Military uniforms in Canada, 1665 - 1970
In: Historical Publication. Canadian War Museum 16
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In: Historical Publication. Canadian War Museum 16
In: Military Affairs, Band 46, Heft 2, S. 110
In: Evidence & policy: a journal of research, debate and practice, Band 19, Heft 4, S. 591-602
ISSN: 1744-2656
Background:Randomised trials have been on the rise in social policy over the last decade and a half, particularly in areas working with young people and vulnerable adults. Informed consent is an important principle for ethics committees governing research conducted by universities.
Aims and objectives:We consider the arguments for and against opt-in consent by parents, and opt-out assent, when it comes to trials taking place, particularly in schools.
Methods:We review what is known about this from a methodological standpoint.
Findings:We find that extant evidence suggests that requiring opt-in consent, rather than assent, to participation, risks reducing the ethical standards of trials by minimising participation; and by potentially risking disclosure of sensitive information about a child's life to their parents. Moreover, there are important equity considerations, with more vulnerable groups likely to be excluded from research findings under an opt-in framework.
Discussion and conclusion:We conclude that the ethical argument for assent rather than consent is compelling under some circumstances, and should be considered on a case-by-case basis. Precautions must always be taken to safeguard participants.