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Indirect Benefits in HIV Cure Clinical Research: A Qualitative Analysis.

October 31, 2018

.Currently, much of early phase HIV cure research involves unknown and potentially serious risks, with little or no chance of direct health benefits. During informed consent, researchers emphasize this lack of personal medical benefit to minimize misconceptions that undermine genuine consent. We explored participants’ and researchers’ perspectives on HIV cure clinical research participation and its … Read more

“I think the Parent Should Be There Because No One Was Born Alone”: Kenyan Adolescents’ Perspectives on Parental Involvement in HIV Research

October 19, 2018

Despite a pressing need for adolescent HIV research in sub-Saharan Africa, ethical guidance for conducting research among minor adolescents is lacking. One ethical issue is the degree to which parents should be involved in the research process. The existing discourse is predominantly speculative and focuses on negative consequences of parental involvement. We use empirical data … Read more

Formation à la bioéthique en République Démocratique du Congo: expériences et défis

September 6, 2018

In regions marked by socio-economic turmoil, the task of teaching bioethics to health professionals and researchers can be more challenging than elsewhere. To demonstrate this, in this article we describe some of our teaching experiences in the Democratic Republic of Congo over the past decade. A first difficulty is linguistic. Anglo-Saxon language and culture largely … Read more

An Adapted Instrument to Assess Informed Consent Comprehension Among Youth and Parents in Rural Western Kenya: A Validity Study

July 21, 2018

Objective To adapt and validate a questionnaire originally developed in a research setting for assessment of comprehension of consent information in a different cultural and linguistic research setting. Design The adaptation process involved development and customisation of a questionnaire for each of the three study groups, modelled closely on the previously validated questionnaire. The three … Read more

Stakeholder-Driven, Consensus Development Methods to Design an Ethical Framework and Guidelines for Engaged Research

June 21, 2018

Increasingly, researchers seek to engage communities, patients, and stakeholders as partners in the process and products of health research. However, there is no existing stakeholder-driven ethical framework for such engaged scholarship. We employed an iterative, stakeholder-engaged method to develop a data-driven framework for the ethical review and conduct of engaged scholarship. We used consensus development … Read more

Ethics of Treatment Interruption in HIV Cure Research: Addressing the Conundrum of Risk/Benefit Assessment.

March 22, 2018

Though antiretroviral therapy is the standard of care for people living with HIV, its treatment limitations, burdens, stigma and costs lead to continued interest in HIV cure research. Early-phase cure trials, particularly those that include analytic treatment interruption (ATI), involve uncertain and potentially high risk, with minimal chance of clinical benefit. Some question whether such … Read more

Ethical Concerns of and Risk Mitigation Strategies for Crowdsourcing Contests and Innovation Challenges: Scoping Review

March 15, 2018

Background: Crowdsourcing contests (also called innovation challenges, innovation contests, and inducement prize contests) can be used to solicit multisectoral feedback on health programs and design public health campaigns. They consist of organizing a steering committee, soliciting contributions, engaging the community, judging contributions, recognizing a subset of contributors, and sharing with the community. Objective: This scoping … Read more

Where Is the Community Dimension in the Updated Common Rule?

March 15, 2018

The problem: Changes to the Federal Policy for the Protection of Human Subjects (the Common Rule) as presented in the Notice of Proposed Rulemaking (NPRM) are both logical and necessary. However, the proposed changes continue to focus entirely on the individual and fail to take into account the rapidly emerging types of research that involve … Read more

Crowdsourcing and Community Engagement: A Qualitative Analysis of the 2BeatHIV Contest

January 15, 2018

Background: As HIV cure research advances, it is important to engage local communities. Crowdsourcing may be an effective, bottom-up approach. Crowdsourcing contests elicit public contributions to solve problems and celebrate finalists. We examine the development of a crowdsourcing contest to understand public perspectives about HIV cure research. Methods: We used flyers, emails, online advertisement and … Read more