Totura Christine M Wienke, Kutash Krista, Labouliere Christa D, Karver Marc S
Department of Psychology, Auburn University, 226 Thach Hall, Auburn, AL 36849.
Florida Mental Health Institute, University of South Florida, Tampa, FL 33620.
J Sch Health. 2017 Feb;87(2):114-120. doi: 10.1111/josh.12473.
Suicide is the second leading cause of death for adolescents. Whereas school-based prevention programs are effective, obtaining active consent for youth participation in public health programming concerning sensitive topics is challenging. We explored several active consent procedures for improving participation rates.
Five active consent methods (in-person, students taking forms home, mailing, mailing preceded by primers, mailing followed by reminder calls) were compared against passive consent procedures to evaluate recruitment success, as determined by participation (proportion who responded yes) and response (proportion who returned any response) rates.
Participation acceptance rates ranged from 38 to 100% depending on consent method implemented. Compared with passive consent, active consent procedures were more variable in response and participation rates. In-person methods provided higher rates than less interpersonal methods, such as mailing or students taking consents home. Mailed primers before or reminder calls after consent forms were mailed increased response but not participation rates. Students taking consents home resulted in the lowest rates.
Although passive consent produces the highest student participation, these methods are not always appropriate for programs addressing sensitive topics in schools. In-person active consent procedures may be the best option when prioritizing balance between parental awareness and successful student recruitment.
自杀是青少年的第二大死因。尽管基于学校的预防计划是有效的，但要获得青少年对参与有关敏感话题的公共卫生计划的积极同意具有挑战性。我们探索了几种提高参与率的积极同意程序。
将五种积极同意方法（亲自参与、学生将表格带回家、邮寄、先邮寄引物再邮寄、邮寄后进行提醒电话）与被动同意程序进行比较，以评估招募成功率，招募成功率由参与率（回答“是”的比例）和回复率（返回任何回复的比例）确定。
根据实施的同意方法不同，参与接受率在38%至100%之间。与被动同意相比，积极同意程序在回复率和参与率方面的差异更大。亲自参与的方法比邮寄或学生将同意书带回家等人际互动较少的方法能提供更高的比率。在邮寄同意书之前邮寄引物或在邮寄后进行提醒电话会提高回复率，但不会提高参与率。学生将同意书带回家导致的比率最低。
虽然被动同意能使学生参与率最高，但这些方法并不总是适用于解决学校敏感话题的计划。当优先考虑家长知晓度和成功招募学生之间的平衡时，亲自参与的积极同意程序可能是最佳选择。
