scholarly journals Opt-Out Parental Consent in Online Surveys: Ethical Considerations

2018 ◽  
Vol 13 (3) ◽  
pp. 223-229 ◽  
Author(s):  
Jane Harris ◽  
Lorna Porcellato

This article aims to foster discussion and debate around seeking parental consent from young people recruited online. The growth of social media, particularly for young people, has led to increased interest in young people’s online activities as both a research topic and recruitment setting. In a health-related study, which sought to recruit young people aged 13 to 18 years old from YouTuber fan communities to an online survey, the question arose of how parental consent could be sought from young people below 16 when no link existed between researcher and parents/guardians. A practical strategy is proposed which combines novel communication methods for participant information, opt-out online consent and age verification to address this issue. Strengths and limitations of these approaches are discussed.

2020 ◽  
pp. 174701612096316
Author(s):  
Erin Mackenzie ◽  
Nathan Berger ◽  
Kathryn Holmes ◽  
Michelle Walker

Adolescent populations have become increasingly accessible through online data collection methods. Online surveys are advantageous in recruiting adolescent participants and can be designed for adolescents to provide informed consent without the requirement of parental consent. This study sampled 338 Australian adolescents to participate in a low risk online survey on adolescents’ experiences and perceptions of their learning in science classes, without parental consent. Adolescents were recruited through Facebook and Instagram advertising. In order to judge potential participants’ capacity to consent, two multiple-choice questions about the consent process were required to be answered correctly prior to accessing the survey. This simple strategy effectively determined whether middle adolescents had the capacity to provide informed consent to participate in low risk online educational research.


2018 ◽  
Vol 28 (7) ◽  
pp. 2567-2572
Author(s):  
Ivan Nedelchev

The European report "Bulgaria - Health Profile for the Country 2017" reflects statistics on the obesity and immobilization of young people in the country. Although adult obesity levels are below the EU average, they have increased by 25% since 2008, with statistics showing that among young people they have risen by two-thirds in the 2005-2006 and 2013- 2014 and have reached 20%. Also, more than half of Bulgarian pupils in 1-12 grades (51%) are extremely immobilized, one of the reasons being rare visits to physical education classes and lack of interest in additional sport outside compulsory schooling. Separately, every third grader in Bulgaria has a problem with extra pounds, although in most cases it is the parents who refuse to accept that their child needs change and help, not to mention a strict diet and encouragement to exercise sports. More than 50% of the children who crossed the classrooms for the first time this year in Bulgaria are already having vertebral distortion. Only 3% of Bulgarian teenagers say they sometimes go to the gym because they want to look good and build up muscle mass.However, a positive aspect is that a higher percentage of girls and boys at 15 years of age in Bulgaria report regular physical activity than in other EU countries, although less than 25% report moderate exercise intensive physical activity on a daily basis.This study aims to analyze, on the basis of an authoritative survey, the opinions and the vision of active training parents as to whether their children should be attending fitness training. The survey was conducted within 2 months through an online survey of 21 questions, with a total of 187 active sporting parents. Questions concern both the sporting aspects, the healthy diet and the overall condition of the child, through the eyes of his/her parents.


2021 ◽  
Vol 5 (1) ◽  
pp. e000942
Author(s):  
Oliver G P Lawton ◽  
Sarah A Lawton ◽  
Lisa Dikomitis ◽  
Joanne Protheroe ◽  
Joanne Smith ◽  
...  

COVID-19 has significantly impacted young people’s lives yet little is known about the COVID-19 related sources of information they access. We performed a cross-sectional survey of pupils (11–16 years) in North Staffordshire, UK. 408 (23%) pupils responded to an online survey emailed to them by their school. Descriptive statistics were used to summarise the data. Social media, accessed by 68%, played a significant role in the provision of information, despite it not being considered trustworthy. 89% felt that COVID-19 had negatively affected their education. Gaps in the provision of information on COVID-19 have been identified.


Vaccines ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 297
Author(s):  
Ya-Chin Yeh ◽  
I-Hua Chen ◽  
Daniel K. Ahorsu ◽  
Nai-Ying Ko ◽  
Kuan-Lin Chen ◽  
...  

