How participatory is parental consent in low literacy rural settings in low income countries? Lessons learned from a community based study of infants in South India
2011

Parental Consent in Low Literacy Rural Settings

Sample size: 4382 publication Evidence: moderate

Author Information

Author(s): Rajaraman Divya, Jesuraj Nelson, Geiter Lawrence, Bennett Sean, Grewal Harleen MS, Vaz Mario

Primary Institution: St John's Research Institute, Bangalore, India

Hypothesis

How actively do parents participate in the informed consent process for children's participation in a TB research study in South India?

Conclusion

Only a small fraction of parents asked questions during the informed consent process, indicating a need for improved communication strategies.

Supporting Evidence

  • Only 13.4% of parents asked any questions during the informed consent process.
  • Parents' education level and presence of both parents were significantly associated with asking questions.
  • Most questions were about TB diagnostic tests and potential risks to the child.

Takeaway

In a study about tuberculosis in infants, not many parents asked questions when giving consent, which means they might not fully understand what they agreed to.

Methodology

Observational cohort study where field supervisors recorded questions asked during informed consent discussions for 4,382 infants.

Potential Biases

Potential bias in recording questions based on fieldworker characteristics and the influence of community trust in the research organization.

Limitations

The study's findings may not apply universally due to its focus on a single community and the assumption that all questions were recorded accurately.

Participant Demographics

Parents of infants in rural South India, with a focus on education levels and socio-economic status.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1472-6939-12-3

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