Opinions of researchers based in the UK on recruiting subjects from developing countries into randomized controlled trials.

Abstract:

BACKGROUND:Explaining technical terms in consent forms prior to seeking informed consent to recruit into trials can be challenging in developing countries, and more so when the studies are randomized controlled trials. This study was carried out to examine the opinions of researchers on ways of dealing with these challenges in developing countries. METHODS:Recorded in-depth interviews with 12 lecturers and five doctoral students, who had carried out research in developing countries, at a leading school of public health in the United Kingdom. A purposive, snowballing approach was used to identify interviewees. RESULTS:Researchers were divided on the feasibility of explaining technical trials in illiterate populations; the majority of them held the view that local analogies could be used to explain these technical terms. Others were of the opinion that this could not be done since it was too difficult to explain technical trials, such as randomized controlled trials, even to people in developed countries. CONCLUSION:Researchers acknowledged the difficulty in explaining randomized controlled trials but it was also their perception that this was an important part of the ethics of the work of scientific research involving human subjects. These difficulties notwithstanding, efforts should be made to ensure that subjects have sufficient understanding to consent, taking into account the fact that peculiar situations in developing countries might compound this difficulty.

journal_name

Dev World Bioeth

authors

Newton SK,Appiah-Poku J

doi

10.1111/j.1471-8847.2006.00164.x

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

149-56

issue

3

eissn

1471-8731

issn

1471-8847

pii

DEWB164

journal_volume

7

pub_type

杂志文章
  • Provision of community-wide benefits in public health intervention research: the experience of investigators conducting research in the community setting in South Asia.

    abstract:BACKGROUND:This article describes the types of community-wide benefits provided by investigators conducting public health research in South Asia as well as their self-reported reasons for providing such benefits. METHODS:We conducted 52 in-depth interviews to explore how public health investigators in low-resource set...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2012.00333.x

    authors: Taylor HA,Merritt MW

    更新日期:2012-12-01 00:00:00

  • Clinical research law in Jordan: an ethical analysis.

    abstract::An ethical analysis of Jordan's Clinical Research Law, which became effective in 2001, was performed. Accordingly, this paper discusses the major components, key strengths and weaknesses of this law. As an initial effort, the Law addresses important aspects of research ethics and, hence, should serve as an example for...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2007.00221.x

    authors: Ramahi I,Silverman H

    更新日期:2009-04-01 00:00:00

  • Emerging technologies and developing countries: stem cell research regulation and Argentina.

    abstract::Given its intimate relationship with the human body and its environment, biotechnology innovation, and more particularly stem cell research innovations as a part thereof, implicate diverse social and moral/ethical issues. This paper explores some of the most important and controversial moral concerns raised by human e...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2007.00217.x

    authors: Harmon SH

    更新日期:2008-08-01 00:00:00

  • Cultural conundrums: the ethics of epidemiology and the problems of population in implementing pre-exposure prophylaxis.

    abstract::The impending implementation of pre-exposure prophylaxis (PrEP) has prompted complicated bioethical and public health ethics concerns regarding the moral distribution of antiretroviral medications (ARVs) to ostensibly healthy populations as a form of HIV prevention when millions of HIV-positive people still lack acces...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12034

    authors: Fiereck K

    更新日期:2015-04-01 00:00:00

  • Research Ethics Education in Post-Graduate Medical Curricula in I.R. Iran.

    abstract::Research ethics training during post-graduate education is necessary to improve ethical standards in the design and conduct of biomedical research. We studied quality and quantity of research ethics training in the curricula of post-graduate programs in the medical science in I.R. Iran. We evaluated curricula of 125 p...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12122

    authors: Nikravanfard N,Khorasanizadeh F,Zendehdel K

    更新日期:2017-08-01 00:00:00

  • Off-shoring clinical research: exploitation and the reciprocity constraint.

    abstract::The last 20 years have seen a staggering growth in the practice of off-shoring clinical research to low-and middle-income countries (LICs and MICs), a growth that has been matched by the neoliberal policies adopted by host countries towards attracting trials to their shores. A recurring concern in this context is the ...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2012.00332.x

    authors: Mitra AG

    更新日期:2013-12-01 00:00:00

  • Systemic Negligence: Why It Is Morally Important for Developing World Bioethics.

    abstract::In the context of clinical and non-clinical biomedical practices, negligence is usually understood as a lapse of a specific professional duty by a healthcare worker or by a medical facility. This paper tries to delineate systemic negligence as another kind of negligence in the context of health systems, particularly i...

    journal_title:Developing world bioethics

    pub_type: 杂志文章,评审

    doi:10.1111/dewb.12063

    authors: Chakraborti C

    更新日期:2015-12-01 00:00:00

  • The therapeutic exception: abortion, sterilization and medical necessity in Costa Rica.

    abstract::Based on the case of Rosa, a nine-year-old girl who was denied a therapeutic abortion, this article analyzes the role played by the social in medical practice. For that purpose, it compares the different application of two similar pieces of legislation in Costa Rica, where both the practice of abortion and sterilizati...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2007.00200.x

    authors: Carranza M

    更新日期:2007-08-01 00:00:00

  • Informed Consent in Health Research: Challenges and Barriers in Low-and Middle-Income Countries with Specific Reference to Nepal.

