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Empirically-derived Knowledge on Adolescent Assent to Pediatric Biomedical Research
David G Scherer1, Janet L Brody, Robert D Annett
1Department of Psychology, University of Massachusetts Amherst, 610 Tobin Hall, 135 Hicks Way, Amherst, MA 01003.
Adolescent assent in biomedical research is complex, influenced by maturity and social context. Understanding psychological factors and decision-making dynamics is crucial for ethical participation and respecting autonomy.
Area of Science:
- Pediatric Bioethics
- Clinical Research Ethics
- Adolescent Psychology
Background:
- Growing demand for pediatric participation in biomedical research fuels empirical studies on assent.
- Adolescent assent research has identified key psychological and social variables, despite methodological challenges.
Purpose of the Study:
- To review empirical literature on adolescent assent in therapeutic research (asthma, cancer).
- To examine adolescent competencies, risk/benefit perceptions, and social context factors in research decision-making.
Main Methods:
- Literature review focusing on adolescent assent in pediatric therapeutic research.
- Analysis of psychological and social variables influencing research participation.
Main Results:
- Adolescent assent capacity varies with maturity and social context.
- Intercorrelation between psychological capacities and decision-making in family/medical contexts is significant.
Conclusions:
- Adolescents' decision-making capacity for research participation is context-dependent.
- Physician-investigator relationships can clarify risks/benefits for informed adolescent assent.
- Future research should focus on contextual and developmental factors to improve research protocols.
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