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An Observational Study of Children's Involvement in Informed Consent for Exome Sequencing Research
Victoria A Miller1,2, Allison Werner-Lin2, Sarah A Walser2
11 The Children's Hospital of Philadelphia, PA, USA.
Insights
Children
Area of Science:
- Pediatric Research Ethics
- Genomic Medicine
Background:
- Informed consent in pediatric research is complex.
- Exome sequencing involves genetic data with long-term implications.
- Understanding children's roles in consent is crucial for ethical research.
Purpose of the Study:
- To analyze children's participation in exome sequencing consent discussions.
- To investigate the link between provider/parent communication and child involvement.
- To identify strategies promoting children's engagement in research decisions.
Main Methods:
- Analysis of 44 audiotaped consent sessions for exome sequencing research.
- Participants: Children aged 8-17 years from five cohorts.
- Sessions were transcribed and coded to assess child and provider communication.
Main Results:
- Providers actively facilitated child involvement in 73% of sessions.
- Most children (75%) verbally participated in the consent process.
- Provider facilitation strongly correlated with increased child participation.
Conclusions:
- Children can be actively involved in exome sequencing consent.
- Strategies like soliciting opinions and questions enhance engagement.
- Respecting children's input fosters ethical research participation.
Abstract:
The goal of this study was to examine children's involvement in consent sessions for exome sequencing research and associations of involvement with provider and parent communication. Participants included 44 children (8-17 years) from five cohorts who were offered participation in an exome sequencing study. The consent sessions were audiotaped, transcribed, and coded. Providers attempted to facilitate the child's involvement in the majority (73%) of sessions, and most (75%) children also verbally participated. Provider facilitation was strongly associated with likelihood of child participation. These findings underscore that strategies such as asking for children's opinions and soliciting their questions show respect for children and may increase the likelihood that they are engaged and involved in decisions about research participation.
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