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Using a cartoon questionnaire to improve consent process in children: a randomized controlled survey

Shanshan Qiu1, Yang Xia1, Feng Tian2

  • 1Department of Pediatric Neurosurgery, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Pediatric Research
|November 18, 2020
PubMed

Insights

An audio and animated cartoon questionnaire (AACQ) significantly improved children's understanding and engagement in biospecimen donation consent compared to traditional text questionnaires. This method enhances risk awareness and participation in research.

Area of Science:

  • Pediatric Research
  • Bioethics
  • Informed Consent

Background:

  • Obtaining informed consent from pediatric populations for biospecimen donation presents unique challenges.
  • Traditional text-based questionnaires may not effectively engage children or ensure comprehension of complex medical information.
  • Developing standardized, child-friendly methods is crucial for ethical research participation.

Purpose of the Study:

  • To evaluate the effectiveness of an audio and animated cartoon questionnaire (AACQ) in improving the pediatric consent process for biospecimen donation.
  • To compare the AACQ with a traditional text questionnaire (TQ) in terms of children's understanding, engagement, and willingness to donate.

Main Methods:

  • A multi-center randomized controlled trial was conducted in two Chinese pediatric hospitals (2019-2020).
  • Participants included 264 children (aged 7-18) in pediatric surgery wards, randomized into AACQ and TQ groups.
  • Children's willingness, attitudes, and knowledge regarding biospecimen donation were assessed using a knowledge test.

Main Results:

  • The AACQ group demonstrated a significantly higher response rate (89.85%) compared to the TQ group (68.44%; p < 0.001).
  • AACQ improved children's understanding, engagement, and risk awareness related to biospecimen donation.
  • Concerns about pain and privacy disclosure were primary reasons for refusal among children.

Conclusions:

  • The audio and animated cartoon questionnaire (AACQ) is an effective and standardized tool for delivering information to pediatric surgical patients.
  • AACQ enhances comprehension and engagement, suggesting its utility for improving informed consent in pediatric research.
  • Children with a full understanding of biospecimen donation are better prepared to provide consent.
Abstract

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