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Do Illustrations Improve Children's Comprehension of Assent Documents?
Kim G Adcock1, Shirley M Hogan, Okan U Elci
1Department of Pharmacy Practice, University of Mississippi, Jackson, Mississippi ; Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi.
Summary
Children
Area of Science:
- Pediatric research
- Clinical trial methodology
- Informed consent in research
Background:
- Assent is crucial for ethical pediatric research.
- Standard assent forms may not be fully understood by children.
- New methods are needed to improve child comprehension of research procedures.
Purpose of the Study:
- To evaluate children's understanding of the K(id)S(ent) assent booklet.
- To compare comprehension between the K(id)S(ent) booklet and a standard assent form.
Main Methods:
- A randomized crossover trial involved 190-195 children (7-11 years).
- Participants completed quizzes on both standard and K(id)S(ent) assent documents.
- Statistical analysis used mixed effects logistic and linear regression models.
Main Results:
- The K(id)S(ent) booklet showed statistically significant improvements in perfect quiz scores (p=0.004).
- The K(id)S(ent) booklet also demonstrated significant improvement in percent quiz scores (p≤0.001).
Conclusions:
- The K(id)S(ent) booklet appears to enhance children's comprehension of assent documents.
- Document style is important, but other factors may also influence understanding.
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