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Table 2 Factors that influence participant comprehension

From: Researchers experience and views on participants’ comprehension of informed consent in clinical trials in Malawi: a descriptive qualitative study

Factors

Supporting quotes

Involving a third party

“Taking your time with them. You can even get another person to be there with them so they can listen together and ask questions together, they can even go home and discuss and reflect on the given information and bring in questions they were not able to ask initially” [P13].

Demonstrations

“Demonstrating to them what you intend to do for example sample draw, you actually show them what you are going to do, the amount of blood to be drawn” [P01].

Repeated assessments

“At each and every visit, remind the participant about the study procedure or ask them what is happening on that particular day” [P05].

“If you enroll them today, when they come for subsequent visit, you still go through the aspects of the consent form, kind of reminding them on each and every visit they come” [P12].

Giving them prior information

“Inviting them for a discussion, a prior, like the initial information, you give them time to think about it, they come back within an agreeable time, a few days to a week, and then you undergo a repetition of the discussion, that helps” [P07].