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Published on: July 31, 2017
Children, longitudinal studies, and informed consent
1Department of Public Health and Caring Sciences, Centre for Bioethics at Karolinska Institutet and Uppsala University, Uppsala Science Park, Sweden. Gert.Helgesson@bioethics.uu.se
Insights
Ethical considerations for longitudinal research with children are discussed. Adjusting information and respecting child autonomy, including a "presumption of competence," are crucial for informed consent and ethical participation.
Area of Science:
- Bioethics
- Developmental Psychology
- Pediatric Research
Background:
- Longitudinal research involving children presents unique ethical challenges.
- Ensuring comprehension and appropriate consent from minors throughout a study is complex.
Purpose of the Study:
- To explore ethical issues in longitudinal research with children.
- To examine information and consent procedures for child participants who mature during a study.
Main Methods:
- Discussion of general problems in information dissemination.
- Focus on consent procedures for children developing autonomy during research.
Main Results:
- Children's autonomy necessitates tailored information delivery.
- The concept of a "presumption of competence" is vital for valuing children's views.
Conclusions:
- Ethical longitudinal research requires adapting information to children's evolving understanding.
- Respecting child autonomy and competence is paramount in pediatric research ethics.
Abstract:
This paper deals with ethical issues of particular relevance to longitudinal research involving children. First some general problems concerning information and lack of understanding are discussed. Thereafter focus is shifted to issues concerning information and consent procedures in studies that include young children growing up to become autonomous persons while the project still runs. Some of the questions raised are: When is it right to include children in longitudinal studies? Is an approval from the child needed? How should information to children be handled? A general point stressed is that autonomy considerations underline the importance of adjusting the information given to meet demands. A "presumption of competence" may be needed in research involving children, in order to pay their views sufficient attention.
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