Evidence map›Paper›PMID 28967541›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017

Minors' and Young Adults' Experiences of the Research Consent Process in a Phase II Safety Study of Pre-exposure Prophylaxis for HIV.

Amelia S Knopf, Mary A Ott, Nancy Liu, Bill G Kapogiannis, Gregory D Zimet, J Dennis Fortenberry, Sybil G Hosek

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Research Participation of Minor Adolescents in Foster Care.Journal of pediatric and adolescent gynecology · 2021
    Review
  12. Review
  13. Article
  14. Article
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  16. Article
  17. Advancing HIV Biomedical Prevention Research for At-Risk Adolescents.Journal of acquired immune deficiency syndromes (1999) · 2018
    Article
  18. Article
  19. Article
  20. 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

7 authors.

Amelia S KnopfDepartment of Community & Health Systems, Indiana University School of Nursing, Indianapolis, Indiana. Electronic address: asknopf@iu.edu.
Mary A OttDepartment of Pediatrics, Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Nancy LiuWestat, Rockville, Maryland.
Bill G KapogiannisDepartment of Health and Human Services, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Gregory D ZimetDepartment of Pediatrics, Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
J Dennis FortenberryDepartment of Pediatrics, Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Sybil G HosekDepartment of Psychiatry, Stroger Hospital of Cook County, Chicago, Illinois.

Funding

Adol. Medicine Trials Network for HIV/AIDS InterventionsU01HD040474 · NICHD · WESTAT, INC. · PI HARRIS, DONALD ROBERT · 2001 to 2016
$114.4M
LEADERSHIP GROUP FOR ADOLESCENT MEDICINE TRIALS NETWORKU01HD040533 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILSON, CRAIG M · 2001 to 2016
$76.4M
NICHD NIH HHS U01 HD040474NICHD NIH HHS U01 HD040533
6 · The paper itself

Abstract

purposeThere is a persistent HIV epidemic among sexual and gender minority adolescents in the U.S. Oral pre-exposure prophylaxis (PrEP) is an efficacious prevention strategy, but not yet approved for minors. Minors' access to biomedical HIV prevention technologies is impeded by the ethical and legal complexities of consent to research participation. We explore autonomous consent and study experiences among minor and adult participants in Project PrEPare, a Phase II safety study of PrEP for HIV prevention.

methodsData for this mixed-methods descriptive study were collected via self-administered web-survey and in-depth telephone interviews in early 2016. Eligible participants were previously enrolled in Project PrEPare. We attempted to contact 191 participants; 74 were reached and expressed interest in participating and 58 enrolled.

resultsParticipants nearly universally felt well informed, understood the study, and freely volunteered with the clear understanding they could withdraw any time. All felt supported by study staff, but a small minority wished for more support during enrollment. Minors were more likely than adults to indicate a wish for more support in decision-making, and adults expressed higher satisfaction with their decision compared to minors. There was no association between elements of consent and Project PrEPare study outcomes.

conclusionsParticipants had an overwhelmingly positive experience in a Phase II safety study of PrEP for HIV prevention. Some minors wished for more support during the decision-making process, but none consulted their parents about the decision. Our results support the inclusion of decisional supports in consent processes for adolescents, while also protecting their privacy.

Indexed as

ResearchAdolescentDecision MakingHIV InfectionsHumansInformed ConsentMalePre-Exposure ProphylaxisSexual and Gender MinoritiesSexual BehaviorUnited StatesYoung AdultBiomedical ethicsConsentHIVLGBTQPre-exposure prophylaxisPrevention

Identifiers

PMID28967541
PMCPMC5701834

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Registered trials

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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.