Article

Adolescent decisional autonomy regarding participation in an emergency department youth violence interview.

Children's Hospital Boston, USA.
The American Journal of Bioethics (Impact Factor: 2.45). 09/2005; 5(5):70-4; discussion W14. DOI: 10.1080/15265160500246319
Source: PubMed

ABSTRACT Much attention has been given to determining whether an adolescent patient has the capacity to consent to research. This study explores the factors that influence adolescents' decisions to participate in a research study about youth violence and to determine positive or negative feelings elicited by being a research subject. The majority of subjects perceived their decision to participate to be free of coercion, and few felt badly about having participated. However, adolescents who were alone in the room during the assent process were more likely to report that they chose freely to be a research subject. This study may influence the ways physicians communicate with adolescent patients around research assent within a clinical care environment.

0 Followers
 · 
50 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: As children and adolescents receive increased research attention, ethical issues related to obtaining informed consent for pediatric intervention research have come into greater focus. In this article, we conceptualize parent permission and child assent within a goodness-of-fit framework that encourages investigators to create consent procedures “fitted” to the research context, the child's cognitive and emotional maturity, and the family system. Drawing on relevant literature and a hypothetical case example, we highlight four factors investigators may consider when constructing consent procedures that best reflect participants' rights, concerns, and well-being: (a) the child's current assent capacity and the likely impact of study information on the child's mental and physical development, (b) parents' understanding of their child's treatment needs and distinctions between treatment and clinical trials research, (c) the family's history of shared decision making, and (d) the child's strivings for autonomy within the context of their parents' duty to make decisions in the child's best interest.
    Ethics & Behavior 06/2008; 18(2-3):139-160. DOI:10.1080/10508420802063897 · 0.78 Impact Factor
  • The American Journal of Bioethics 09/2005; 5(5):78-80. DOI:10.1080/15265160500246384 · 2.45 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A good deal of policy and practice in human subjects research aims to ensure that when subjects consent to research, they do so voluntarily. To date, however, voluntariness and its impairment have been poorly conceptualized and studied. The legal doctrine of informed consent could provide a useful model.
    The Hastings Center Report 01/2009; 39(1):30-9. DOI:10.1353/hcr.0.0103 · 1.08 Impact Factor