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From a cognitive point of view, the media richness of communication channels is not enough to get the information understood by the participants.
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The quality of information understood by patients may be important for their understanding of the evolution of their disease and their compliance with treatment regimens.
It seems the godfathers of free-flowing information understood its risks from the get-go.
Most people received the information promptly, understood what happened, and understood what to do to prevent exposure to the contaminant.
You understand the information, you understand the facts, and you arrive at your own opinion.
Information transfer is implicit within the official definition of clinical handover and that the information is understood by the recipients.
Grisso & Appelbaum characterise appreciation as 'the ability to apply the information abstractly understood to his or her own situation'.
An educational tool can improve comprehension, but it in itself is not enough to satisfy that the information is understood.
In fact, the decision is based primarily on how the information is understood within the context of the patient's own values, beliefs.
In any case the South African guidelines are silent on whether unduly optimistic participants should be precluded from enrolling, requiring only that the information is understood.
Do not simply read; try to find the inner meanings of the information and understand its purpose.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com