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Cited by 9Ethics in Clinical ResearchAdolescent Sexual and Reproductive HealthEthics and Legal Issues in Pediatric Healthcare

Adolescent Participation in HIV Vaccine Trials: Cognitive Developmental Considerations

Kafaar, Zuhayr, Swartz, Leslie, Kagee, Ashraf, Lesch, Anthea, Jaspan, Heather·2007·South African Journal of Psychology
DOI 10.1177/008124630703700312
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Abstract

Adolescents form an important target group for HIV vaccine trials for a number of reasons. These include the high HIVprevalence and incidence rates amongst adolescents, early sexual debut, multiple sexual partners, and other high-risk sexual behaviours. It has therefore been argued that the focus of HIV vaccination attempts should be on early adolescents younger than 15 years of age. Indeed, vaccination of adolescents prior to their sexual debut has been argued to have the potential to be one of the most effective ways to curb the HIV pandemic. While the biological and epidemiological arguments for vaccination of adolescents have been elucidated, this article offers some insight into the cognitive aspects of decision making in adolescence that may inform strategies vaccine trial sites might employ when dealing with adolescent participants. After a brief overview of the educational, biological, and relationship changes that occur during adolescence, this article explores some of the more pertinent cognitive changes that occur during adolescence. More specifically, this article explores the cognitive changes during adolescence that affect decision making, such as differences between younger and older adolescents in (a) choice, (b) comprehension, (c) creativity, (d) compromise, (e) consequentiality, (f) correctness, (g) credibility, (h) consistency, and (i) commitment. Research findings relating to the above changes are discussed, creating an argument for the exclusion of early adolescents in vaccine trials and the concomitant active engagement with middle adolescents.

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Crossref · 10.1177/008124630703700312

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  • In middle adolescence (15 to 17) a strong development in metacognitive understanding emerges, including knowledge of one's own qualities, characteristics, and limitations with regard to decision-making.

    “In middle adolescence (15 to 17) a strong development in metacognitive understanding emerges, including knowledge of one's own qualities, characteristics, and limitations with regard to decision-making [15].”

    From Why is it hard to make progress in assessing children's decision-making competence? (2015) · cites this paper as [15]

  • Early adolescents (10 to 14) are more susceptible to peer influences than at any other age, which may hinder their ability to make thoughtful decisions.

    “Various authors argue that early adolescents (10 to 14) are more susceptible to peer influences than at any other age [16], which may hinder their ability to make thoughtful decisions [15].”

    From Why is it hard to make progress in assessing children's decision-making competence? (2015) · cites this paper as [15]

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Authors
Kafaar, Z., Swartz, L., Kagee, A., Lesch, A., & Jaspan, H.
Affiliations
Stellenbosch University (ZA)
Corresponding author
Kafaar, Zuhayr
ORCID
Venue
South African Journal of Psychology
Publisher
SAGE Publications
Published
2007-08
Volume
37
Issue
3
Pages
576-594
ISSN
0081-2463 (ISSN-L)
DOI
10.1177/008124630703700312
OpenAlex
W2124244384
Cited by
9
References
56
Citations by year
2020: 1 · 2016: 1 · 2015: 3 · 2014: 1 · 2013: 1
FWCI
0.69
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • South African Journal of Psychology (publishedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
Keywords
cognitive development, adolescent decision-making, HIV prevention, early adolescents, middle adolescence, vaccine trial participation, comprehension, creativity, compromise, consequentiality, credibility, commitment

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