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“Because all mothers is not the same”

The development and implementation of an in loco parentis informed consent procedure to enroll adolescent girls and young women to participate in HIV research

Bibliographic Data

ID21444371
AuthorsCourtney Peasant Bonner (0000-0001-6983-2698, Substance Use, Gender, and Applied Research Program RTI International Atlanta GA USA, corresponding author), Celia B Fisher (0000-0002-3849-7281, Center for Ethics Education Fordham University USA), Tara Carney (0000-0001-5400-0565, Alcohol, Tobacco and Other Drug Research Unit South African Medical Research Council Cape Town South Africa), F A Browne (0000-0002-4230-2096, University of North Carolina at Chapel Hill), Margaret W Gichane (0000-0001-8499-154X, Substance Use, Gender, and Applied Research Program RTI International Research Triangle Park NC USA), Brittni N Howard (0000-0002-2111-1143, Substance Use, Gender, and Applied Research Program RTI International Research Triangle Park NC USA), Leslie B Turner (0000-0003-3622-7656, RTI International), Leslie Turner (Substance Use, Gender, and Applied Research Program RTI International Research Triangle Park NC USA), W M Wechsberg (0000-0002-5146-6463, Department of Maternal and Child Health Gillings School of Global Public Health University of North Carolina Chapel Hill NC USA)
Year2021
Volume93
Issue1
Pages234-244
Publication date2021-12-01
Open AccessYes
TypeARTICLE
VenueJournal of Adolescence (JOURNAL)
Journal identifiersISSN: 0140-1971 • E-ISSN: 1095-9254
PublisherWiley (PUBLISHER • GB)
DOI10.1016/j.adolescence.2021.11.001
PMID34896961
OpenAlexW4200481436
LanguageEN
Citations received4
References cited29

INTRODUCTION: South Africa has one of the highest incidences of HIV among adolescent girls and young women (AGW), ages 15-24, and recent research has focused on developing interventions for HIV prevention. However, the South African National Health Act requires those under 18 years of age to obtain a guardian's permission to participate in research. Limiting research enrolment to AGYW who can obtain guardian consent may lead to non-representative findings. Therefore, innovative, inclusive consent approaches that protect AGYW from the risks of research are needed. METHODS: This report details the development and implementation of an approach called the in loco parentis (in place of parent) consent procedure. In loco parentis consent provides a vehicle for adolescent participation that protects adolescents from potential social harms. The in loco parentis consent procedure does not seek to obtain independent minor consent but seeks to obtain permission for the minor to participate in research from a trusted adult who is not a minor's parent or legal guardian. This report also qualitatively explores the experiences of 31 AGYW who were recruited into a behavioral HIV prevention study using this method. RESULTS: Findings suggest that the in loco parentis consent procedure is a feasible and acceptable method to inclusively AGYW in HIV research. CONCLUSIONS: The in loco parentis procedure may provide a more inclusive strategy to recruit AGYW for HIV research to increase the generalizability of findings.

Alternative medicine · Developmental psychology · Family medicine · Generalizability theory · Guardian · Human immunodeficiency virus (HIV) · Informed consent · Legal guardian · Minor (academic) · Permission · Political science · Psychiatry · Psychological intervention · Voluntariness · Adolescent Sexual and Reproductive Health · Ethics in Clinical Research · HIV/AIDS Research and Interventions · Law · Medicine · Psychology · Social Psychology

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    Open Access•Courtney Peasant Bonner, Alexandra M Minnis et al.•AIDS and Behavior•2026

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    Open Access•Laura Nyblade, Jacqueline Ndirangu et al.•BMC Public Health•2022

  • Relationship Between Criminal and Status Offense Behaviors, Substance Use, and HIV Risk Among Adolescent Girls and Young Women in Cape Town, South Africa

    Open Access•Tara Carney, Bronwyn Myers et al.•International Journal of Mental…•2023

  • Outcomes of substance use and sexual power among adolescent girls and young women in Cape Town

    Open Access•W M Wechsberg, F A Browne et al.•Global Public Health•2024

  • Age-disparate and intergenerational sex in southern Africa

    Suzanne Leclerc‐madlala, Suzanne Leclerc-Madlala•AIDS•2008

  • What Makes Clinical Research in Developing Countries Ethical? The Benchmarks of Ethical Research

    Open Access•Ezekiel J Emanuel, David Wendler et al.•The Journal of Infectious Diseases•2004

  • HIV pre‐exposure prophylaxis for adolescent girls and young women in Africa

    Open Access•Connie Celum, Sinead Delany-Moretlwe et al.•Journal of the International AIDS…•2019

  • Reducing Health Disparities and Enhancing the Responsible Conduct of Research Involving LGBT Youth

    Open Access•Celia B Fisher, Brian Mustanski•The Hastings Center Report•2014

  • The Joint United Nations Programme on HIV/Aids

    Benjamin Mason Meier, Helena Nygren-Krug et al.•Human Rights in Global Health•2018

  • Adolescent female school dropouts who use drugs and engage in risky sex

    Tara Carney, F A Browne et al.•AIDS Care•2019

  • “There is no fear in me … well, that little fear is there”

    Open Access•Zoe Duby, Kim Jonas et al.•African Journal of AIDS Research•2020

  • The Young Women’s Health CoOp in Cape Town, South Africa

    Open Access•W M Wechsberg, F A Browne et al.•BMC Public Health•2018

  • The PrEpare Pretoria Project

    Open Access•W M Wechsberg, F A Browne et al.•BMC Public Health•2020

  • Competence to Consent to Oral and Injectable PrEP Trials Among Adolescent Males Who Have Sex with Males

    Open Access•Celia B Fisher, Leah Ibrahim Puri et al.•AIDS and Behavior•2020

  • Self-Consent for HIV Prevention Research Involving Sexual and Gender Minority Youth

    Open Access•Celia B Fisher, Miriam R Arbeit et al.•Journal of Empirical Research on…•2016

  • Ethical and Regulatory Issues with Conducting Sexuality Research with LGBT Adolescents

    Open Access•Brian Mustanski•Archives of Sexual Behavior•2011

Citations per year1
Citation span2022 - 2026 (5)
Highly citedNo

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