Ajuwon Ademola J, Kass Nancy
African Regional Health Education Center, Department of Health Promotion and Education, College of Medicine, University of Ibadan, Nigeria.
BMC Med Ethics. 2008 Jan 24;9:1. doi: 10.1186/1472-6939-9-1.
In Nigeria, as in other developing countries, access to training in research ethics is limited, due to weak social, economic, and health infrastructure. The project described in this article was designed to develop the capacity of academic staff of the College of Medicine, University of Ibadan, Nigeria to conduct ethically acceptable research involving human participants.
Three in-depth interviews and one focus group discussion were conducted to assess the training needs of participants. A research ethics training workshop was then conducted with College of Medicine faculty. A 23-item questionnaire that assessed knowledge of research ethics, application of principles of ethics, operations of the Institutional Review Board (IRB) and ethics reasoning was developed to be a pre-post test evaluation of the training workshop. Ninety-seven workshop participants completed the questionnaire before and after the workshop; 59 of them completed a second post-test questionnaire one month after the workshop.
The trainees came from a multi-disciplinary background including medicine, nursing, pharmacy, social science and laboratory science. The mean scores for knowledge of the principles of research ethics rose from 0.67 out of 3 points at pre-test to 2.25 at post-test (p < 0.05). Also, 42% correctly mentioned one international guideline or regulation at pretest, with most of those knowing of the Declaration of Helsinki. Trainees' knowledge of the operations of an IRB increased from 6.05 at pre-test to 6.29 at post test out of 7 points. Overall, participants retained much of the knowledge acquired from the workshop one month after its completion.
The training improved participants' knowledge of principles of research ethics, international guidelines and regulations and operations of IRBs. It thus provided an opportunity for research ethics capacity development among academic staff in a developing country institution.
与其他发展中国家一样,在尼日利亚,由于社会、经济和卫生基础设施薄弱,研究伦理培训的机会有限。本文所述项目旨在提高尼日利亚伊巴丹大学医学院学术人员开展涉及人类受试者的符合伦理研究的能力。
进行了三次深度访谈和一次焦点小组讨论,以评估参与者的培训需求。随后为医学院教职员工举办了一次研究伦理培训研讨会。编制了一份包含23个条目的问卷,用于评估研究伦理知识、伦理原则的应用、机构审查委员会(IRB)的运作以及伦理推理,作为培训研讨会的前后测评估。97名研讨会参与者在研讨会前后完成了问卷;其中59人在研讨会结束一个月后完成了第二份后测问卷。
受训人员来自医学、护理、药学、社会科学和实验室科学等多学科背景。研究伦理原则知识的平均得分从前测的3分中得0.67分提高到后测的2.25分(p < 0.05)。此外,42%的人在预测试中正确提及一项国际准则或规定,其中大多数人知道《赫尔辛基宣言》。受训人员对IRB运作的了解从预测试的7分中得6.05分提高到后测的6.29分。总体而言,参与者在研讨会结束一个月后仍保留了从研讨会上获得的大部分知识。
该培训提高了参与者对研究伦理原则、国际准则和规定以及IRB运作的了解。因此,它为发展中国家机构的学术人员提供了一个研究伦理能力发展的机会。