The impacts of novel coronavirus disease-2019 (COVID-19) on human life continue to be serious. To control the spread of COVID-19, the production of effective vaccines is likely to be one of the best solutions. However, vaccination hesitancy may decrease individuals’ willingness to get vaccinated. The Drivers of COVID-19 Vaccination Acceptance Scale (DrVac-COVID19S) was recently developed to help healthcare professionals and researchers better understand vaccination acceptance. The present study examined whether DrVac-COVID19S is measurement invariant across different subgroups (Taiwanese vs. mainland Chinese university students; males vs. females; and health-related program majors vs. non-health-related program majors). Taiwanese (n = 761; mean age = 25.51 years; standard deviation (SD) = 6.42; 63.5% females) and mainland Chinese university students (n = 3145; mean age = 20.72 years; SD = 2.06; 50.2% females) were recruited using an online survey between 5 January and 21 February 2021. Factor structure and measurement invariance of the two DrVac-COVID19S scales (nine-item and 12-item) were tested using confirmatory factor analysis (CFA). The findings indicated that the DrVac-COVID19S had a four-factor structure and was measurement invariant across the subgroups. The DrVac-COVID19S’s four-factor structure was supported by the CFA results is a practical and valid instrument to quickly capture university students’ willingness to get COVID-19 vaccination. Moreover, the DrVac-COVID19S can be used to compare university students’ underlying reasons to get COVID-19 vaccination among different subgroups.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah R. Goss ◽  
Clare McDermott ◽  
Laura Hickey ◽  
Johann Issartel ◽  
Sarah Meegan ◽  
...  

Abstract Background Adolescence represents a crucial phase of life where health behaviours, attitudes and social determinants can have lasting impacts on health quality across the life course. Unhealthy behaviour in young people is generally more common in low socioeconomic groups. Nevertheless, all adolescents should have a fair opportunity to attain their full health potential. Health literacy is positioned as a potential mediating factor to improve health, but research regarding health literacy in adolescents and socially disadvantaged populations is limited. As part of Phase one of the Ophelia (OPtimising HEalth LIterAcy) framework, The purpose of this study was to explore the perceptions of socially disadvantaged Irish adolescents in relation to health literacy and related behaviours, and utilise this data to develop relevant vignettes. Methods A convergent mixed method design was used to co-create the vignettes. Questionnaires were completed by 962 adolescents (males n = 553, females n = 409, Mean age = 13.97 ± 0.96 years) from five participating disadvantaged schools in Leinster, Ireland. Focus groups were also conducted in each school (n = 31). Results were synthesised using cluster and thematic analysis, to develop nine vignettes that represented typical male and female subgroups across the schools with varying health literacy profiles. These vignettes were then validated through triangular consensus with students, teachers, and researchers. Discussion The co-creation process was a participatory methodology which promoted the engagement and autonomy of the young people involved in the project. The vignettes themselves provide an authentic and tangible description of the health issues and health literacy profiles of adolescents in this context. Application of these vignettes in workshops involving students and teachers, will enable meaningful engagement in the discussion of health literacy and health-related behaviours in Irish young people, and the potential co-designing of strategies to address health literacy in youth. Conclusion As guided by the Ophelia framework, the use of authentic, interactive and participatory research methods, such as the co-creation of vignettes, is particularly important in groups that are underserved by traditional research methods. The approach used in this study could be adapted to other contexts to represent and understand stakeholders’ perceptions of health, with a view to explore, and ultimately improve, health literacy.


Author(s):  
Minjung Lee ◽  
Myoungsoon You

Avoidance of healthcare utilization among the general population during pandemic outbreaks has been observed and it can lead to a negative impact on population health. The object of this study is to examine the influence of socio-demographic and health-related factors on the avoidance of healthcare utilization during the global outbreak of a novel coronavirus (COVID-19) in 2020. Data were collected through an online survey four weeks after the Korea Centers for Disease Control and Prevention (KCDC) confirmed the first case in South Korea; 1000 subjects were included in the analysis. The logit model for regression was used to analyze the associations between sociodemographic and health-related factors regarding the avoidance of healthcare utilization. Among the participants, 73.2% avoided healthcare utilization, and there was no significant difference in the prevalence of healthcare avoidance between groups with (72.0%) and without (74.9%) an underlying disease. Sociodemographic characteristics (e.g., gender, age, income level, and residential area) were related to healthcare avoidance. Among the investigated influencing factors, residential areas highly affected by COVID-19 (i.e., Daegu/Gyeoungbuk region) had the most significant effect on healthcare avoidance. This study found a high prevalence of healthcare avoidance among the general population who under-utilized healthcare resources during the COVID-19 outbreak. However, the results reveal that not all societal groups share the burden of healthcare avoidance equally, with it disproportionately affecting those with certain sociodemographic characteristics. This study can inform healthcare under-utilization patterns during emerging infectious disease outbreaks and provide information to public health emergency management for implementing strategies necessary to improve the preparedness of the healthcare system.


