxel (PANGEA) trial inclusion criteria:
- Written informed consent was obtained to participate in the study and HIPAA authorization for release of personal health information.
- Participant is willing and able to comply with study procedures based on the judgment of the investigator.
- Age ≥ 18 years at the time of consent.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1.
- Consent to a mandatory pre-study biopsy if archival tissue is not available or sufficient.
- Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen.
- Washington University:
- Returning Research Results That Indicate Risk of Alzheimer Disease Dementia to Healthy Participants in Longitudinal Studies (WeSHARE)
- Participants of the Knight Alzheimer Disease Research Center.
- Participants with available results from an Alzheimer Disease blood biomarker test.
- Participants who agreed to be contacted for additional research studies.
- University of Utah:
- Huntsman Cancer Institute Total Cancer Care
- Participants who have been diagnosed with any type of tumor or cancer.
- Participants with genetic predispositions or family history of cancer or tumors.
- Participant volunteers willing to share samples and data for research.
Eligibility Criteria for Research Staff:
- Research staff/coordinators of one of the three participating trials at Washington University, University of Utah, or University of North Carolina at Chapel Hill.
Trial locations and contacts
3 sites in 1 country.
United States3 sites
University of North Carolina at Chapel Hill School of Medicine
Chapel Hill, North Carolina, 27599
University of Utah Huntsman Cancer Institute (HCI)
Salt Lake City, Utah, 84112
Washington University School of Medicine
St Louis, Missouri, 63110
About this study
The investigators plan to conduct a stepped wedge randomized control trial to implement and test the consent template and process in three studies. Randomization will occur at the research coordinator/research team level. Each participating research team member will begin in the standard consent arm of the study. Subsequently, they will be randomized to the visual key information page arm at staggered time points to undergo training and begin using the visual key information page with patients who are eligible for the selected research study.
- Conditions
- Cancer, Alzheimer Disease
- Being tested
- Visual consent, Standard consent
- Keywords
- Informed consent, Key information, Common Rule, Research ethics
- Medical subject headings
- Neoplasms, Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Visual consentOther
Visual key information page
Standard consentOther
Summary text only
| Study group | Role | What they receive |
|---|---|---|
| Research Staff: Standard Consent | Active comparator | Each participating research team member will begin in the standard consent arm of the study. The standard consent consists of a summary using text only. Receives: Other: Standard consent |
| Research Staff: Visual Consent | Experimental | After beginning in the standard consent arm, the research staff will then be randomized to the visual key information page arm at staggered time points to undergo training and begin using the visual key information page with patients who are eligible for the selected research study. Research staff will also complete a baseline survey to assess feasibility, acceptability, and appropriateness of using visual consent pages as well as their institution's willingness and ability to implement using visual key information pages into routine care. Research staff will also complete a post-study survey on attitudes toward consent, the intervention (feasibility, acceptability, appropriateness of the intervention), organizational readiness for participant engagement, and willingness to continue the invention. Receives: Other: Visual consent |
| Participants: Visual Consent | Experimental | Participants will view the visual consent summary and will complete surveys with measures of knowledge, satisfaction with the information, decisional conflict, and potential covariates (i.e., demographics and health literacy). Receives: Other: Visual consent |
| Participants: Standard Consent | Active comparator | Participants will view the standard consent consisting of summary text only and will complete surveys with measures of knowledge, satisfaction with the information, decisional conflict, and potential covariates (i.e., demographics and health literacy). Receives: Other: Standard consent |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in feasibility (FIM) of implementation (Research Staff only)
4 items on a Likert scale ranging from completely disagree to completely agree. Higher scores indicate greater feasibility. (1=completely disagree, 3= neither agree nor disagree, 5= completely agree)
Measured: From baseline to end of study (estimated to be 4 months)
Change in acceptability (AIM) of implementation measures (Research Staff only)
4 items on a Likert scale ranging from completely disagree to completely agree. Higher scores indicate greater acceptability. (1=completely disagree, 3= neither agree nor disagree, 5= completely agree)
Measured: From baseline to end of study (estimated to be 4 months)
Change in appropriateness (IAM) of implementation measure (Research Staff only)
4 items on a Likert scale ranging from completely disagree to completely agree. Higher scores indicate greater appropriateness. (1=completely disagree, 3= neither agree nor disagree, 5= completely agree)
Measured: From baseline to end of study (estimated to be 4 months)
Change in organizational willingness and ability to implement strategies (Research staff only)
Measure of organizational readiness for engagement (MORE) measure; 4-point scale (1=not willing, 4=; willing) report mean and SD; higher scores indicate higher level of readiness
Measured: From baseline to end of study (estimated to be 4 months)
Secondary outcomes (4)
Knowledge of information provided in the consent (Participant only)
The investigators will ask up to7 true/false/unsure questions. Missing responses will be considered false/incorrect. An overall knowledge score will be calculated with the percentage of items correctly answered. Higher scores indicate greater participant understanding of the clinical trial.
