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物质使用障碍治疗研究中青少年的知情同意回忆

Informed Assent Recall Among Adolescents in Substance Use Disorder Treatment Research.

作者信息

Davis Jordan P, Lux Emily A, Smith Douglas C, Cleeland Leah

机构信息

University of Illinois at Urbana-Champaign.

出版信息

J Child Adolesc Subst Abuse. 2016;25(5):417-427. doi: 10.1080/1067828X.2015.1056866. Epub 2016 May 4.

Abstract

UNLABELLED

Evidence suggests that vulnerable populations such as substance users, those involved in the criminal justice system, and those with cognitive deficits often fail to recall information regarding the informed assent process. This study investigated correlates of assent quiz errors (AQE) among adolescents enrolling in a substance use disorder treatment study.

METHOD

Adolescents (age 13-19) entering substance use treatment completed a standard informed consent procedure to participate in a longitudinal research study, followed by a brief 6-item assent quiz.

RESULTS

Informed assent quiz errors were lower in this study relative to those observed in the adult literature. Being male and having lower treatment resistance was associated with making an AQE. Both days of marijuana use and days spent in the criminal justice system were associated with AQE. Hyperactivity-impulsivity approached significance ( = .057) but was not a correlate of AQE.

CONCLUSION

Those collecting assent should be aware that heavily-using males involved in the criminal justice system are prone to make more errors, and should use procedures such as assent quizzes to enhance their understanding of study procedures. Future research should investigate the impact of motivation and consider using experimental designs to test adolescent recall of study procedures under various assenting conditions.

摘要

未标注

有证据表明,诸如药物使用者、参与刑事司法系统的人员以及有认知缺陷的人群等弱势群体往往无法回忆起有关知情同意过程的信息。本研究调查了参加药物使用障碍治疗研究的青少年中同意测验错误(AQE)的相关因素。

方法

进入药物使用治疗的青少年(年龄13 - 19岁)完成了参与一项纵向研究的标准知情同意程序,随后进行了一个简短的包含6个项目的同意测验。

结果

与在成人文献中观察到的情况相比,本研究中的知情同意测验错误率较低。男性以及治疗抵抗性较低与出现同意测验错误相关。大麻使用天数和在刑事司法系统中度过的天数均与同意测验错误相关。多动 - 冲动性接近显著水平(p = 0.057),但不是同意测验错误的相关因素。

结论

收集同意的人员应意识到,参与刑事司法系统且大量使用药物的男性更容易出现更多错误,并且应使用诸如同意测验等程序来增强他们对研究程序的理解。未来的研究应调查动机的影响,并考虑使用实验设计来测试青少年在各种同意条件下对研究程序的回忆情况。

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