Effects of an Audiovisual Intervention to Improve Competence to Consent to Research Participation Among Young Gay and Bisexual Men Who Use Stimulants.
Standard consent practices in HIV research often do not facilitate truly competent informed consent. We examined a brief audiovisual intervention to enhance competence to consent to participate in a hypothetical trial aimed at promoting sexual health and reducing stimulant use among young gay and bi...
| Published in: | Journal of Adolescent Health Vol. 78; no. 6; pp. 934 - 942 |
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| Main Authors: | , , , , , , , |
| Format: | research randomized controlled trial Journal Article |
| Published: |
Elsevier B.V.
Jun2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193498525&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193498525 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1054139X ILK jtl: Journal of Adolescent Health issn: 1054139X maglogo: N pubinfo: dt: Jun2026 vid: 78 iid: 6 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 193498525 193498525 193498525 10.1016/j.jadohealth.2026.02.020 193498525 ppf: 934 ppct: 8 formats: tig: atl: Effects of an Audiovisual Intervention to Improve Competence to Consent to Research Participation Among Young Gay and Bisexual Men Who Use Stimulants. aug: au: Valente, Pablo K. Fisher, Celia Biello, Katie B. Mimiaga, Matthew J. O'Connor, Giselle Pellegrino, Nicoletta Knopf, Amelia Brown, Brandon affil: Department of Allied Health Sciences, University of Connecticut, Waterbury, Connecticut sug: subj: Audiovisuals Gay Men Psychosocial Factors Bisexual Persons Psychosocial Factors Substance Use Disorders Consent (Research) Research Subjects Outcomes (Health Care) Human Adolescence HIV Infections Personal Satisfaction Young Adult White Persons Minority Groups Randomized Controlled Trials Health Promotion Sexual Health Social Behavior Adolescent: 13-18 years ab: Standard consent practices in HIV research often do not facilitate truly competent informed consent. We examined a brief audiovisual intervention to enhance competence to consent to participate in a hypothetical trial aimed at promoting sexual health and reducing stimulant use among young gay and bisexual men who use stimulants. Between June 2024 and January 2025, we enrolled 115 young gay and bisexual men aged 16–24 years who were at risk for HIV transmission or acquisition and reported recent stimulant use. Participants were randomized to standard consent (i.e., written informed consent form) or an audiovisual intervention (i.e., standard consent plus an animated video). We evaluated differences in overall competence to consent and in each competence domain (understanding, appreciation, and reasoning). Secondary outcomes included willingness to participate in the hypothetical trial, satisfaction with the consent, and acceptability of video-enhanced consent. Participants' mean age was 21.8 years (standard deviation = 1.7), and approximately half (53%) identified as White; the remaining were racial/ethnic minorities. Fifty-three participants (46%) were randomized to standard consent practices and 62 (54%) to the audiovisual intervention. Participants in the audiovisual intervention had higher overall competence to consent (p =.02), understanding (p =.04), and appreciation scores (p =.04). There were no differences in reasoning scores or in willingness to participate. Participants in the audiovisual group also reported greater satisfaction with the consent. Acceptability of video-enhanced consent was high across groups. Audiovisual consent interventions may be valuable tools to improve competence to consent for HIV and substance use behavioral trials, particularly by enhancing understanding and appreciation of study information. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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