Sexual Health Research Among Youth Representing Minority Populations: To Waive or Not to Waive Parental Consent

Brawner, Bridgette M.; Sutton, Madeline Y.

doi:10.1080/10508422.2017.1365303

Cited by 19 publications

(18 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Part of the delay came from working with multiple IRBs that did not all agree on the study protocol; several others have faced similar challenges (Kaur, ; Mammel & Kaplan, ). In Brawner and Sutton (), we provide an in‐depth description of the IRB challenges faced and measures undertaken to resolve them; this publication may be particularly useful for individuals conducting sexual health research with youth and/or making determinations about the necessity of parental consent waivers. Partnering with a non‐IRB affiliated youth legal expert was a novel strategy (suggested by the local IRBs), and helped reach resolution to move the research forward.…”

Section: Discussionmentioning

confidence: 99%

“…At the request of the local IRBs, we contacted the Juvenile Law Center to conduct a youth‐focused third‐party review of the protocol to help support a decision. The attorneys provided the service free of charge and concluded that the study's consent provisions were consistent with the Mental Health Procedures Act and the Health Information Portability and Accountability Act; see (Brawner & Sutton, ). Second, at the time of enrollment the census for the target demographic at the ten partnering provider sites was relatively low, and some agencies only had one Black youth who met the preliminary screening criteria—the intervention was designed to be delivered in groups of six to eight.…”

Section: Methodsmentioning

confidence: 99%

“…At the request of the local IRBs, we contacted the Juvenile Law Center to conduct a youth-focused third-party review of the protocol to help support a decision. The attorneys provided the service free of charge and concluded that the study's consent provisions were consistent with the Mental Health Procedures Act and the Health Information Portability and Accountability Act; see (Brawner & Sutton, 2018).…”

Section: Recruitment Challenges and Strategies To Resolve Themmentioning

confidence: 99%

See 2 more Smart Citations

Project GOLD: A pilot randomized controlled trial of a novel psychoeducational HIV/STI prevention intervention for heterosexually‐active black youth

Brawner

Jemmott

Wingood

et al. 2019

Research in Nursing & Health

Self Cite

View full text Add to dashboard Cite

Black youth account for the largest number of new HIV infections among heterosexual youth. Mental illness and difficulties in emotion regulation contribute to increased reports of HIV/sexually transmitted infection (STI) risk‐related sexual behaviors in this group. Yet limited interventions exist to address this affective component of the sexual decision‐making process. The purpose of this paper was to describe the trial design, research challenges, and baseline characteristics from a study designed to fill this gap. Project GOLD was a pilot randomized controlled trial of a psychoeducational HIV/STI prevention intervention designed to address the role of mental illness and emotion regulation in HIV/STI risk among heterosexually‐active Black youth aged 14 to 17 (N = 108). Challenges encountered in the research process warrant further attention in future research (e.g., disagreement among the regulatory bodies on parental permission requirements). The most common mental health diagnoses were Recurrent Major Depressive Disorder (15.7%) and current substance abuse (7.4%). Participants reported higher levels of emotional suppression, and adaptive methods of emotion management, than culturally inappropriate expressions of anger or sadness. They also reported a mean age of 13.6 at first vaginal sex, used condoms 66% of the time for vaginal sex, and had an average of three sexual partners in the past 6 months. More than one‐quarter (26.9%) had sex with more than one person in the same day. These findings indicate intervention is crucial for this population. The forthcoming trial evaluation will indicate the promise of such interventions in reducing HIV/STI infections in this key population.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Recruitment Challenges and Strategies To Resolve Themmentioning

confidence: 99%

See 1 more Smart Citation

Project GOLD: A pilot randomized controlled trial of a novel psychoeducational HIV/STI prevention intervention for heterosexually‐active black youth

Brawner

Jemmott

Wingood

et al. 2019

Research in Nursing & Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Future testing in an adequately powered optimization trial is planned. Alongside the intervention activities, the research team established a precedent for youth participation in sexual health research without parental consent to protect their confidentiality and ensure the representative advancement of HIV/STI prevention science [ 45 ]. Additional information on Project GOLD is here: https://clinicaltrials.gov/ct2/show/NCT03348813?titles=Project+GOLD&rank=1 .…”

Section: Interventions Developed By Mari Investigatorsmentioning

confidence: 99%

Vital Voices: HIV Prevention and Care Interventions Developed for Disproportionately Affected Communities by Historically Underrepresented, Early-Career Scientists