Measured: At time of consent review (day 1)
Satisfaction of information provided in the consent (Participant only)
NIH Health Information National Trends Survey (HINTS); 5-items on a Likert scale (1=completely disagree, 3= neither agree nor disagree, 5= completely agree). Higher scores indicate higher satisfaction.
Measured: At time of consent review (day 1)
Decisional conflict (Participant only)
SURE measure; 4-item measure. Scores less than equal to 3 indicate the presence of decisional conflict
Measured: At time of consent review (day 1)
Number of enrollments to clinical trials (Participant only)
The investigators will document whether or not participants enroll in the trials.
Measured: At time of consent review (day 1)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Feb 2025
- Study start10 Mar 2025
- Primary completion24 Apr 2026
- Study completion24 Apr 2026
Why it stopped: Insufficient funding
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for CancerStudies of the same condition, open and under way.
- More trials run by Washington University School of MedicineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Sequential
- Model description
- This is a stepped wedge randomized control trial to implement and test the consent template and process in three studies. Randomization will occur at the research coordinator/research team level. Each participating research team member will begin in the standard consent arm of the study. Subsequently, they will be randomized to the visual key information page arm at staggered time points to undergo training and begin using the visual key information page with patients who are eligible for the selected research study.
- Masking
- None (open label)
- Enrolment
- 266 participants (actual)
Sponsor and investigators
- Lead sponsor
- Washington University School of Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- Agency for Healthcare Research and Quality (AHRQ)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06804837
- Sponsor's protocol ID
- 202501068
- Other IDs
- R01HS029310
- Status last verified
- May 2026
- First submitted
- 27 Jan 2025
- Last updated
- 3 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Prior to sharing, data will be redacted to strip all identifiers and strategies will be adopted to minimize risks of unauthorized disclosure of personal identifiers. Publicly available documentation will include the survey questions (including any relevant skip patterns), a codebook, univariate statistics for each variable, and study-level metadata. The codebook will include a brief description of each variable along with the question number and question text, variable name, variable label, value labels, and standard codes for missing values-including codes for non-applicable, "don't know," or prefer not to answer. User information will be required to access data files. As part of the registration process, users must agree to the conditions of use governing access to the data, including restrictions around redistributing data, destruction of the data after analyses, immediate reporting of any disclosures, and proper acknowledgment of the data resource.
Publications
Politi MC, Lee CN, Goldstein EC, Cooksey KE, Mozersky J, Housten AJ, Lu J, Wu S, Volkmar M, Catalan-Gallegos V, Kaphingst KA. Evaluating Whether Icons and Visual Elements Help or Hinder Understanding of Key Information for Research Studies: Results From a Randomized Trial. Health Lit Res Pract. 2026 Apr;10(2):e44-e51. doi: 10.3928/24748307-20260309-02. Epub 2026 May 1.
PubMed 42065932Cooksey KE, Goldstein EC, Lee CN, Mozersky J, Kaphingst KA, Liu J, Wu S, Volkmar M, Catalan-Gallegos V, Politi MC. Implementing and evaluating visual key information pages compared to text-based key information: protocol for a stepped-wedge cluster randomized trial. BMC Med Ethics. 2025 Nov 29;27(1):1. doi: 10.1186/s12910-025-01341-y.
PubMed 41318540
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Implement and Test Visual Consent Template and Process
- ClinicalTrials.gov ID
- NCT06804837
- Acronym / sponsor ID
- 202501068
- Conditions
- Cancer, Alzheimer Disease
- Keywords
- Informed consent, Key information, Common Rule, Research ethics
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Insufficient funding
- Enrolment
- 266 participants (actual)
- Lead sponsor
- Washington University School of MedicineUniversity, hospital or other
- Collaborators
- Agency for Healthcare Research and Quality (AHRQ)
- Study start
- 10 Mar 2025 (actual)
- Primary completion
- 24 Apr 2026 (actual)
- Study completion
- 24 Apr 2026 (actual)
- First posted
- 3 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The investigators plan to conduct a stepped wedge randomized control trial to implement and test the consent template and process in three studies. Randomization will occur at the research coordinator/research team level. Each participating research team member will begin in the standard consent arm of the study. Subsequently, they will be randomized to the visual key information page arm at staggered time points to undergo training and begin using the visual key information page with patients who are eligible for the selected research study.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 4
- Model description
- This is a stepped wedge randomized control trial to implement and test the consent template and process in three studies. Randomization will occur at the research coordinator/research team level. Each participating research team member will begin in the standard consent arm of the study. Subsequently, they will be randomized to the visual key information page arm at staggered time points to undergo training and begin using the visual key information page with patients who are eligible for the selected research study.
