Papas Rebecca K, Gakinya Benson N, Baliddawa Joyce B, Martino Steve, Bryant Kendall J, Meslin Eric M, Sidle John E
Brown University School of Medicine, Providence, RI, USA.
J Empir Res Hum Res Ethics. 2012 Jul;7(3):29-37. doi: 10.1525/jer.2012.7.3.29.
Epidemics of both HIV/AIDS and alcohol abuse in sub-Saharan Africa have spurred the conduct of local behavioral therapy trials for these problems, but the ethical issues involved in these trials have not been fully examined. In this paper, we discuss ethical issues that emerged during the conduct of a behavioral intervention adaptation and trial using cognitive-behavioral therapy to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. The study was performed within our multinational collaboration, the USAID-Academic Model Providing Access to Healthcare Partnership. We discuss relevant ethical considerations and how we addressed them.
撒哈拉以南非洲地区的艾滋病毒/艾滋病和酒精滥用流行,促使当地针对这些问题开展行为疗法试验,但这些试验涉及的伦理问题尚未得到充分研究。在本文中,我们讨论了在肯尼亚埃尔多雷特开展的一项行为干预调整与试验过程中出现的伦理问题,该试验采用认知行为疗法来减少艾滋病毒感染门诊患者的酒精使用。这项研究是在我们的跨国合作项目“美国国际开发署-提供医疗保健伙伴关系学术模式”中进行的。我们讨论了相关的伦理考量以及我们是如何应对这些考量的。