    abstract::Obtaining 'informed consent' from every individual participant involved in health research is a mandatory ethical practice. Informed consent is a process whereby potential participants are genuinely informed about their role, risk and rights before they are enrolled in the study. Thus, ethics committees in most countr...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12123

    authors: Regmi PR,Aryal N,Kurmi O,Pant PR,van Teijlingen E,Wasti SP

    更新日期:2017-08-01 00:00:00

  • Investigating assumptions of vulnerability: A case study of the exclusion of psychiatric inpatients as participants in genetic research in low- and middle-income contexts.

    abstract::Psychiatric genetic research investigates the genetic basis of psychiatric disorders with the aim of more effectively understanding, treating, or, ultimately, preventing such disorders. Given the challenges of recruiting research participants into such studies, the potential for long-term benefits of such research, an...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12251

    authors: Palk AC,Bitta M,Kamaara E,Stein DJ,Singh I

    更新日期:2020-09-01 00:00:00

  • Module six: special issues.

    abstract::The objective of this module is to cover ground that was not covered in-depth in any of the other modules, including: scientific misconduct, issues concerning the publication and ownership of research results (authorship guidelines - who is eligible to be considered an author, or contributor to a scientific paper etc....

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2005.00104.x

    authors: Schneider B,Schüklenk U

    更新日期:2005-03-01 00:00:00

  • International service learning programs: ethical issues and recommendations.

    abstract::Inequities in global health are increasingly of interest to health care providers in developed countries. In response, many academic healthcare programs have begun to offer international service learning programs. Participants in these programs are motivated by ethical principles, but this type of work presents signif...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2011.00299.x

    authors: Reisch RA

    更新日期:2011-08-01 00:00:00

  • Pandemic preparedness and cooperative justice.

    abstract::By examining the global public good nature of pandemic preparedness we can identify key social justice issues that need to be confronted to increase citizens' voluntary compliance with prevention and mitigation measures. As people tend to cooperate on a voluntary basis only with systems they consider fair, it becomes ...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12289

    authors: Timmermann C

    更新日期:2020-09-03 00:00:00

  • Because we can: clashes of perspective over researcher obligation in the failed PrEP trials.

    abstract::This article examines the relationship between bioethics and the therapeutic standards in HIV prevention research in the developing world, focusing on the closure of the pre-exposure prophylaxis (PrEP) trials in the early 2000s. I situate the PrEP trials in the historical context of the vertical transmission debates o...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2010.00292.x

    authors: Haire BG

    更新日期:2011-08-01 00:00:00

  • Ethical considerations in African traditional medicine: a response to Nyika.

    abstract::Like other so-called 'parallel' practices in medicine, traditional medicine (TM) does not avoid criticism or even rejection. Nyika's article 'Ethical and Regulatory Issues Surrounding African Traditional Medicine in the Context of HIV/AIDS' looks at some of the issues from a traditional Western ethical perspective and...

    journal_title:Developing world bioethics

    pub_type: 评论,杂志文章

    doi:10.1111/j.1471-8847.2007.00184.x

    authors: van Bogaert DK

    更新日期:2007-04-01 00:00:00

  • A Scoping Study on the Ethics of Health Systems Research.

    abstract::Currently, health systems research (HSR) is reviewed by the same ethical standards as clinical research, which has recently been argued in the literature to be an inappropriate standard of evaluation. The issues unique to HSR warrant a different review by research ethics committees (RECs), as it does not impose the sa...

    journal_title:Developing world bioethics

    pub_type: 杂志文章,评审

    doi:10.1111/dewb.12117

    authors: Bachani AM,Rattani A,Hyder AA

    更新日期:2016-12-01 00:00:00

  • Community members' engagement with and involvement in genomic research: lessons to learn from the field.

    abstract::In this paper, we describe the potential role laypersons on ethics committees can play in ensuring community concerns are addressed in the design and implementation of genomic research. We draw inferences from the outcome of an empirical study of the impact of training of laypersons to address community engagement iss...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12020

    authors: Folayan MO,Oyedeji KS,Fatusi OA

    更新日期:2015-04-01 00:00:00

  • Fair trade international surrogacy.

    abstract::Since the development of assisted reproductive technologies, infertile individuals have crossed borders to obtain treatments unavailable or unaffordable in their own country. Recent media coverage has focused on the outsourcing of surrogacy to developing countries, where the cost for surrogacy is significantly less th...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2009.00257.x

    authors: Humbyrd C

    更新日期:2009-12-01 00:00:00

  • Participated without consent: Mandatory authorization of government database for secondary use.

    abstract::Compared with data that is initially collected for research purposes, the mandatory authorization of a government database for secondary use deserves greater scrutiny because it consists of information that is collected initially for administrative purposes. Using the case of Taiwan's National Health Insurance (NHI) D...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12259

    authors: Yeh MJ

    更新日期:2020-12-01 00:00:00

  • Commodification of human tissue: implications for feminist and development ethics.

    abstract::One effect of late capitalism--the commodification of practically everything--is to knock down the Chinese walls between the natural and productive realms, to use a Marxist framework. Women's labour in egg extraction and 'surrogate' motherhood might then be seen as what it is, labour which produces something of value....

