Developing and Testing Informed-Consent Methods in a Study of the Elderly in Mexico

Emma Aguila, Maria Dolores Cervera, Homero Martinez, Beverly A. Weidmer

ResearchPublished Jan 13, 2015

Cover: Developing and Testing Informed-Consent Methods in a Study of the Elderly in Mexico

Ethical and legal considerations require that human research subjects who provide certain kinds of information be able to provide informed consent when doing so. Obtaining consent from older people and from people with low levels of literacy or limited language fluency can pose challenges. For field trials, researchers evaluating the impact of a pension program in Yucatan sought to develop an informed-consent procedure that was culturally sensitive and complied with Mexican norms and standards and with U.S. government and RAND Corporation ethical standards for conducting research with human subjects. This report documents the process the research team developed to obtain informed consent from those choosing to participate in the research; provides background on the development of norms and regulations for conducting research involving human subjects in the United States and Mexico; and reviews how the team developed and tested a culturally sensitive approach for collecting informed consent among the elderly in Yucatan, including testing of methods and subsequent adaptations. Finally, it reviews the implications of the findings for similar future research efforts.

Key Takeaways

Researchers Encountered Barriers in Obtaining Informed Consent from Potential Elderly Human Subjects in Yucatan

  • Many similar studies in Mexico rely on oral consent, which was not likely to be sufficient under U.S. regulations and RAND policies.
  • Subjects in Yucatan distrusted, did not understand, or could not read lengthy, complex written consent forms.

Researchers Found Creative Ways to Obtain Informed Consent While Complying with Legal Requirements and Population Norms

  • Researchers could sign forms as witnesses of the consent given, and subjects would not have to sign the forms themselves.

Recommendation

  • Obtaining informed consent should not overburden potential research participants or discourage them from participating in the research.

Topics

Document Details

  • Availability: Web-Only
  • Year: 2015
  • Pages: 40
  • DOI: https://doi.org/10.7249/pubs
  • Document Number: TR-1288/8-SOY-NIA

Citation

Chicago Manual of Style

Aguila, Emma, Maria Dolores Cervera, Homero Martinez, and Beverly A. Weidmer, Developing and Testing Informed-Consent Methods in a Study of the Elderly in Mexico. Santa Monica, CA: RAND Corporation, 2015. https://www.rand.org/pubs/technical_reports/TR1288z8.html.
BibTeX RIS

This publication is part of the RAND technical report series. RAND technical reports, products of RAND from 2003 to 2011, presented research findings on a topic limited in scope or intended for a narrow audience; discussions of the methodology employed in research; literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; and preliminary findings. All RAND technical reports were subject to rigorous peer review to ensure high standards for research quality and objectivity.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.