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Parental opinions about biomedical research in children in Tours, France
E Autret1, J P Dutertre, P Barbier
1Department of Clinical Pharmacology, Hôpital Bretonneau, Tours, France.
Insights
Most parents are unaware of France's clinical trial law (Loi Huriet). While few would consent to their children participating in trials, physicians should improve direct communication to enhance parental understanding and informed decisions.
Area of Science:
- Medical Law
- Bioethics
- Pediatric Clinical Trials
Background:
- Parental awareness of laws governing clinical trials is crucial for ethical research.
- The Loi Huriet in France specifically addresses patient rights in clinical research.
Purpose of the Study:
- To assess parental awareness of the Loi Huriet in France.
- To understand parental attitudes towards child participation in clinical trials.
- To identify factors influencing parental consent decisions.
Main Methods:
- A questionnaire-based study was conducted in a French maternity unit from February to April 1991.
- The study targeted parents in the immediate postpartum period.
- A response rate of 59% was achieved.
Main Results:
- 59% of parents were informed about the Loi Huriet, primarily through media (75%) and general practitioners (12%).
- Only 21% of parents would consent to their child's participation in a clinical trial, while 74% would refuse.
- Reasons for acceptance included benefiting others and medical progress; refusal reasons cited side effect risks and unproven efficacy.
- Parents with higher education were more likely to accept participation.
Conclusions:
- Parental awareness of the Loi Huriet is limited.
- Significant parental apprehension exists regarding child participation in clinical trials.
- Physicians should enhance direct communication with parents about clinical trials and relevant legislation.
Abstract:
In order to evaluate parental awareness of the law governing clinical trials in France (Loi Huriet), a study was performed by questionnaire between February and April 1991 in a maternity unit during the days following delivery. The response rate was 59%. 59% of the parents (319/541) were informed of the existence of the law by the media (75%) or their general practitioners (12%). Twenty-one percent (116/541) of the parents would accept the participation of their children in a clinical trial and 74% would refuse. The principal reasons for acceptance were: for the benefit of other children, contribution to medical progress and confidence in physicians. The reasons for refusal were: risk of side effects and unproven efficacy. Parents who would accept had more often received higher education (44%) than parents who would refuse (30%), the latter being less influenced by the explanations of physicians and less willing to accept that a physician should decide for them. Physicians should consider transmitting information directly to parents and indirectly via the media.
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