Parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unit

Abstract Background The aim of the study was to determine opinions and knowledge regarding the process of obtaining informed consent to participate in observational research in pediatric intensive care. Methods Survey 1 asked decision makers what model(s) of consent was acceptable for each type of o...

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Main Authors: Jessica Hodson, Christiana Garros, Jodie Jensen, Jonathan P. Duff, Gonzalo Garcia Guerra, Ari R. Joffe
Format: Article
Language:English
Published: BMC 2019-12-01
Series:Journal of Intensive Care
Subjects:
Online Access:https://doi.org/10.1186/s40560-019-0411-3
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author Jessica Hodson
Christiana Garros
Jodie Jensen
Jonathan P. Duff
Gonzalo Garcia Guerra
Ari R. Joffe
author_facet Jessica Hodson
Christiana Garros
Jodie Jensen
Jonathan P. Duff
Gonzalo Garcia Guerra
Ari R. Joffe
author_sort Jessica Hodson
collection DOAJ
description Abstract Background The aim of the study was to determine opinions and knowledge regarding the process of obtaining informed consent to participate in observational research in pediatric intensive care. Methods Survey 1 asked decision makers what model(s) of consent was acceptable for each type of observational research both before and after background information. Survey 2 asked decision makers about the experience of being asked for consent to observational research, and knowledge regarding the consent process both before and after background information. Results Cooperation rate was 100/117 (85%). The proportion in favor of any of the offered alternatives to signed informed consent for observational research, after receiving all the background information, was 74-80%, lowest for observational prospective research with a minimal risk intervention 37/50 (74%; 95% CI 60–84%). The proportion who agreed they felt overwhelmed by being approached for consent to observational research was 26 (52%; 95% CI 39-65%). Most respondents (from 60 to 74%) felt they understood the concepts regarding observational research; however, after reading background information, most (from 60 to 74%) felt their understanding had improved “a great deal”. Conclusion Understanding of risk, practical difficulties, consent bias, and Research Ethics Board safeguards was poor. Future study is needed to confirm our finding that most agreed with alternative methods of consent for observational research.
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spelling doaj.art-30c6143768b8437cad364aebc5f99df52022-12-21T19:00:18ZengBMCJournal of Intensive Care2052-04922019-12-01711810.1186/s40560-019-0411-3Parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unitJessica Hodson0Christiana Garros1Jodie Jensen2Jonathan P. Duff3Gonzalo Garcia Guerra4Ari R. Joffe5Division of Pediatric Critical Care Medicine, Department of Pediatrics, Stollery Children’s Hospital and University of AlbertaDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Stollery Children’s Hospital and University of AlbertaDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Stollery Children’s Hospital and University of AlbertaDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Stollery Children’s Hospital and University of AlbertaDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Stollery Children’s Hospital and University of AlbertaDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Stollery Children’s Hospital and University of AlbertaAbstract Background The aim of the study was to determine opinions and knowledge regarding the process of obtaining informed consent to participate in observational research in pediatric intensive care. Methods Survey 1 asked decision makers what model(s) of consent was acceptable for each type of observational research both before and after background information. Survey 2 asked decision makers about the experience of being asked for consent to observational research, and knowledge regarding the consent process both before and after background information. Results Cooperation rate was 100/117 (85%). The proportion in favor of any of the offered alternatives to signed informed consent for observational research, after receiving all the background information, was 74-80%, lowest for observational prospective research with a minimal risk intervention 37/50 (74%; 95% CI 60–84%). The proportion who agreed they felt overwhelmed by being approached for consent to observational research was 26 (52%; 95% CI 39-65%). Most respondents (from 60 to 74%) felt they understood the concepts regarding observational research; however, after reading background information, most (from 60 to 74%) felt their understanding had improved “a great deal”. Conclusion Understanding of risk, practical difficulties, consent bias, and Research Ethics Board safeguards was poor. Future study is needed to confirm our finding that most agreed with alternative methods of consent for observational research.https://doi.org/10.1186/s40560-019-0411-3ConsentObservational researchPediatric intensive care unitSurvey
spellingShingle Jessica Hodson
Christiana Garros
Jodie Jensen
Jonathan P. Duff
Gonzalo Garcia Guerra
Ari R. Joffe
Parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unit
Journal of Intensive Care
Consent
Observational research
Pediatric intensive care unit
Survey
title Parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unit
title_full Parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unit
title_fullStr Parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unit
title_full_unstemmed Parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unit
title_short Parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unit
title_sort parental opinions regarding consent for observational research of no or minimal risk in the pediatric intensive care unit
topic Consent
Observational research
Pediatric intensive care unit
Survey
url https://doi.org/10.1186/s40560-019-0411-3
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