Evidence map›Paper›PMID 16319237›Full record

ArticleJournal of medical ethics2005

Children's understanding of the risks and benefits associated with research.

T M Burke, R Abramovitch, S Zlotkin

Registry-linked trialAbstract read
In one paragraph

Article in Journal of medical ethics, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00571311 (Parental Permission and Adolescent Assent and Decision Making in Clinical Research), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00571311 completednot on this mapstarted 2007, after this paper: background citation

Parental Permission and Adolescent Assent and Decision Making in Clinical Research

TypeobservationalSponsorNational Institutes of Health Clinical Center (CC)Ran2007 to 2018Enrolled356ConditionsAdolescents
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Ethical key issues and fundamental rights in paediatric research.European journal of clinical pharmacology · 2011
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  12. Article
  13. Do Illustrations Improve Children's Comprehension of Assent Documents?The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2012
    Article
  14. Article
  15. Article
  16. Ethics takes time, but not that long.BMC medical ethics · 2007
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

T M BurkeDepartment of Psychology, Ryerson University, 350 Victoria Street, Toronto, Ontario, M5B 2K3, Canada. tburke@ryerson.ca
R Abramovitch
S Zlotkin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of the current study was to maximise the amount of information children and adolescents understand about the risks and benefits associated with participation in a biomedical research study.

designParticipants were presented with one of six hypothetical research protocols describing how to fix a fractured thigh using either a "standard" cast or "new" pins procedure. Risks and benefits associated with each of the treatment options were manipulated so that for each one of the six protocols there was either a correct or ambiguous choice. PARTICIPANTS AND

settingTwo hundred and fifty one children, ages 6-15 (53% boys), and 237 adults (30% men) were interviewed while waiting for a clinic appointment at the Hospital for Sick Children.

resultsUsing standardised procedures and questionnaires, it was determined that most participants, regardless of age group, were able to understand the basic purpose and procedures involved in the research, and most were able to choose the "correct" operation. The younger children, however, showed an overall preference for a cast operation, whereas the older participants were more likely to choose the pins.

conclusionsBy creating age appropriate modules of information, children as young as six years can understand potentially difficult and complex concepts such as the risks and benefits associated with participation in biomedical research. It appears, however, that different criteria were used for treatment preference, regardless of associated risks; older participants tended to opt for mobility (the pins procedure) whereas younger participants stayed with the more familiar cast operation.

Indexed as

Biomedical ResearchPsychology, AdolescentPsychology, ChildAdolescentAdultAge FactorsBone NailsCasts, SurgicalChildFemaleFemoral FracturesHealth Knowledge, Attitudes, PracticeHumansMaleOrthopedic ProceduresPatient ParticipationBiomedical and Behavioral ResearchEmpirical Approach

Identifiers

PMID16319237
PMCPMC1734064

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.