Parental Perspectives on a Trial Using Waived Informed Consent at Birth

Author:

Katheria Anup1ORCID,Schmolzer Georg2ORCID,Law Brenda2,Yoder Bradley3,Clark Erin4,El-Naggar Walid5ORCID,Morales Ana,Dorner Rebecca1ORCID,Mooso Benjamin6,Rich Wade1ORCID,Vora Farha7,Finer Neiil1

Affiliation:

1. Sharp Mary Birch Hospital for Women & Newborns

2. Royal Alexandra Hospital

3. University of Utah

4. University of Utah School of Medicine

5. walid.el-naggar@iwk.nshealth.ca

6. UC San Diego

7. Loma Linda University Children's Hospital

Abstract

Abstract Objectives To determine parental perspectives in a trial with waived consent. Study Design: Biological parents of non-vigorous term infants randomized using a waiver of consent for a delivery room intervention completed an anonymous survey after discharge. Results 121 survey responses were collected. Most responding parents reported that this form of consent was acceptable (92%) and that they would feel comfortable having another child participate in a similar study (96%). The majority (> 90%) also reported that the information provided after randomization was clear to understand future data collection procedures. Four percent had a negative opinion on the study's effect on their child’s health. Conclusions The majority of responding parents reported both acceptability of this study design in the neonatal period and that the study had a positive effect on their child’s health. Future work should investigate additional ways to involve parents and elicit feedback on varied methods of pediatric consent.

Publisher

Research Square Platform LLC

Reference15 articles.

1. A Narrative Review of the Rationale for Conducting Neonatal Emergency Studies with a Waived or Deferred Consent Approach;Katheria A;Neonatology,2023

2. Antenatal consent in the SUPPORT trial: challenges, costs, and representative enrollment;Rich WD;Pediatrics,2010

3. Antenatal consent in the SUPPORT trial: challenges, costs, and representative enrollment;Rich WD;Pediatrics,2010

4. Association of Umbilical Cord Milking vs Delayed Umbilical Cord Clamping With Death or Severe Intraventricular Hemorrhage Among Preterm Infants;Katheria A;JAMA: the journal of the American Medical Association,2019

5. Perinatal Outcomes of Subjects Enrolled in a Multicenter Trial with a Waiver of Antenatal Consent;Katheria AC;American journal of perinatology,2022

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