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.

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