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Innovative Approaches for Minor Consent: Consent 2.0

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Indiana University

Status

Completed

Conditions

HIV

Treatments

Other: Adult permission required
Other: Parental permission required
Other: Autonomous minor consent

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT03242954
17-0538
5U24HD089880-02 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to examine how the consent process affects the acceptability of participation in biomedical HIV prevention trials, from the perspective of behaviorally high-risk minors and the parents of minor adolescents.

Full description

Potential participants will be recruited from clinical settings and HIV testing centers. If interested in participation, they will take a short Computer Assisted Self-Interview (CASI) screening survey to determine eligibility. Those eligible will take part in the one-day study visit at that time or will provide contact information to set up the study visit at a later date.

All study participants will attend a one-day study visit at their respective study site. Upon arrival, participants will complete a CASI that collects demographic, social, behavioral, and attitudinal measures. Next, participants will take part in a simulated consent process for two hypothetical trials modeled after ATN 113 and HPTN 077. Study procedures differ for adolescents and parents, so each group is described separately below:

Adolescent Participants: For each hypothetical trial, research staff will lead the participant through a simulated consent process consistent with their randomized consent condition. Then, the participant will complete a CASI assessing Willingness to Participate (WTP) and will work with research staff to complete the University of San Diego (UCSD) Brief Assessment of Capacity to Consent (UBACC).

Parent Participants: For each hypothetical trial, research staff will review the informed consent forms with the parent. The parent will complete a CASI with three vignettes that describe each of the three possible consent conditions. Parents will rate the acceptability of each vignette. Then, the participant will work with research staff to complete the UCSD Brief Assessment of Capacity to Consent (UBACC). Finally, the participant will answer a series of questions via CASI.

A subset of 6-8 adolescents and 6-8 parents per study site will complete a debriefing interview assessing adolescent and parent perspectives on the various consent conditions in greater depth, and to better understand the role of study features, family, and adolescent characteristics in willingness to participate/willingness to support the hypothetical research studies.

Enrollment

254 patients

Sex

All

Ages

14 to 17 years old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

Note: Age limits apply to adolescent participants and to the adolescent children of parent participants.

Adolescent Inclusion Criteria

  • Age 14-17 inclusive
  • Able to read and speak English
  • HIV status is negative or unknown
  • Engaged in high-risk sexual activity in the last six months

Adolescent Exclusion Criteria

  • Child of a parent already enrolled in the study

Parent Inclusion Criteria

  • Able to read and speak English
  • Parent or guardian of an adolescent who is between ages 14-17
  • The parent/guardian's adolescent's HIV status is either negative or unknown

Parent Exclusion Criteria

  • Parent of a child already enrolled in the study

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

254 participants in 4 patient groups

Adolescents: Consent Condition 1
Active Comparator group
Description:
Autonomous minor consent
Treatment:
Other: Autonomous minor consent
Adolescents: Consent Condition 2
Active Comparator group
Description:
Adult permission required
Treatment:
Other: Adult permission required
Adolescents: Consent Condition 3
Active Comparator group
Description:
Parental permission required
Treatment:
Other: Parental permission required
Parents: Consent Conditions 1-3
Active Comparator group
Description:
Autonomous minor consent, adult permission required, and parental permission required
Treatment:
Other: Autonomous minor consent
Other: Parental permission required
Other: Adult permission required

Trial documents
2

Trial contacts and locations

4

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Data sourced from clinicaltrials.gov

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