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/1471-8847.00035

    authors: Dickenson D

    更新日期:2002-05-01 00:00:00

  • Stakeholder perspectives on ethical challenges in HIV vaccine trials in South Africa.

    abstract::There is little published literature on the ethical concerns of stakeholders in HIV vaccine trials. This study explored the ethical challenges identified by various stakeholders, through an open-ended, in-depth approach. While the few previous studies have been largely quantitative, respondents in this study had the o...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2009.00254.x

    authors: Essack Z,Koen J,Barsdorf N,Slack C,Quayle M,Milford C,Lindegger G,Ranchod C,Mukuka R

    更新日期:2010-04-01 00:00:00

  • Place, priestly status and purity: the impact of genetic research on an Indian Jewish community.

    abstract::The Bene Israel is a Jewish community in western India whose origins are unknown from conventional sources. This paper discusses a genetic ancestry study that mapped Bene Israel genealogies and the impact of the study on the Bene Israel. ...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1046/j.1471-8731.2003.00074.x

    authors: Parfitt T

    更新日期:2003-12-01 00:00:00

  • A Personal View: Navigating conflicting claims of legality and women's safety at a volunteer medical clinic in Guatemala.

    abstract::This paper examines the ethical considerations in a case of a 12-year-old girl seeking an abortion in Quetzaltenango, Guatemala in early 2020. The physician denied the girl care and did not refer her to a qualified provider, citing the illegality of such actions. Though abortion is illegal in Guatemala, enforcement of...

    journal_title:Developing world bioethics

    pub_type: 信件

    doi:10.1111/dewb.12276

    authors: Altshuler E

    更新日期:2020-08-02 00:00:00

  • Four forward-looking guidance points.

    abstract::Four key guidance points in the UNAIDS guidance document, Ethical Considerations in HIV Preventive Vaccine Research, are compared with analogous statements in three other recently issued documents dealing with international research. Those documents are: the Declaration of Helsinki, as revised in 2000; the report of t...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/1471-8847.00017

    authors: Macklin R

    更新日期:2001-11-01 00:00:00

  • Fairness and equity in the provision of anti-retroviral therapy: some reflections from Lesotho.

    abstract::The number of people in immediate need of anti-retroviral treatment (ART) in the southern African region continues to significantly exceed the capacity of health systems there to provide it. Approaches to this complex rationing dilemma have evolved in different directions. The ethical concepts of fairness and equity h...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2009.00267.x

    authors: Armstrong R

    更新日期:2010-12-01 00:00:00

  • Considerations for stakeholder engagement and COVID-19 related clinical trials' conduct in sub-Saharan Africa.

    abstract::The aim of this study is to determine how stakeholder engagement can be adapted for the conduct of COVID-19-related clinical trials in sub-Saharan Africa. Nine essential stakeholder engagement practices were reviewed: formative research; stakeholder engagement plan; communications and issues management plan; protocol ...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12283

    authors: Folayan MO,Brown B,Haire B,Babalola CP,Ndembi N

    更新日期:2020-08-15 00:00:00

  • Stem cell tourism and future stem cell tourists: policy and ethical implications.

    abstract::Stem cell tourism is a small but growing part of the thriving global medical tourism marketplace. Much stem cell research remains at the experimental stage, with clinical trials still uncommon. However, there are over 700 clinics estimated to be operating in mostly developing countries--from Costa Rica and Argentina t...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2012.00319.x

    authors: Einsiedel EF,Adamson H

    更新日期:2012-04-01 00:00:00

  • Factors Affecting Women's Autonomous Decision Making In Research Participation Amongst Yoruba Women Of Western Nigeria.

    abstract::Research is a global enterprise requiring participation of both genders for generalizable knowledge; advancement of science and evidence based medical treatment. Participation of women in research is necessary to reduce the current bias that most empirical evidence is obtained from studies with men to inform health ca...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12112

    authors: Princewill CW,Jegede AS,Nordström K,Lanre-Abass B,Elger BS

    更新日期:2017-04-01 00:00:00

  • Race, science and a novel: an interdisciplinary dialogue.

    abstract::In the novel Racists by Kunal Basu (2006), two competing scientists initiate an experiment that they believe will prove which race is superior. The research subjects, one white and one black infant, are sequestered on an isolated island in the care of a mute nurse. The contest must be waged in a 'natural laboratory' w...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2007.00195.x

    authors: Burns L,Lanoix M,Melnychuk RM,Pauly B

    更新日期:2008-12-01 00:00:00

  • A critique of the principle of 'respect for autonomy', grounded in African thought.

    abstract::I give an account how the principle of 'respect for autonomy' dominates the field of bioethics, and how it came to triumph over its competitors, 'respect for persons' and 'respect for free power of choice'. I argue that 'respect for autonomy' is unsatisfactory as a basic principle of bioethics because it is grounded i...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12145

    authors: Behrens KG

    更新日期:2018-06-01 00:00:00