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Informed Consent in a Mobile Era

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Page 1: Informed Consent in a Mobile Era
Page 2: Informed Consent in a Mobile Era

We  focus  on  a  world  where  biomedical  research  is  about  to  fundamentally  change.  We  think  it  will  be  often  conducted  in  an  open,  collaborative  way  where  teams  of  teams  far  beyond  the  current  guilds  of  experts  will  contribute  to  making  better,  faster,  relevant  discoveries

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helping data users work together, when they don’t work together.

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TCGA Pan-Cancer Consortium

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doi:10.7303/syn1710680.4

TCGA Pan-Cancer Consortium

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groups datasets subtypes

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Selected Hosted Consortia and Projects

DREAM challenges

NIH-Alzheimers Accelerating Medicines Partnership

Common Mind Consortium

Cancer Genome Atlas Pan-Cancer Consortium

Colorectal Cancer Subtyping Consortium

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1.

machine learning is coming for research…

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a different approach to hypothesis formation…

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requires sample scale, longitudinally…

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To predict whether or not we’ll click on ads, Facebook / Amazon / Google use sample sizes in the hundreds of thousands.

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To predict whether or not we’ll click on ads, Facebook / Amazon / Google have longitudinal data on individuals.

where i’ve been, where i’m going

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689,003 people

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from 1800 to 100,000

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individual progression

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high-dimension “medical thing” data

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62  y  old  Man 67  y  old  Woman

same medicine, different impacts

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“loads  and  reliefs”  affect  the  efficacy  of  medication  on  individual  levels

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radical honesty > radical restrictions

informed consent is the key.

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2.

how can we increase informedness in mobile or

digital consent?

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(not informed consent)

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comprehensionlanguagetimeformat

regulatoryliability

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1. series of interviews and requirements gathering

2. interaction design process and prototyping

3. consent development

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gaitbalancevoicetapping

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1. tiered information access by participants

2. “pictorial” dominant on first information tier

3. text dominant on second information tier

4. require perfect score on short assessment

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initial metaphor

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mPower (Parkinsons Disease)

Share the Journey (Breast Cancer Survivor)

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study “narrative”

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screen structure

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navigation to/from reinforces concept

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changeable by participant

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>70,000 enrolled since 9 March

(~75% choose to share broadly)

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“participant centric consent toolkit”

http://sagebase.org/pcc

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iconographic representations of key concepts in informed consent

open source methods

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design layouts

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workflows

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web templates and assets

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3.

implications for practitioners

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is a design illuminating, or obscuring?

drawing eyes to second cheapest

ticket

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how to reconcile tech culture and clinical research?

https://xkcd.com/1428/

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where’s the line between hope and hype?

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where’s the line between patient engagement and targeting?

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thank you

http://sagebase.org/

@sagebio

@wilbanks