Table 1.
Capacities of children according to studies
Author | Year | Number of subjects | Age | Question posed to children (example) | Conclusion |
---|---|---|---|---|---|
Weithorn L, Campbell SB |
1982 |
96 |
9-21 |
“What happens if a person is taking insulin and misses one injection?” |
“Children as young as 9 appear able to participate meaningfully in personal health-care decision making”. |
Abramovitch R et al. |
1991 |
163 |
5-21 |
“Should you be in a study if you didn’t like it and your mother did?” |
“If the instructions are given clearly and the study is not excessively complex, most children as young as 5 are capable of understanding what they will be doing and therefore have the capacity to give their assent or dissent to the research”. |
Susman EJ et al. |
1992 |
44 |
7-20 |
“What are the side effects of taking your treatment?” |
“Although we found no age differences, developmental differences do exist among children, adolescents, and adults […]. Adolescents and young adults were no better than children in comprehending abstract concepts”. |
Ondrusek N et al. |
1998 |
18 |
5-18 |
“What good things might happen to other people because you are in this study?” |
“In subjects younger than 9 years of age, understanding of most aspects of the study was found to be poor to non-existent”. |
Miller S |
2000 |
6 |
7-12 |
“The children were […] asked to talk about their likes and dislikes”. |
Researchers should not “underestimate the awareness and maturity that some children possess when addressing issues of concern to themselves”. |
Geller G et al. |
2003 |
37 dyads of parents and children |
10-17 with parents |
No information regarding questions posed. |
“Most children wanted or expected some degree of parental input, but still thought the final decision should be theirs”. |
Burke TM et al. | 2005 | 251 | 6-13 | “Can you think of any good things about being in the study?” | “By creating age appropriate modules of information, children as young as six years can understand potentially difficult and complex concepts […] associated with participation in biomedical research”. |