Doctorate in Clinical Psychology: Main Research Portfolio
: 1) Low Self-Esteem and Internalising Disorders in Children and Adolescents: An Updated Systematic Review; 2) Development of a Mental Health Worker Role in a Primary Care Network: A Service-Related Project in Wyvern Health Partnership; 3) Exploring the Feasibility and Acceptability of a Framework Assessing Gillick Competence in 13-15-Year-Olds in Online Research Studies.

  • Lara Willis

Student thesis: Doctoral ThesisDoctor of Clinical Psychology (DClinPsy)

Abstract

Objectives: Young People (YP) aged 13-15 need parental consent to participate in research. However, parental consent can be a barrier to YP participation. An alternative approach could be using a process which allows YP to demonstrate their ability to self-consent, but this has not yet been explored in the context of online research. It is, therefore, important to explore the acceptability and feasibility of such a framework assessing Gillick competence (GC) in 13-15-year-olds.

Design: A cross-sectional mixed method (predominantly qualitative) design was used.

Methods: Fifteen YP aged 13-15 read the information sheet for an online study evaluating a single-session intervention, answered four multiple-choice questions (MCQs) designed to assess GC, and answered open-ended questions exploring their thoughts on the consent process. The data was analysed using descriptive statistics (quantitative), content analysis and reflexive thematic analysis (qualitative).

Results: Most participants’ answers to the MCQs fit their understanding of the research; however, scores and experiences varied across the questions. Three themes were identified from participants’ perspectives about the consent process: (1) supporting YP to have a voice, (2) need for parental support to keep YP safe and (3) the framework in the real world: “it’s not one size fits all”.

Conclusions: The findings suggest the GC assessment framework works to test GC in online research. Furthermore, participants generally supported its use in low-risk online research. Participants offered recommendations for increasing its accessibility and ensuring the safety of YP. Strengths, limitations and additional future directions are discussed.
Date of Award20 Sept 2024
Original languageEnglish
Awarding Institution
  • University of Bath
SupervisorMaria Loades (Supervisor)

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