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研究提案和知情同意过程的伦理考虑:泰国研究人员和伦理委员会成员的在线调查。

Ethical consideration of the research proposal and the informed-consent process: An online survey of researchers and ethics committee members in Thailand.

机构信息

a Department of Tropical Hygiene, Faculty of Tropical Medicine , Mahidol University , Bangkok , Thailand.

b Office of Research Services, Faculty of Tropical Medicine , Mahidol University , Bangkok , Thailand.

出版信息

Account Res. 2019 Apr;26(3):176-197. doi: 10.1080/08989621.2019.1608190. Epub 2019 May 16.

Abstract

Researchers designing and conducting studies using human data should consider the values and principles of ethical conduct. Research ethics committees (RECs) typically evaluate the ethical acceptability of research proposals. Sometimes, differences arise between how researchers and RECs interpret ethical principles, and how they decide what constitutes ethical conduct. This study aimed to explore the opinions of these two groups about the importance of core ethical issues in the proposal and in the informed-consent process. An anonymous online questionnaire was distributed to a target population in health-related academic/research institutes across Thailand; 219 researchers and 72 REC members participated. Significantly, more REC members than researchers attributed the highest importance to three core ethical considerations - risk/benefit, vulnerability, and confidentiality/privacy. For the informed-consent process, significant differences were found for communication of risks, decision-making authority for consent, process for approaching study participants, and availability of a contact for study deviations/violations. The different ratings indicate differences in the groups' perspectives on ethical principles, which may affect focal congruence on ethical issues in the proposal. Communication of these findings should help close gaps between REC and researcher perceptions. Further study should investigate how RECs and researchers perceive equivocal ethics terms.

摘要

研究人员在设计和进行涉及人类数据的研究时,应考虑到伦理行为的价值观和原则。研究伦理委员会(RECs)通常会评估研究提案的伦理可接受性。有时,研究人员和 REC 对伦理原则的解释以及他们如何决定什么构成伦理行为存在差异。本研究旨在探讨这两个群体对提案和知情同意过程中核心伦理问题重要性的看法。一项匿名在线问卷调查分发给泰国各相关学术/研究机构的目标人群;共有 219 名研究人员和 72 名 REC 成员参与。重要的是,与研究人员相比,更多的 REC 成员将三项核心伦理考虑因素——风险/收益、脆弱性和保密性/隐私性赋予了最高的重要性。对于知情同意过程,在风险沟通、同意的决策权、研究参与者的接洽过程以及研究偏差/违规的联系人可用性方面存在显著差异。这些不同的评价表明,两组人员对伦理原则的看法存在差异,这可能会影响提案中对伦理问题的关注焦点。传达这些发现应该有助于缩小 REC 和研究人员之间的看法差距。进一步的研究应该调查 REC 和研究人员如何看待有争议的伦理术语。

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