Sutton

Martínez

Brawner

et al. 2020

J. Racial and Ethnic Health Disparities

Self Cite

View full text Add to dashboard Cite

Background HIV prevention interventions which support engagement in care and increased awareness of biomedical options, including pre-exposure prophylaxis (PrEP), are highly desired for disproportionately affected Black/African American, Hispanic/Latinx and gay, bisexual, and other men who have sex with men (GBMSM) populations in the United States (US). However, in almost 40 years of HIV research, few interventions have been developed directly by and for these priority populations in domestic counties most at risk. We submit that interventions developed by early-career scientists who identify with and work directly with affected subgroups, and which include social and structural determinants of health, are vital as culturally tailored HIV prevention and care tools. Methods We reviewed and summarized interventions developed from 2007 to 2020 by historically underrepresented early-career HIV prevention scientists in a federally funded research mentoring program. We mapped these interventions to determine which were in jurisdictions deemed as high priority (based on HIV burden) by national prevention strategies. Results We summarized 11 HIV interventions; 10 (91%) of the 11 interventions are in geographic areas where HIV disparities are most concentrated and where new HIV prevention and care activities are focused. Each intervention addresses critical social and structural determinants of health disparities, and successfully reaches priority populations. Conclusion Focused funding that supports historically underrepresented scientists and their HIV prevention and care intervention research can help facilitate reaching national goals to reduce HIV-related disparities and end the HIV epidemic. Maintaining these funding streams should remain a priority as one of the tools for national HIV prevention.

show abstract

“…The recruitment and retention of adolescent couples is even more challenging given that these relationships can often be short-lived and also warrant special protection considerations. For example, research involving minors (individuals 17 years and under) requires consideration of parental consent, protection of minor's privacy regarding sexual activity and romantic relationship involvement, minors' capacity to consent to research participation, and adolescents' ability to consent to receipt of SRH services without parental permission [15][16][17]. SRH research that includes adolescent couples also warrants attention to local laws regarding age of sexual consent and mandated reporting of abuse [18,19].…”

Section: Introductionmentioning

confidence: 99%

Methodological strategies to engage young black and Latino heterosexual couples in sexual and reproductive health research

Lanier

Campo

Lavarin

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: Approaches that move beyond individuals and target couples may be an effective strategy for reducing sexual and reproductive health (SRH) disparities among adolescents and young adults (AYA). However, few researchers have attempted to recruit couples due to feasibility and methodological issues. This study aims to enhance implementation and methodological approaches to successfully engage heterosexual Black and Latino adolescent and young adult (AYA) couples in sexual reproductive health (SRH) research. Methods: We developed a four-step approach to systematically engage AYA couples in a qualitative study examining factors that influence uptake of combination HIV prevention methods: 1) understanding barriers and facilitators to engaging AYA couples, (2) identifying AYAs living in geographic areas of HIV vulnerability, (3) recruiting and screening AYA couples, and (4) scheduling and completion of the interview session. Results: Black and Latino youth aged 16 to 24 and their opposite sex romantic were recruited in the South Bronx, New York from September 2017-May 2018. Three hundred and seventy-two men and women completed screening procedures to determine eligibility for the index participant; 125 were eligible and enrolled into the study. Forty-nine nominated partners (NPs) participated in screening procedures and enrolled into the study. A total of 49 couples enrolled into the study; 23 couples completed study activities. Conclusions: Developing a systematic recruitment plan aided in successfully engaging Black and Latino heterosexual youth. Nevertheless, barriers to study enrollment remained including locating eligible IPs and screening of the NP. Targeting both young men and women was an effective recruitment strategy. Moreover, dyadic strategies that allow for simultaneous interaction with both couple members may be a beneficial strategy to couples' study enrollment and completion of study activities.

show abstract

Sexual Health Research Among Youth Representing Minority Populations: To Waive or Not to Waive Parental Consent

Cited by 19 publications

References 49 publications

Project GOLD: A pilot randomized controlled trial of a novel psychoeducational HIV/STI prevention intervention for heterosexually‐active black youth

Project GOLD: A pilot randomized controlled trial of a novel psychoeducational HIV/STI prevention intervention for heterosexually‐active black youth

Vital Voices: HIV Prevention and Care Interventions Developed for Disproportionately Affected Communities by Historically Underrepresented, Early-Career Scientists

Methodological strategies to engage young black and Latino heterosexual couples in sexual and reproductive health research

Contact Info

Product

Resources

About