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Designing a Solution to Manage Electronic Consent for Children
Gary Leeming1, Sarah Thew1,2, John Ainsworth1
1Centre for Health Informatics, Division of Informatics, Imaging and Data Science, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Insights
Managing research consent for a large birth cohort study, like Born In Bradford, presents unique challenges. This paper details an electronic system designed to capture parental consent for child participation from birth, improving upon paper-based methods.
Area of Science:
- Clinical research informatics
- Bioethics and research integrity
- Longitudinal cohort studies
Background:
- Existing electronic consent systems primarily capture direct subject consent.
- Integrating research consent into electronic patient record systems is often difficult.
- The Born In Bradford study requires parental consent for infant participation from birth, traditionally managed via paper.
Purpose of the Study:
- To address the complexities of managing parental consent for a large, from-birth cohort study.
- To develop an electronic consent system compatible with existing maternity workflows.
- To translate nuanced consent regulations for children into a transparent electronic process.
Main Methods:
- User-centered design approach to address specific consent management challenges.
- Development of a technical solution for electronic consent capture.
- Integration strategy with existing maternity and electronic patient record systems.
Main Results:
- A novel electronic system for managing parental consent for infant research participation.
- The system facilitates transparent consent processes, fostering trust among families and clinical teams.
- The solution is designed to accommodate the expansion of the Born In Bradford study.
Conclusions:
- Electronic systems can effectively manage complex consent requirements for large cohort studies.
- User-centered design and technical integration are crucial for successful implementation.
- This approach enhances trust and streamlines research participation for families and healthcare providers.
Abstract:
Electronic systems for managing consent do exist but are generally only able to record consent from the research subject directly. Consent for research is also challenging to integrate into many electronic patient record systems. The Born In Bradford study is a large, from birth cohort study in the North of England which requires consent to be recorded by the pregnant mother of a child who will be included in the study from birth. This creates a complex challenge for consent management that has previously been achieved through paper-based processes. As the study begins a new phase with the objective of inviting all new parents within the Bradford region to participate in the study the solution also needs to work with existing maternity systems. This paper considers the specific challenges of converting the often grey rules around consent of children into an electronic system that is transparent and supports the trust of both the family and the clinical and care teams recruiting research subjects into a large cohort study, and describes the user centred design and technical approach taken to resolve it.
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