Obtaining consent to participate in research: the issues involved in including people with a range of learning and communication disabilities

Lois Cameron, Joan Murphy

British Journal of Learning Disabilities · 2006 · 179 citations · 7 references

Concepts

TL;DR

Obtaining informed consent from people with learning disabilities is difficult because of comprehension and communication challenges, especially when research requires participation across all ability levels. This study aimed to develop and evaluate strategies that enable individuals with learning disabilities to understand and express their preferences regarding research participation. The authors conducted a consent process with 48 participants spanning four levels of comprehension, detailing recruitment, consent, ongoing consent, feedback, and adaptations to methodology and accessible communication methods. The study highlighted specific ethical challenges in consent for this population and outlined implications and future research directions.

Abstract

Accessible summary Title: Saying ‘yes’ or ‘no’ to research People with learning disability should get the chance to say ‘yes’ or ‘no’ to taking part in research. This can be hard if you have difficulty in understanding or speaking. This paper is about how we tried to find ways to help people understand and say what they felt about taking part in research. We found: Summary Research in the field of learning disability presents particular ethical challenges when obtaining consent from participants. This is further exacerbated when the nature of the research requires participation at all ability levels and involves people with communication impairments. The process of obtaining consent in a research study with 48 participants at four levels of comprehension ability is discussed in this paper. The specific issues of recruitment, seeking consent, ongoing consent and feedback are detailed as are the adaptations made in this project to research methodology and the accessible methods of communication employed. Implications for researchers and future directions for further studies are presented.

References

7