| Arm | Type | Receives |
|---|---|---|
| Research Staff: Standard Consent | Active comparator | Other: Standard consentEach participating research team member will begin in the standard consent arm of the study. The standard consent consists of a summary using text only. |
| Research Staff: Visual Consent | Experimental | Other: Visual consentAfter beginning in the standard consent arm, the research staff will then be randomized to the visual key information page arm at staggered time points to undergo training and begin using the visual key information page with patients who are eligible for the selected research study. Research staff will also complete a baseline survey to assess feasibility, acceptability, and appropriateness of using visual consent pages as well as their institution's willingness and ability to implement using visual key information pages into routine care. Research staff will also complete a post-study survey on attitudes toward consent, the intervention (feasibility, acceptability, appropriateness of the intervention), organizational readiness for participant engagement, and willingness to continue the invention. |
| Participants: Visual Consent | Experimental | Other: Visual consentParticipants will view the visual consent summary and will complete surveys with measures of knowledge, satisfaction with the information, decisional conflict, and potential covariates (i.e., demographics and health literacy). |
| Participants: Standard Consent | Active comparator | Other: Standard consentParticipants will view the standard consent consisting of summary text only and will complete surveys with measures of knowledge, satisfaction with the information, decisional conflict, and potential covariates (i.e., demographics and health literacy). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Visual consentVisual key information page | Other | Participants: Visual Consent, Research Staff: Visual Consent |
| Standard consentSummary text only | Other | Participants: Standard Consent, Research Staff: Standard Consent |
Primary outcome
Change in feasibility (FIM) of implementation (Research Staff only)
Time frame: From baseline to end of study (estimated to be 4 months)
4 items on a Likert scale ranging from completely disagree to completely agree. Higher scores indicate greater feasibility. (1=completely disagree, 3= neither agree nor disagree, 5= completely agree)
Change in acceptability (AIM) of implementation measures (Research Staff only)
Time frame: From baseline to end of study (estimated to be 4 months)
4 items on a Likert scale ranging from completely disagree to completely agree. Higher scores indicate greater acceptability. (1=completely disagree, 3= neither agree nor disagree, 5= completely agree)
Change in appropriateness (IAM) of implementation measure (Research Staff only)
Time frame: From baseline to end of study (estimated to be 4 months)
4 items on a Likert scale ranging from completely disagree to completely agree. Higher scores indicate greater appropriateness. (1=completely disagree, 3= neither agree nor disagree, 5= completely agree)
Change in organizational willingness and ability to implement strategies (Research staff only)
Time frame: From baseline to end of study (estimated to be 4 months)
Measure of organizational readiness for engagement (MORE) measure; 4-point scale (1=not willing, 4=; willing) report mean and SD; higher scores indicate higher level of readiness
4 secondary outcomes
Knowledge of information provided in the consent (Participant only)
Time frame: At time of consent review (day 1)
Satisfaction of information provided in the consent (Participant only)
Time frame: At time of consent review (day 1)
Decisional conflict (Participant only)
Time frame: At time of consent review (day 1)
Number of enrollments to clinical trials (Participant only)
Time frame: At time of consent review (day 1)
Results and safety
The study was stopped early (reason given: Insufficient funding). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2026.
- Derived from this study: PubMed 42065932Politi MC, Lee CN, Goldstein EC, Cooksey KE, Mozersky J, Housten AJ, Lu J, Wu S, Volkmar M, Catalan-Gallegos V, Kaphingst KA. Evaluating Whether Icons and Visual Elements Help or Hinder Understanding of Key Information for Research Studies: Results From a Randomized Trial. Health Lit Res Pract. 2026 Apr;10(2):e44-e51. doi: 10.3928/24748307-20260309-02. Epub 2026 May 1.
- Derived from this study: PubMed 41318540Cooksey KE, Goldstein EC, Lee CN, Mozersky J, Kaphingst KA, Liu J, Wu S, Volkmar M, Catalan-Gallegos V, Politi MC. Implementing and evaluating visual key information pages compared to text-based key information: protocol for a stepped-wedge cluster randomized trial. BMC Med Ethics. 2025 Nov 29;27(1):1. doi: 10.1186/s12910-025-01341-y.
- Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of MedicineLink provided by the sponsor.
- Huntsman Cancer Institute at University of UtahLink provided by the sponsor.
- Lineberger Comprehensive Cancer CenterLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Prior to sharing, data will be redacted to strip all identifiers and strategies will be adopted to minimize risks of unauthorized disclosure of personal identifiers. Publicly available documentation will include the survey questions (including any relevant skip patterns), a codebook, univariate statistics for each variable, and study-level metadata. The codebook will include a brief description of each variable along with the question number and question text, variable name, variable label, value labels, and standard codes for missing values-including codes for non-applicable, "don't know," or prefer not to answer. User information will be required to access data files. As part of the registration process, users must agree to the conditions of use governing access to the data, including restrictions around redistributing data, destruction of the data after analyses, immediate reporting of any disclosures, and proper acknowledgment of the data resource.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Visual consent and Standard consent in people with Cancer and Alzheimer Disease, run by Washington University School of Medicine at 3 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 3 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: Insufficient funding). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in feasibility (FIM) of implementation (Research Staff only) (time frame: From baseline to end of study (estimated to be 4 months)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06804837, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2026.