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OBTAINING AND DOCUMENTING INFORMED CONSENT OF SUBJECTS WHO DO NOT SPEAK ENGLISH The Department of Health and Human Services DHHS regulations 45 CFR 46. 116 and 45 CFR 46. 117 and FDA regulations 21 CFR 50. 25 and 21 CFR 50. 27 require that informed consent information be presented in language understandable to the subject and in most situations that informed consent be documented in writing. Given the diversity of patients seen in our hospitals investigators may encounter a non-English...
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How to fill out Obtaining and Documenting Informed Consent of Subjects Who Do Not Speak English

01
Identify the subjects who do not speak English.
02
Ensure that a qualified interpreter is available to facilitate communication.
03
Prepare the informed consent documents in the subject's preferred language, with the help of a professional translator if necessary.
04
Review the informed consent form with the interpreter present to explain the purpose of the study, procedures, risks, and benefits.
05
Allow the subjects to ask questions and ensure they fully understand the information provided.
06
Obtain signatures from the subjects on the informed consent document, while the interpreter signs as a witness.
07
Document the consent process thoroughly, including details of the interpretation and any questions asked by the subjects.

Who needs Obtaining and Documenting Informed Consent of Subjects Who Do Not Speak English?

01
Researchers conducting studies involving non-English speaking populations.
02
Clinical trial coordinators who ensure ethical standards are met.
03
Ethics review boards reviewing studies that include non-English speaking subjects.
04
Healthcare professionals involved in studies that require informed consent from diverse populations.
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Unless written consent has been waived as a requirement for the study, the participants who do not speak English must be provided with: A written consent document in a language understandable to them AND. An interpreter fluent in both English and the participant's spoken language to aid in the consent process.
The preferred method is to provide consent forms written in the subject's language. For the occasional and unanticipated non-English speaking subject, an alternative “short form” method may be allowed [21 CFR 50.27(b)(2) and 45 CFR 46.117(b)(2)].
If the non-English speaking person has agreed to participate using the short form process, the consent MUST be promptly translated into the participant's language, submitted to the IRB along with the certificate of translation and, after IRB approval, be provided to the participant.
Someone could also give non-verbal consent, as long as they understand the treatment or examination about to take place – for example, holding out an arm for a blood test. Consent should be given to the healthcare professional responsible for the person's treatment.
In addition to the oral presentation, the participant must sign a short form written consent document. The Experimental Participants Bill of Rights translated into a language in which the participant is fluent will serve as the short form. A witness also must sign.
Acceptable evidence of interpretation included 1 or more of the following: 1) documentation in the procedure note of a consent discussion in the patient's language or through an interpreter; 2) a consent form written in the patient's primary language; or 3) an interpreter's signature on the consent form.
Use the nine tips below to improve your communication when you're treating a patient with LEP. Keep sentences short and simple. Maintain appropriate eye contact. Speak slowly. Don't use slang. Be mindful of your body language. Be culturally competent. Engage with the interpreter.

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It refers to the process of ensuring that individuals who do not understand English are adequately informed about a study and are able to provide their consent in a language they understand.
Researchers conducting studies involving non-English speaking subjects are required to file this documentation as part of ethical research practices.
The process typically involves translating consent forms into the subject's native language, utilizing trained interpreters, and ensuring that all information is clearly communicated before obtaining signatures.
The purpose is to ensure that all subjects, regardless of language proficiency, understand the research, its risks, and benefits, thus protecting their rights and welfare as research participants.
Information must include the study's purpose, procedures, risks, benefits, confidentiality assurances, and details on voluntary participation, all provided in a language the subject understands.
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