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. 2023 Sep 1;25:e43883. doi: 10.2196/43883

Table 3.

Studies providing comparative findings on the usability of electronic consent (eConsent) versus paper informed consent form.

Study, year Participants Methodology Findings

Sample size, N Age (years) Measure Validitya
Abujarad et al [13], 2021 50
  • eConsent: mean 47 (SD 15; range NRb)

  • Comparator: mean 38 (SD 15; range NR)

1 question (Likert scale) + eConsent participants scored the process as significantly less difficult than paper consent participants (P=.02)
Chalil Madathil et al [18], 2013 40
  • Mean NR (SD NR; range 18-77)

CSUQc system usefulness and interface quality subscales +++ Higher usefulness and interface quality scores with eConsent formats vs paper. Difference across the different formats statistically significant (P<.05)
Chapman et al [19,20], 2021 and 2020 298
  • Mean 63 (SD 8; range 45-74)

2 questions (multiple choice) plus successful completion + Significantly better scores with eConsent vs paper for engagement with study information (P<.001); no significant difference for improvement. All participants successfully completed the consenting process
Jayasinghe et al [27], 2019 35
  • 75 (SD 7; range NR)

10 questions (Likert scales) ++ Overall, no statistically significant difference with eConsent vs paper
Knapp et al [49], 2021 109
  • Median 13, range 11-14

1 question (Likert scale) + Better scores with eConsent vs paper (P value NR)

aMethodological validity was categorized as “high” (+++), “moderate” (++), or “limited” (+).

bNR: not reported.

cCSUQ [55]: Computer System Usability Questionnaire. It contains 19 questions measuring overall satisfaction, system usefulness, information quality, and interface quality.