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Exploring researchers' experiences of working with a researcher-driven, population-specific community advisory board in a South African schizophrenia genomics study
被引:24
|作者:
Campbell, Megan M.
[1
]
Susser, Ezra
[2
,3
]
de Vries, Jantina
[4
]
Baldinger, Adam
[1
]
Sibeko, Goodman
[1
]
Mndini, Michael M.
[1
]
Mqulwana, Sibonile G.
[1
]
Ntola, Odwa A.
[1
]
Ramesar, Raj S.
[5
]
Stein, Dan J.
[1
]
机构:
[1] Univ Cape Town, Dept Psychiat & Mental Hlth, Groote Schuur Hosp, ZA-7925 Cape Town, South Africa
[2] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA
[3] New York State Psychiat Inst & Hosp, New York, NY 10032 USA
[4] Univ Cape Town, Dept Med, ZA-7925 Cape Town, South Africa
[5] Univ Cape Town, Dept Clin Lab Sci, MRC Human Genet Res Unit, Div Human Genet,Inst Infect Dis & Mol Med, ZA-7925 Cape Town, South Africa
来源:
基金:
英国医学研究理事会;
关键词:
Community engagement;
Genomics research;
Community advisory board;
Schizophrenia;
Xhosa;
INFORMED-CONSENT;
INTERNATIONAL RESEARCH;
MENTAL-DISORDERS;
RESEARCH ETHICS;
ENGAGEMENT;
KNOWLEDGE;
ISSUES;
D O I:
10.1186/s12910-015-0037-5
中图分类号:
B82 [伦理学(道德学)];
学科分类号:
摘要:
Background: Community engagement within biomedical research is broadly defined as a collaborative relationship between a research team and a group of individuals targeted for research. A Community Advisory Board (CAB) is one mechanism of engaging the community. Within genomics research CABs may be particularly relevant due to the potential implications of research findings drawn from individual participants on the larger communities they represent. Within such research, CABs seek to meet instrumental goals such as protecting research participants and their community from research-related risks, as well as intrinsic goals such as promoting the respect of participants and their community. However, successful community engagement depends on the degree to which CABs legitimately represent and engage with communities targeted for research. Currently, there is little literature describing the use of CABs in genomics research taking place in developing countries, and even less in the field of genomics research relating to mental illness. The aim of this article is to describe and consider the contributions made by a researcher-driven, population-specific CAB in a genomics of schizophrenia research project taking place in South Africa, from the perspective of the research team. Discussion: Four broad discussion topics emerged during the CAB meetings namely: 1) informed consent procedures, 2) recruitment strategies, 3) patient illness beliefs and stigma experiences, and 4) specific ethical concerns relating to the project. The authors consider these discussions in terms of their contributions to instrumental and intrinsic goals of community engagement. Summary: The CAB gave valuable input on the consent processes and materials, recruitment strategies and suggested ways of minimizing the potential for stigma and discrimination. All of these contributions were of an instrumental nature, and helped improve the way in which the research took place. In addition, and perhaps more importantly, the CAB made a unique and important contribution relating to intrinsic functions such as promoting the respect and dignity of research participants and their community. This was particularly evident in ensuring sensitivity and respect of the community's traditional beliefs about schizophrenia and its treatment, and in this way promoting a respectful relationship between the research team and the participants.
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