Capacity to consent: a scoping review of youth decision-making capacity for gender-affirming care (Q27673)
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- Capacity to consent: a scoping review of youth decision-making capacity for gender-affirming care.
- Capacity to consent
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | Capacity to consent: a scoping review of youth decision-making capacity for gender-affirming care |
No description defined |
|
Statements
Transgender and gender expansive (TGE) youth often seek a variety of gender-affirming healthcare services, including pubertal suppression and hormone therapy requiring that TGE youth and their parents participate in informed consent and decision making. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
While youth must demonstrate the ability to understand and appreciate treatment options, risks, benefits, and alternatives as well as make and express a treatment choice, standardized approaches to assess the capacity of TGE youth to consent or assent in clinical practice are not routinely used. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
This scoping review identified the currently available data regarding adolescent capacity to consent to gender-affirming medical treatments. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
Articles relevant to assessing adolescent capacity for clinical decision-making were identified using OVID Medline, Web of Science, and PubMed. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
Articles were reviewed and thematically analyzed. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
Eight relevant articles were identified using three tools for measuring adolescent clinical decision-making capacity: Measure of Understanding, Measure of Competence, and MacArthur Competence Assessment Tool (MacCAT). (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
These studies explored hypothetical treatment decisions, mental health treatment decisions, HIV treatment decisions, genetic testing decisions, and gender-affirming medical decisions. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Only one study specifically examines the capacity of TGE youth to consent to medical treatments. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Age was correlated with capacity in most, but not all studies. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Other studies found cognitive measures (IQ, literacy, numeracy) may impact important aspects of capacity (understanding and reasoning). (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
For clinicians caring for TGE youth, tools such as the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) may prove useful, in conjunction with consideration of youth developmental abilities and utilization of shared decision-making practices. (English)
CONCLUSIONS (English)
© 2024. The Author(s). (English)
2024
A standardized, collaborative approach to assessing TGE youth capacity would benefit TGE youth and their parents, and allow clinicians to more easily resolve ethical concerns. (English)
CONCLUSIONS (English)
© 2024. The Author(s). (English)
2024
Loren G (English)
Marino (English)
LG
Katherine E (English)
Boguszewski (English)
KE
Haley F (English)
Stephens (English)
HF
Julia F (English)
Taylor (English)
JF
11 October 2024
9 October 2024