Discussion
ATTRITION
Evidence in the literature has evaluated the effect of the consent process on different aspects of research methodology [One of the key advantages of same-day consent is that it allows potential participants to make an informed decision about their participation in the trial while they are still present in the clinic, which may increase their motivation and engagement [Moreover, same-day consent was also associated with a significantly lower attrition rate in the host trial. Our SWAT found that there was a significantly lower consent-withdrawal rate in same-day consent participants when compared to the delayed consent participants. This might mean that participants who consent on the same day could be more determined to join the study. Yet, participants who decide to delay their consent might not be fully convinced of the benefits, causing withdrawal of their consent. The most common cause for consent withdrawals among the participants was transport.Attrition is a common problem in research studies and can undermine the validity of the study findings if it is not addressed properly [Furthermore, same-day consent may help to establish a stronger rapport between the patient and the investigator, which may enhance patient engagement and adherence to intervention [Rushing participants to consent could be construed as coercion or undue influence. According to the Food and Drug Administration (FDA) document on consent every effort must be made to avoid coercion or undue influence during the consent process [Despite these advantages, there are some potential drawbacks to same-day consent that should be considered. For example, patients may feel pressured to participate in the trial if they are asked to sign the consent form immediately, which may compromise their autonomy and informed consent [