Level of education and preferred language of informed consent for clinical research in a multi-lingual community

Level of education and preferred language of informed consent for clinical research in a multi-lingual community
Grace Muzanyi, Isaac Sekitoleko, John L Johnson, Jane Lunkuse, Gladys Nalugwa, Joanita Nassali, David Kaawa Mafigiri
African Health Sciences, June 2020; 20(2)
Open Access
Abstract
Background
Low education levels and language barriers present challenges in obtaining informed consent for clinical research.
Objective
To describe and correlate the association between the level of education and the participant’s preferred language of consent.
Design
Descriptive-analytical cross-sectional study.
Participants
Adults being consented for participation in tuberculosis (TB) research studies in an East African community with varying levels of education.
Procedures
We analyzed data on demographic and educational characteristics collected from adults being consented for participation in TB studies. Only participants who could understand and speak Luganda (the main local language) or English (the official language of Uganda) were included in this analysis.
Results
A total of 523 participants were consented between April 2015 and December 2017 and included in this analysis; 250 below Senior four ( 13yrs of education). We noted that the preference for English rises with the rising levels of education and peaked at beyond senior six (83%Vs17%,OR=49,95%CI:22.8-106.3,p<0.001).Participants below senior four preferred Luganda Vs senior four and above(OR=16.9,95%CI:9.9-28.8,p<0.001)
Conclusion
Rising education levels of participants were associated with preference for English language usage during initial consent for clinical research studies.

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