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Children and Minors

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Children and Minors

The following applies to all research involving children, regardless of funding source. The requirements in this section are consistent with Subpart D of 45 CFR 46, which applies to DHHS-funded research and Title 21, Part 50, Subpart D, which applies to FDA research. 

Per the Abused and Neglected Child Reporting Act (ANCRA), mandated reporters are required to report suspected child maltreatment immediately when they have "reasonable cause to believe" that a child known to them in their professional or official capacity may be an abused or neglected child. ANCRA identifies employees of higher education ad mandated reporters. For further guidance, there is more information about mandated reporting here.

Please refer to the University's Protection of Minors policy and procedures for implementing the policy for further guidance. University of Illinois Protection of Minors Policy  

Definitions

Child - In Illinois a child is defined as an individual who has not attained 18 years of age.

NOTE: For research conducted in jurisdictions other than Illinois, the research must comply with the laws regarding the legal age of consent in all relevant jurisdictions. The General Counsel of the University’s Office will provide assistance with regard to the laws in other jurisdictions.

Guardian – In Illinois a “Guardian” of a minor means the duty and authority to act in the best interests of the minor, subject to residual parental rights and responsibilities, to make important decisions in matters having a permanent effect on the life and development of the minor, and to be concerned with his or her general welfare.

NOTE: For research conducted in jurisdictions other than Illinois, the research must comply with the laws regarding guardianship in all relevant jurisdictions. The General Counsel of the University’s Office will provide assistance with regard to the laws in other jurisdictions.

Assent - a child's affirmative agreement to participate in research. Mere failure to object, absent affirmative agreement, should not be construed as assent.

Permission - the agreement of parent(s) or legal guardian(s) to the participation of their child or ward in research.

Parent - a child's biological or adoptive parent.

Allowable Categories

Research on children must be reviewed and categorized by the IRB into one of the following groups:

  1. Research not involving physical or emotional risk greater than that ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests (i.e., minimal risk). [45 CFR 46.404][21 CFR 50.51]
    • The IRB may find that the permission of one parent is sufficient.
  2. Research involving greater than minimal risk but presenting the prospect of direct benefit to the individual subject. [45 CFR 46.405] [21 CFR 50.52]
    • The risk is justified by the anticipated benefit to the subjects;
    • The IRB may find that the permission of one parent is sufficient;
    • Requires assent of the child.
  3. Research involving greater than minimal risk and no reasonable prospect of direct benefit to the individual subject, but likely to yield generalizable knowledge about the subject's disorder or condition. [45 CFR 46.406] [21 CFR 50.53]
    • The risk represents a minor increase over minimal risk;
    • The intervention or procedure presents experiences to subjects that are reasonably commensurate with those inherent in their actual or expected medical, dental, psychological, social, or educational situations;
    • The intervention or procedure is likely to yield generalizable knowledge about the participants’ disorder or condition which is of vital importance for the understanding or amelioration of the participants’ disorder or condition.
    • Permission of either both parents, or legal guardian, is required unless one parent is deceased, unknown, incompetent, or not reasonably available; or only one parent has legal responsibility for the care and custody of the child;
    • Requires assent of the child.
  4. Research not otherwise approvable which presents an opportunity to understand, prevent, or alleviate serious problems affecting the health or welfare of children. [45 CFR 46.407] [21 CFR 50.54]
    • DHHS-funded research in this category must be approved by the Secretary of Health and Human Services, and requires consent of either both parents, or legal guardian. If the IRB determines that the research falls in this category, the research will be sent to OHRP for DHHS review.
    • For non-federally-funded research, IRB will consult with a panel of experts in pertinent disciplines (for example: science, medicine, ethics, law). Based on the recommendation of the panel, the IRB may approve the research based on either:
      • That the research in fact satisfies the conditions of the previous categories, as applicable; or the following:
      • The research presents a reasonable opportunity to further the understanding, prevention, or alleviation of a serious problem affecting the health or welfare of pregnant women, fetuses or neonates;
      • The research will be conducted in accord with sound ethical principles; and
      • Informed consent will be obtained in accord with the provisions for informed consent and other applicable sections of this manual.