Observational research with adolescents: a framework for the management of the parental permission

BMC Medical Ethics

Debate

Silvia Carlos¹  Carlos Beltramo²  Maria Calatrava²  Miguel Ruiz-Canela³  Alfonso Osorio⁴  Jokin de Irala⁵  Cristina Lopez-del Burgo⁵ 

[1] Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain;Institute for Culture and Society, University of Navarra, Pamplona, Spain;Institute for Culture and Society, University of Navarra, Pamplona, Spain;Department of Biomedical Humanities, University of Navarra, Pamplona, Spain;Institute for Culture and Society, University of Navarra, Pamplona, Spain;Department of Education, University of Navarra, Pamplona, Spain;Institute for Culture and Society, University of Navarra, Pamplona, Spain;Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain;

关键词: Adolescents;    Parental consent;    Research ethics;    Observational research;    Health surveys;    Research subjects;   

DOI  :  10.1186/1472-6939-14-2

 received in 2012-09-14, accepted in 2012-12-31,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundWaiving parent permission can be an option in some epidemiological and social research with adolescents. However, exemptions have not been uniformly considered or applied. Our aim is to critically assess the different factors that could be taken into account when making decisions about waiving active parental permission in observational research with adolescents.DiscussionIn some cases alternatives to parental permission could be applied to protect the rights of both adolescents and parents and also to assure the benefits to adolescents as a group that can come from appropriately conducted studies. However, the criteria of ensuring minimal risk can be difficult to define and apply and a distinction between harm and discomfort is reviewed. Waiving active parental permission could be acceptable when the risk of harm is minimal; when the research questions are related to an activity for which adolescents are not legally considered to be children; when the risk of harm or discomfort may increase if parental permission is required; and when risk of discomfort is low because the questionnaire is not potentially offensive for some adolescents and/or for some parents.SummaryStringent rules concerning parental permission in some studies could be detrimental to adolescents. A framework and a decision tree guide are proposed to help researchers and Research Ethics Committees in their decisions on whether active parental permission must be obtained.

【 授权许可】

CC BY   
© Ruiz-Canela et al.; licensee BioMed Central Ltd. 2013