Thirty-two men who participated in a trial of Zidovudine ( > 500 CD4 c
ells/10(6) L) were surveyed regarding their reasons for participation
in clinical trials. The major source of influence to enter the trial w
as the clinic doctor, and importance for self in participation was rat
ed as the least important reason. Medical science and medical research
ers were seen as the major beneficiaries. Being seen to do, something
about one's illness was also seen as being important and probability o
f delaying AIDS was rated lowest. Chance of occurrence of risks of tre
atment were rated as slightly below 50%. Results of Flesch and Fry tes
ts of informed consent documents suggested that they were written in t
he style of a scientific article, required the readability level of a
university graduate and that recall was imperfect. Those who saw more
benefits in their trial participation appeared to be most knowledgeabl
e. These data suggest that participation in this clinical trial was ba
sed on altruistic, rather than personal reasons and that participants
had realistic perceptions of outcomes.