The importance of applying the statement of assent to children and adolescents: a qualitative study
DOI:
https://doi.org/10.17533/udea.iee.v40n2e07Keywords:
adolescent, ethics committees, child, informed consent by minors, consent forms, researchAbstract
Objective. To describe the importance of the Statement of Assent for children and adolescents invited to participate in a clinical study and their main reactions to its explanation.
Methods. This is an exploratory descriptive qualitative study of 17 children and adolescents, who were invited to participate in a clinical study in the field of oncology in a hospital located in Rio de Janeiro (Brazil). Data were analyzed using thematic analysis.
Results. Two thematic units were generated after data interpretation: signing the statement of assent, in which participants felt their main role when faced with the possibility of expressing their agreement or not to take part in the study; and understanding of the study, when they showed that they understood the steps of the study by asking pertinent questions to clarify their doubts. Children and adolescents understood the steps of the study contained in the Statement of Assent, were interested and asked questions to clarify their doubts about the study.
Conclusion. The Statement of Assent was important for participants understanding the study and having autonomy over their participation. As the statement strengthened the main role of children and adolescents in the research process, the conclusion was that its use in studies involving the pediatric population should be encouraged.
Downloads
References
1. Polit DF, Beck CT. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática de enfermagem. 9a ed. Porto Alegre: Atmed; 2018. p.428.
2. Damsma Bakker A, van Leeuwen R, Roodbol P. Ethical considerations regarding the inclusion of children in nursing research. Nurs Ethics. 2021; 28(1):106-17.
3. Graham A, Powell M, Taylor N, Anderson D, Fitzgerald R. Ethical research involving children. Florence: UNICEF Office of Research - Innocenti [Internet]. 2013 [cited 19 Mar 2021]. Available from: https://childethics.com/wp-content/uploads/2013/10/ERIC-compendium-approved-digital-web.pdf.
4. Eler KCG, Oliveira AAS. Assent and consent for children’s participation in clinical research: for a health capacity legally recognized. Pensar. 2019; 24(1):1-13.
5. Miranda, JOF et al. Construction and application of a consent form: an experience report. Enfermagem. 2017; 26(3): e2460016.
6. Varejão CS, Santo FHE. Laser acupuncture for relieving nausea and vomiting in pediatric patients undergoing chemotherapy: A single-blind randomized clinical trial. J. Pediatr. Oncol. Nurs. 2019; 36(1):44–54.
7. Braun V, Clarke V. What can "thematic analysis" offer health and wellbeing researchers. Int. J. Qual. Stud. Health Well-being. 2014; 9:26152.
8. Miller VA, Feudtner C, Jawad AF. Children's Decision-Making Involvement About Research Participation: Associations With Perceived Fairness and Self-Efficacy. J. Empir. Res. Hum. Res. Ethics. 2017;12(2):87-96.
9. Lambert V, Glacken M. Engaging with children in research: Theoretical and practical implications of negotiating informed consent/assent. Nurs. Ethics. 2011; 18(6):781–801.
10. Lobato L, Gazzinelli A, Pedroso LS, Barbosa R, Santos FMM, Gazzinelli MF. Conhecimento de crianças sobre o termo de assentimento livre e esclarecido. Rev. Bioética. 2016; 24(3):542-56.
11. Damsma Bakker A, van Leeuwen R, Roodbol P. Ethical considerations regarding the inclusion of children in nursing research. Nurs Ethics. 2021; 28(1):106-17.
12. Miranda, JOF et al. Construção e aplicação de um termo de assentimento: relato de experiência. Texto Contexto Enferm. 2017; 26(3):e2460016.
13. Kuther TL; Posada M. Children and adolescent’s capacity to provide informed consent for participation in research. Adv. Psychol Res. 2004; 32:161-71.
14. Barned C, Dobson J, Stintzi A, Mack D, O’Doherty KC. Children’s perspectives on the benefits and burdens of research participation. AJOB Empirical Bioethics. 2018; 9(1):19–28.
15. Lind C, Anderson B, Oberle K. Ethical issues in adolescent consent for research. Nurs. Ethics, 2003; 10(5):504–11
16. Geller G, Tambor ES, Bernhardt BA, Fraser G, Wissow LS. Informed consent for enrolling minors in genetic susceptibility research: a qualitative study of at-risk children's and parents' views about children's role in decision-making. J. Adolesc. Health. 2003; 32:260-71.
17. Cunha SM. Pesquisa com crianças: implicações teóricas, éticas e metodológicas. Inv. Qual. Ciênc. Soc. 2017; 3:77-82.
18. Eler KCG, Oliveira AAS. Assent and consent for children’s participation in clinical research: for a health capacity legally recognized. Pensar. 2019; 24(1):1-13.
19. Cunha SM. Pesquisa com crianças: implicações teóricas, éticas e metodológicas. Inv. Qual. Ciênc. Soc. 2017; 3:77-82.
Downloads
Published
Versions
- 2023-09-20 (3)
- 2022-07-14 (2)
- 2022-06-27 (1)
How to Cite
Issue
Section
License
Copyright (c) 2022 Investigación y Educación en Enfermería
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.