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dc.contributor.author | Van Heerden, J.![]() |
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dc.contributor.author | Delport, Rhena![]() |
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dc.contributor.author | Kruger, Mariana![]() |
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dc.date.accessioned | 2020-05-07T05:46:09Z | |
dc.date.available | 2020-05-07T05:46:09Z | |
dc.date.issued | 2020-03 | |
dc.description.abstract | BACKGROUND : The South African Children's Act No. 38 of 2005 requires paediatric medical consent from 12 years of age. OBJECTIVE : To determine children's ability to provide informed consent for medical treatment. METHODS : Assessment used hypothetical treatment storyboards and structured interviews for assessment of 100 children (aged 10 - 17 years), and 25 adult controls, using a standardised scoring tool to test understanding, ability to deliberate treatment choices, and provide rational reasons. Statistical analysis involved multivariate analyses of variance (MANOVAs) and analysis of variance (ANOVA). RESULTS : The female:male ratios for children and adults were 1:0.92 and 1:0.98, respectively. Children⩾12 years were competent with regard to treatment choices (p<0.001), while 10-year-olds could deliberate reasonable outcomes, similar to adults (p<0.001). However, only children 12 years and older could provide rational reasons, where abstract concepts were not involved, whereas children who were⩾14 years old were able to provide rational reasons involving abstract concepts. The actual understanding of choices, compared with adults, was only observed in children older than 14 years (p<0.001). Gender was not a statistically significant denominator. CONCLUSION : Children of 12 years and older are competent to make medical decisions, but the understanding of medical treatment choices under the age of 14 years is not clear. | en_ZA |
dc.description.department | Family Medicine | en_ZA |
dc.description.librarian | hj2020 | en_ZA |
dc.description.uri | http://www.sajch.org.za/index.php/SAJCH | en_ZA |
dc.identifier.citation | Van Heerden, J., Delport, R. & Kruger, M. Children’s ability to consent to medical management in South Africa', South African Journal of Child Health 2020;14(1):25-29. https://doi.org/10.7196/SAJCH.2020.v14.i1.1621. | en_ZA |
dc.identifier.issn | 1994-3032 (print) | |
dc.identifier.issn | 1999-7671 (online) | |
dc.identifier.other | 10.7196/SAJCH.2020.v14.i1.1621 | |
dc.identifier.uri | http://hdl.handle.net/2263/74505 | |
dc.language.iso | en | en_ZA |
dc.publisher | Health and Medical Publishing Group | en_ZA |
dc.rights | © 2020 Health and Medical Publishing Group. This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0. | en_ZA |
dc.subject | Paediatric medical consent | en_ZA |
dc.subject | Children | en_ZA |
dc.subject | Informed consent | en_ZA |
dc.subject | Medical treatment | en_ZA |
dc.subject | South Africa (SA) | en_ZA |
dc.subject.other | Health sciences articles SDG-03 | |
dc.subject.other | SDG-03: Good health and well-being | |
dc.title | Children’s ability to consent to medical management in South Africa | en_ZA |
dc.type | Article | en_ZA |