دورية أكاديمية
Substitute consent practices in the face of uncertainty: a survey of Canadian researchers in aging.
| العنوان: | Substitute consent practices in the face of uncertainty: a survey of Canadian researchers in aging. |
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| المؤلفون: | Bravo G; Department of Community Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada., Wildeman S, Dubois MF, Kim SY, Cohen C, Graham J, Painter K |
| المصدر: | International psychogeriatrics [Int Psychogeriatr] 2013 Nov; Vol. 25 (11), pp. 1821-30. Date of Electronic Publication: 2013 Aug 08. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: England NLM ID: 9007918 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1741-203X (Electronic) Linking ISSN: 10416102 NLM ISO Abbreviation: Int Psychogeriatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2004- : Cambridge, UK : Cambridge University Press Original Publication: New York : Springer Pub. Co., c1989- |
| مواضيع طبية MeSH: | Third-Party Consent*/ethics , Third-Party Consent*/statistics & numerical data, Geriatrics/*ethics, Adult ; Aged ; Biomedical Research/ethics ; Biomedical Research/statistics & numerical data ; Canada ; Data Collection ; Female ; Geriatrics/statistics & numerical data ; Humans ; Male ; Mental Competency/legislation & jurisprudence ; Middle Aged ; Surveys and Questionnaires ; Uncertainty |
| مستخلص: | Background: In Canada and elsewhere, research policies require researchers to secure consent from a legally authorized representative (LAR) for prospective participants unable to consent. Few jurisdictions, however, offer a clear legislative basis for LAR identification. We investigated Canadian researchers' practices regarding the involvement of decisionally incapacitated participants and tested whether reported practices were associated with (1) researchers' understanding of the law on third-party authorization of research and (2) their comfort with allowing a family member to consent on behalf of an incapacitated relative. Methods: We surveyed researchers in aging from four Canadian provinces about their practices with prospective participants deemed incapable of consent, their understanding of relevant law, and comfort with family consent for research purposes. Understanding and comfort were measured with research vignettes that briefly described hypothetical studies in which an adult who lacks the capacity to consent was invited to participate. Results: Many respondents reported soliciting consent from a family member (45.7% for low-risk studies and 10.7% for serious risks studies), even in jurisdictions where such authority is uncertain at law. Researchers' tendency to solicit family consent was associated with their comfort in doing so, but not with their understanding of the law on substitute consent for research. Conclusions: Findings underscore the need to clarify who may authorize an incapacitated adult's participation in research. Meanwhile, people should inform their relatives of their desire to participate or not in research in the event of incapacity, given researchers' tendency to turn to family for consent, even where not supported by law. |
| معلومات مُعتمدة: | 200409MOP Canada Canadian Institutes of Health Research |
| تواريخ الأحداث: | Date Created: 20130810 Date Completed: 20140813 Latest Revision: 20161020 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1017/S1041610213001336 |
| PMID: | 23927951 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1741-203X |
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| DOI: | 10.1017/S1041610213001336 |