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.
Artigo
em Inglês
| AIM (África)
| ID: biblio-1256614
Biblioteca responsável:
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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Contexto em Saúde:
ODS3 - Meta 3C Aumentar o financiamento da saúde e o recrutamento, desenvolvimento, formação e retenção da força de trabalho da saúde
/
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Autoridade e Responsabilidade dos Profissionais de Saúde
/
Objetivo 9: Redução de doenças não transmissíveis
/
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
Base de dados:
AIM (África)
Assunto principal:
Assunção de Riscos
/
Instituições Acadêmicas
/
Botsuana
/
Infecções por HIV
/
Adolescente
/
Ensaio Clínico Controlado Aleatório
/
Cuidadores
/
Feedback Formativo
Tipo de estudo:
Ensaio clínico controlado
/
Estudo de etiologia
/
Estudo prognóstico
/
Pesquisa qualitativa
Aspecto:
Aspectos éticos
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Afr. j. AIDS res. (Online)
Ano de publicação:
2015
Tipo de documento:
Artigo