Inclusion under the Mental Capacity Act (2005): A review of research policy guidance and governance structures in England and Wales.

Code of Practice Mental Capacity Act capacity communication consent ethics

Journal

Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926

Informations de publication

Date de publication:
02 2021
Historique:
accepted: 08 11 2020
pubmed: 28 11 2020
medline: 19 8 2021
entrez: 27 11 2020
Statut: ppublish

Résumé

To investigate how people with communication and understanding difficulties, associated with conditions such as dementia, autism and intellectual disability, are represented in research guidance supplementary to the Mental Capacity Act (MCA: 2005) in England and Wales. A documentary survey was conducted. The sample comprised the MCA Code of Practice (CoP: 2007) and 14 multi-authored advisory documents that were publicly available on the Health Research Authority website. Textual review of key words was conducted followed by summative content analysis. Representation of people with communication and understanding difficulties was confined to procedural information and position statements that focused mainly on risk management and protection. Whilst a need to engage potential participants was recognized, guidance provided was imprecise. Tensions exist between the protection versus empowerment of people with communication and understanding difficulties in research. The development of structured, evidence-based guidance is indicated. People with communication and understanding difficulties and carers participated in a working group to explore, discuss and interpret the findings.

Identifiants

pubmed: 33245186
doi: 10.1111/hex.13165
pmc: PMC7879554
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

152-164

Informations de copyright

© 2020 The Authors. Health Expectations published by John Wiley & Sons Ltd.

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Auteurs

Hayley Ryan (H)

University of East Anglia, England, UK.

Rob Heywood (R)

University of East Anglia, England, UK.

Oluseyi Jimoh (O)

University of East Anglia, England, UK.

Anne Killett (A)

University of East Anglia, England, UK.

Peter E Langdon (PE)

University of East Anglia, England, UK.
University of Warwick, England, UK.

Ciara Shiggins (C)

University of East Anglia, England, UK.
Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Melbourne, Australia.
School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.

Karen Bunning (K)

University of East Anglia, England, UK.

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Classifications MeSH