Agriculture ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 281
Author(s):  
Cristina Bianca Pocol ◽  
Peter Šedík ◽  
Ioan Sebastian Brumă ◽  
Antonio Amuza ◽  
Aurica Chirsanova

Romanian beekeeping faces a lot of challenges nowadays due to the problems related to climate change, the use of pesticides in agriculture, but also to the pandemic crisis. In this context, organic beekeeping represents an important alternative to traditional apicultural practices. The purpose of the study was to present the current situation of organic beekeeping in Romania, but also to identify some aspects related to sustainability. The research methodology was based on secondary and primary data. An online survey was conducted in 2020 on a sample of 433 Romanian beekeepers. The main findings showed that the majority of participants were aware of organic principles and were familiar with the concept of sustainability in beekeeping. However, only a small percentage of beekeepers were certified in the organic system. The evaluation of the concept of sustainability showed that the most important factor for the surveyed beekeepers was the environmental aspect, followed by the economic and social components. The pandemic crisis has negatively impacted the beekeepers’ activities due to travel restrictions and the limited access to the apiaries. If, in economic terms, they were affected by the sales drop in the first months of the crisis, there were also some positive effects such as the increase in demand for health-related products.


2021 ◽  
pp. bmjsrh-2020-200975
Author(s):  
Ruth Lewis ◽  
Carolyn Blake ◽  
Michal Shimonovich ◽  
Nicky Coia ◽  
Johann Duffy ◽  
...  

BackgroundThe initial response to COVID-19 in the UK involved a rapid contraction of face-to-face sexual and reproductive health (SRH) services and widespread use of remote workarounds. This study sought to illuminate young people’s experiences of accessing and using condoms and contraception in the early months of the pandemic.MethodsWe analysed data, including open-text responses, from an online survey conducted in June–July 2020 with a convenience sample of 2005 16–24-year-olds living in Scotland.ResultsAmong those who used condoms and contraception, one quarter reported that COVID-19 mitigation measures had made a difference to their access or use. Open-text responses revealed a landscape of disrupted prevention, including changes to sexual risk-taking and preventive practices, unwanted contraceptive pathways, unmet need for sexually transmitted infection (STI) testing, and switches from freely provided to commercially sold condoms and contraception. Pandemic-related barriers to accessing free condoms and contraception included: (1) uncertainty about the legitimacy of accessing SRH care and self-censorship of need; (2) confusion about differences between SRH care and advice received from healthcare professionals during the pandemic compared with routine practice; and (3) exacerbation of existing access barriers, alongside reduced social support and resources to navigate SRH care.ConclusionsEmerging barriers to STI and pregnancy prevention within the context of COVID-19 have the potential to undermine positive SRH practices, and widen inequalities, among young people. As SRH services are restored amid evolving pandemic restrictions, messaging to support navigation of condom and contraception services should be co-created with young people.


Author(s):  
Ana J. Cañas-Lerma ◽  
M. Elena Cuartero-Castañer ◽  
Guido Mascialino ◽  
Paula Hidalgo-Andrade

Empathy plays a fundamental role in health related occupations. In this study, we analysed empathy levels in professionals (117) and students (170) from various healthcare fields in Ecuador during the COVID-19 pandemic. The Interpersonal Reactivity Index was used in an online survey. The results show high levels of empathy in both groups, influenced by age and gender. The students presented higher levels of personal distress, and their age was negatively correlated to empathy. Additionally, professionals working in physical health scored higher levels of personal distress compared to those in the field of emotional health. COVID-19 has placed social health systems in great stress. Despite this, the personal capacities for empathy of both students and health professionals have not been diminished.


2018 ◽  
Vol 20 (6) ◽  
pp. 922-931 ◽  
Author(s):  
Monisha Arya ◽  
Haley G. Marek ◽  
Rachel E. Marren ◽  
Vagish Hemmige ◽  
Richard L. Street ◽  
...  

Introduction. Despite national recommendations, routine opt-out HIV testing has not been widely adopted by physicians. Guided by previous research on physician barriers to HIV testing, we developed a physician-targeted video to promote routine opt-out HIV screening. The objective of this study was to evaluate this video intervention. Methods. From June to July 2016, physicians in two primary care clinics completed an online survey prior to and after watching the video. Survey items assessed acceptability of the video and HIV testing knowledge, attitudes, and intention to screen. Descriptive statistics were generated to analyze data. Results. Of the 53 participants, 90% liked or strongly liked the video. Pre- to postvideo, significant improvements were seen in the knowledge of national HIV screening recommendations (45.3% to 67.9%; p = .010) and of the proportion of unaware Houstonians living with HIV (22.6% to 75.5%; p < .001). Participant beliefs about the likelihood of patients accepting HIV testing increased from 47.2% to 84.9% pre- to postvideo ( p < .001). Intention to screen did not change; participants had high intentions pre- and postvideo. Conclusions. Our study found that a video is an acceptable HIV testing promotion medium for physicians. Our video improved physician HIV testing knowledge and attitudes, overcoming key barriers to HIV testing.


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