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The impact of the method of consent on response rates in the ISAAC time trends study

  • Philippa Ellwood
  • , M. I. Asher
  • , A. W. Stewart
  • , N. Aït-Khaled
  • , H. R. Anderson
  • , R. Beasley
  • , B. Björkstén
  • , B. Brunekreef
  • , J. Crane
  • , C. Flohr
  • , S. Foliaki
  • , F. Forastiere
  • , L. García-Marcos
  • , U. Keil
  • , C. K.W. Lai
  • , J. Mallol
  • , E. A. Mitchell
  • , S. Montefort
  • , J. Odhiambo
  • , N. Pearce
  • C. F. Robertson, D. Strachan, E. von Mutius, S. K. Weiland, G. Weinmayr, H. Williams, G. Wong, T. O. Clayton, B. Benhabylès, F. O. Esamai, L. Ng'ang'a, Z. Bouayad, B. O. Onadeko, H. J. Zar, M. Jerray, Y. Z. Chen, N. S. Zhong, Y. L. Lau, C. B. Kartasasmita, H. Odajima, K. H. Teh, J. de Bruyne, B. S. Quah, F. Cua-Lim, D. Y.T. Goh, H. B. Lee, J. L. Huang, P. Vichyanond, M. Trakultivakom, M. R. Masjedi, J. A. al-Momen, N. Mahmood, O. Al-Rawas, V. A. Khatav, L. Kumar, G. Setty, K. C. Jain, T. U. Sukumaran, M. K. Joshi, A. V. Pherwani, S. K. Sharma, N. M. Hanumante, I. M.E. Guimaraes, C. E. Baena-Cagnani, N. Rosário, G. B. Fischer, M. de Britto, L. de Freitas Souza, D. Solé, L. Amarales, P. Aguilar, M. A. Calvo, M. E. Soto-Quirós, I. Romieu, G. Cukier, J. A. Guggiari-Chase, P. Chiarella, D. Holgado, M. E. Howitt, M. Sears, D. Rennie, K. Yeatts, G. J. Redding, A. Priftanji, M. A. Riikjärv, J. Pekkanen, M. Gotua, V. Svabe, J. Kudzyte, G. Lis, A. Breborowicz, D. Deleanu, E. G. Kondiourina, H. Vogt, V. Ognev, G. Marks, C. Moyes, P. Pattemore, R. Mackay, G. Haidinger, J. Weyler, P. Standring, R. Goulding, A. Steriu, E. Bonci, C. Galassi, M. G. Petronio, E. Chellini, L. Bisanti, P. Sestini, G. Ciccone, S. Piffer, R. Camâra, J. E. Rosado Pinto, C. Nunes, J. M.Lopes dos Santos, L. Clancy, R. M. Busquets, C. González Díaz, A. Arnedo-Pena, G. Garcia Hernández, F. Guillén-Grima, M. M. Morales-Suarez-Varela, A. Blanco Quirós, North Thames, J. B. Austin, M. H. Shamssain, D. Strachan, M. Burr, J. Shah, K. Baratawidjaja, S. Nishima, M. Baeza-Bacab, P. Manning, R. M. Khaitov, B. Lee, L. Nilsson
  • Department of Paediatrics
  • The University of Auckland
  • School of Population Health
  • Epidemiology and Biostatistics
  • International Union Against Tuberculosis and Lung Disease
  • Division of Community Health Sciences
  • St. George's University of London
  • Medical Research Institute of New Zealand
  • Karolinska Institutet
  • Utrecht University
  • University of Otago
  • Guy’s and St Thomas’ NHS Foundation Trust
  • Massey University
  • Department of Epidemiology
  • Rome E Health Authority
  • Instituto de Salud Respiratoria
  • University of Murcia
  • Institut für Epidemiologie und Sozialmedizin
  • University of Münster
  • Department of Medicine and Therapeutics
  • Chinese University of Hong Kong
  • Department of Respiratory Medicine
  • Universidad de Santiago de Chile
  • Department of Paediatrics: Child and Youth Health
  • Department of Medicine
  • University of Malta
  • Centre Respiratory Diseases Research Unit
  • Kenya Medical Research Institute
  • Murdoch Children's Research Institute
  • Ludwig Maximilian University of Munich
  • Institute of Epidemiology
  • Ulm University
  • Centre for Evidence Based Dermatology
  • Nottingham University Hospitals NHS Trust
  • Department of Paediatrics
  • Prince of Wales Hospital Hong Kong

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

Abstract

BACKGROUND: Centres in Phases I and III of the International Study of Asthma and Allergies in Childhood (ISAAC) programme used the method of consent (passive or active) required by local ethics committees. METHODS: Retrospectively, relationships between achieved response rates and method of consent for 13-14 and 6-7-year-olds (adolescents and children, respectively), were examined between phases and between English and non-English language centres. RESULTS: Information was obtained for 113 of 115 centres for adolescents and 72/72 centres for children. Both age groups: most centres using passive consent achieved high response rates (>80% adolescents and >70% children). English language centres using active consent showed a larger decrease in response rate. Adolescents: seven centres changed from passive consent in Phase I to active consent in Phase III (median decrease of 13%), with five centres showing lower response rates (as low as 34%). Children: no centre changed consent method between phases. Centres using active consent had lower median response rates (lowest response rate 45%). CONCLUSION: The requirement for active consent for population school-based questionnaire studies can impact negatively on response rates, particularly English language centres, thus adversely affecting the validity of the data. Ethics committees need to consider this issue carefully.

Original languageEnglish
Pages (from-to)1059-1065
Number of pages7
JournalInternational Journal of Tuberculosis and Lung Disease
Volume14
Issue number8
StatePublished - Aug 2010

Keywords

  • Asthma
  • Children
  • Consent
  • Epidemiology
  • ISAAC

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