Involving parents from the start: formative evaluation for a large randomised controlled trial with Botswana junior secondary school students
Afr. j. AIDS res. (Online)
; 15(1): 9-15, 2015.
Article
in En
| AIM
| ID: biblio-1256614
Responsible library:
CG1.1
RESUMO
While HIV prevention research conducted among adolescent populations may encounter parental resistance; the active engagement of parents from inception to trial completion may alleviate opposition. In preparation for implementing a large randomised controlled trial (RCT) examining the efficacy of a behavioural intervention targeting adolescent sexual risk behaviours; a formative evaluation was undertaken to assess parental reactions to the proposed trial. Six focus groups were conducted with parents of adolescents (aged 13-17) from rural; peri-urban and urban junior secondary schools in Botswana. Focus groups explored comprehension and acceptability among parents of the forthcoming trial including HSV-2 testing; the return of results to the adolescent (not the parent); trial information materials and the parental consent process. Parents welcomed the study and understood and accepted its moral and ethical considerations. Their reactions regarding return of HSV-2 results only to adolescents (not the parent) were mixed. Parents understood the consent process and most agreed to consent; while indicating their desire to remain informed and involved throughout the RCT. The focus group discussions (FGDs) provided valuable information and insights that helped strengthen the study. As a result of parents' feedback; counselling procedures were strengthened and direct linkages to local services and care were made. Informational materials were revised to increase clarity; and materials and procedures were developed to encourage and support parental involvement and parent-child dialogue. Ultimately; parental feedback led to a decision by the Government of Botswana to allow parents to access their child's HSV-2 test results:
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Database:
AIM
Main subject:
Risk-Taking
/
Schools
/
Botswana
/
HIV Infections
/
Adolescent
/
Randomized Controlled Trial
/
Caregivers
/
Formative Feedback
Type of study:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
Aspects:
Ethics
Country/Region as subject:
Africa
Language:
En
Journal:
Afr. j. AIDS res. (Online)
Year:
2015
Document type:
Article