The study objective was to assess the relative effects of 2 approaches
to teaching about a clinical trial, in terms of patients' satisfactio
n, information understanding, and whether or not they would enter such
a trial. One hundred patients receiving radiation therapy for a varie
ty of cancer diagnoses were randomized to receive information about a
hypothetical trial, either by audio tape or interactive computer progr
am. A day later, information understanding was assessed. One week late
r, method satisfaction and whether respondents would enter such a tria
l were assessed. There were no differences in understanding or satisfa
ction. Members of the computer program group tended to report a more p
ositive attitude towards trial entry (chi(2) = 4.0; 1 df; P = 0.05). O
verall, refusers tended to be women with higher understanding scores.
The results suggest that teaching with interactive components might no
t adversely affect trial accrual. Further work involving an actual tri
al entry decision is merited; the sex of the respondent should be cont
rolled in designing this future work.