Adolescents as Research Subjects Without Permission of Their Parents or Guardians: Ethical Considerations

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  • Strategies for conducting adolescent health research in the clinical setting: The mount sinai adolescent health center hpv experience

    2014, Journal of Pediatric and Adolescent Gynecology
    Citation Excerpt :

    This is especially true as it relates to sexual and reproductive health research. Adolescents who are not comfortable discussing sexual health issues with their parents might be excluded from research participation if parental consent was required.13 Therefore, requiring parental consent for sexual health research may lead to a biased population in that only those teens who are comfortable discussing sensitive issues with their parents will participate.

  • Parental consent in adolescent substance abuse treatment outcome studies

    2009, Journal of Substance Abuse Treatment
    Citation Excerpt :

    With regard to parental consenting procedures, these studies exist at the crossroads of federal substance abuse treatment laws (42 CFR § 2) permitting adolescents to obtain treatments without parental consent and the research regulations (45 CFR § 46, the Common Rule) specifying under what circumstances minors may consent to their own research participation. Unfortunately, although much has been written about parental consent in the broader literature on adolescent risk behavior and medical research (Collogan & Fleischman, 2005; Fletcher & Hunter, 2003; Levine, 1995; Society for Adolescent Medicine, 2003; Wagener et al., 2004), no systematic review has documented parental consenting procedures in adolescent substance abuse treatment outcome studies. Given the recent growth in adolescent substance abuse treatment outcomes research, as well as findings from adolescent risk behavior research that sample bias may occur when active parental consent is required, it is imperative that we understand how these studies have addressed the issue of collecting parental consent.

  • Rethinking Pediatric Assent: From Requirement to Ideal

    2008, Pediatric Clinics of North America
    Citation Excerpt :

    These are real barriers, with the potential for creating an ethically uneasy situation, but they should not impact on the investigator's ability to determine if a child is capable of assent. Numerous decision-making models attempt to provide a template for assent [3,7–9,12,16–18,21,43,49,60,61], including models specific for pediatric oncology [19,28,35]. While each contributes something toward creating a comprehensive standard for assent, each views assent and the roles of the parties who participate in it differently.

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