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Using formative research to develop a context-specific approach to informed consent for clinical trials
Journal article   Peer reviewed

Using formative research to develop a context-specific approach to informed consent for clinical trials

Amy L. Corneli, Margaret E. Bentley, James R. Sorenson, Gail E. Henderson, Charles Van der Horst, Agnes Moses, Jacqueline Nkhoma, Lyson Tenthani, Yusuf Ahmed, Charles M. Heilig, …
Journal of empirical research on human research ethics, Vol.1(4), pp.45-60
12/01/2006
DOI: 10.1525/jer.2006.1.4.45
PMCID: PMC3140046
PMID: 19385837
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3140046View
Open Access

Abstract

PARTICIPANT UNDERSTANDING is of particular concern when obtaining informed consent. Recommendations for improving understanding include disclosing information using culturally-appropriate and innovative approaches. To increase the effectiveness of the consent process for a clinical trial in Malawi on interventions to prevent mother-to-child transmission of HIV during breastfeeding, formative research was conducted to explore the community's understanding of medical research as well as how to explain research through local terms and meanings. Contextual analogies and other approaches were identified to explain consent information. Guided by theory, strategies for developing culturally appropriate interventions, and recommendations from the literature, we demonstrate how the formative data were used to develop culturally appropriate counseling cards specifically for the trial in Malawi. With appropriate contextual modifications, the steps outlined here could be applied in other clinical trials conducted elsewhere, as well as in other types of research.
Ethics Life Sciences & Biomedicine Medical Ethics Science & Technology Social Sciences Social Sciences - Other Topics

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