Department of Health Promotion and Development, University of Bergen, Bergen, Norway.
Department of Food Safety, Division of Climate and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Obes Rev. 2023 Sep;24 Suppl 2:e13636. doi: 10.1111/obr.13636.
The United Nations Convention on the Rights of the Child emphasizes the importance of allowing children and adolescents to influence decisions that are important to them following their age and maturity. This paper explores the principles, practices, and implications around using parental versus child/adolescent consent when participating in social science research and policy development. Experiences from two studies are presented: The Confronting Obesity: Co-creating policy with youth (CO-CREATE) and the Health Behaviour in School-aged Children (HBSC) study, a World Health Organization (WHO) Collaborative Cross-National study. Although parental consent may be an important gatekeeper for protecting children and adolescents from potentially harmful research participation, it may also be considered an obstacle to the empowerment of children and adolescents in case they want to share their views and experiences directly. This paper argues that evaluation of possible harm should be left to ethics committees and that, if no harm related to the research participation processes is identified and the project has a clear perspective on collaborating with the target group, adolescents from the age of 12 years should be granted the legal capacity to give consent to participate in the research project. Collaboration with adolescents in the development of the research project is encouraged.
《联合国儿童权利公约》强调,应允许儿童和青少年根据其年龄和成熟程度,对与其相关的决策施加影响。本文探讨了在参与社会科学研究和政策制定时,使用父母同意与儿童/青少年同意的原则、实践和影响。本文介绍了两项研究的经验:“应对肥胖:与青少年共同制定政策(CO-CREATE)”和世界卫生组织(WHO)合作的跨国研究“青少年健康行为(HBSC)”。虽然父母同意可能是保护儿童和青少年免受潜在有害研究参与的重要把关者,但在儿童和青少年希望直接分享他们的观点和经验的情况下,这也可能被视为赋予他们权力的障碍。本文认为,应将可能造成的伤害的评估留给伦理委员会,如果没有发现与研究参与过程相关的伤害,并且项目有明确的与目标群体合作的观点,则应赋予 12 岁以上的青少年参与研究项目的合法同意权。鼓励与青少年合作开展研究项目。