Peer-Reviewed Publication
Appl Clin Inform2026;17(3):577-586.May 1, 2026Journal Article

Designing Granular Consent Tools for Sensitive Health Data: Challenges, User Needs, and Stakeholder Guidance.

Reid A Cooper1, Mengyi Wei1,2, Martha Kaiser1, Kelly Caine3, Daniel J Chavez4, Jeff Coughlin5, Kelly Davison6, Hannah K Galvin7, Steven Lane8, Alec Laws9, Christoph Ulrich Lehmann10, Panna Lossy11, Maria D Moen12, S Trent Rosenbloom13, Jacqueline Seitz14, Marianne Sharko15, Julia Skapik16, Raymonde Uy17, L Weaver18, Maria Adela Grando19
1Arizona State University, College of Health Solutions, United States.
2Lander University, College of Nursing, Human Performance and Health Sciences, United States.
3Clemson University, Department of Computer Science, United States.
4Santa Cruz HIO, United States.
5American Medical Association, Deaprtment of Federal Affairs, United States.
6University of Victoria, School of Health Information Science, Canada.
7Harvard Medical School, Department of Pediatrics, United States.
8Health Gorilla Inc, United States.
9IDENTOS, Canada.
10UT Southwestern Medical, Clinical Informatics Center, United States.
11Sutter Santa Rosa Regional Hospital, United States.
12MyDirectives, Inc., United States.
13Vanderbilt University Medical Center, Department of Biomedical Informatics, United States.
14Legal Action Center, United States.
15Weill Cornell Medicine, Population Health Sciences, United States.
16PurpleLab, United States.
17National Association of Community Health Centers, Division of Clinical Affairs, United States.
18University of Utah Health, Department of Biomedical Informatics, United States.
19Arizona State University Biodesign Institute, Department of Biomedical Informatics, United States.

Abstract

OBJECTIVE: This study aimed to examine perspectives on challenges, design requirements, and implementation considerations for developing a granular, patient-facing consent tool that enables meaningful control over sensitive health data sharing in real-world healthcare settings. METHODS: Guided by the National Science Foundation I-Corps framework and conducted in collaboration with Shift-a nationa…

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