OpenClinica Europe 2015 - Keynote

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Transcript of OpenClinica Europe 2015 - Keynote

we’re trying to change the nature of research.

undersized, underpowered, exclusionary,

wasteful.

http://www.zmescience.com/medicine/mind-and-brain/man-feel-invisible-24042015/

1.

the odds of successful conversion to wisdom go up as more people can see the

data.

code sharing a prerequisite.

http://synapse.org

accuracy of model jumped three orders of magnitude in nine days.

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76% accurate.

people are starting to get medical data outside

the medical-research industrial complex

people are starting to get medical data outside the context of regulation

and bioethics.

2.

the Bridge project.

from 1800 to 100,000

689,003 people

written by a doctor edited by a lawyer re-edited by a committee

presented to a participant for zero-sum game

written by a doctor edited by a lawyer re-edited by a committee

presented to a participant for zero-sum game

comprehension language time format

regulatory liability

3.

informed consent in a mobile context?

1. series of interviews and requirements gathering

2. interaction design process and prototyping

3. consent development

courtesy of: David Fore

relatively low risk observational study

primary risk is to privacy

gait balance voice tapping

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

initial metaphor

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force the conversation every time:

what must a participant understand to provide informed consent?

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mPower (Parkinsons Disease)

Share the Journey (Breast Cancer Survivor)

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post-consent, pre-enrollment:

assessment (must get all 5 right)

archives and ongoing engagement

emailed to participant

also available in-app

changeable by participant

“participant centric consent toolkit”

http://sagebase.org/pcc

iconographic representations of key concepts in informed consent

open source methods

design layouts

workflows

web templates and assets

4.

next: close the loop to the patient.

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“virtual tumor boards”

consent isn’t standalone. it connects to ethics and governance structures inside data use - and back.

thank you

http://sagebase.org/

@sagebio

@wilbanks