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客观监测蚊帐的使用情况以及尊重研究旁观者隐私所面临的伦理挑战。

Objective monitoring of mosquito bednet usage and the ethical challenge of respecting study bystanders' privacy.

作者信息

Krezanoski Paul, Haberer Jessica

机构信息

University of California, San Francisco, CA, USA.

Massachusetts General Hospital, Boston, MA, USA.

出版信息

Clin Trials. 2019 Oct;16(5):466-468. doi: 10.1177/1740774519865525. Epub 2019 Aug 1.

DOI:10.1177/1740774519865525
PMID:31368779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10561128/
Abstract

Insecticide-treated bednets are among the most prevalent and cost-effective tools for preventing malaria throughout the world. Consistent bednet use is crucial for effectiveness, but assessing adherence is challenging due to limitations in current measurement tools. Recent technologies have introduced methods for remote electronic bednet use monitoring. While valuable for researchers, these monitoring tools create potential ethical concerns for study bystanders because the monitors are typically unable to discriminate between individuals who are or are not study participants. Considerations related to study bystanders, including privacy, ancillary care obligations, and community perceptions, are discussed.

摘要

经杀虫剂处理的蚊帐是全球预防疟疾最普遍且最具成本效益的工具之一。持续使用蚊帐对于其有效性至关重要,但由于当前测量工具存在局限性,评估蚊帐使用依从性具有挑战性。最近的技术引入了远程电子蚊帐使用监测方法。虽然这些监测工具对研究人员很有价值,但由于监测器通常无法区分研究参与者和非参与者,它们给研究旁观者带来了潜在的伦理问题。本文讨论了与研究旁观者相关的考虑因素,包括隐私、辅助护理义务和社区认知。

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引用本文的文献

1
A qualitative study of the acceptability of remote electronic bednet use monitoring in Uganda.乌干达远程电子蚊帐使用监测可接受性的定性研究。
BMC Public Health. 2022 May 19;22(1):1010. doi: 10.1186/s12889-022-13393-5.

本文引用的文献

1
How Are Insecticide-Treated Bednets Used in Ugandan Households? A Comprehensive Characterization of Bednet Adherence Using a Remote Monitor.在乌干达的家庭中,驱虫处理过的蚊帐是如何使用的?利用远程监测器对蚊帐使用的全面特征描述。
Am J Trop Med Hyg. 2019 Aug;101(2):404-411. doi: 10.4269/ajtmh.19-0032.
2
Quantifying bias in measuring insecticide-treated bednet use: meta-analysis of self-reported vs objectively measured adherence.衡量经杀虫剂处理蚊帐使用情况时偏差的量化:自我报告与客观测量依从性的荟萃分析
J Glob Health. 2018 Jun;8(1):010411. doi: 10.7189/jogh.08.010411.
3
When Ancillary Care Clashes with Study Aims.当辅助护理与研究目标发生冲突时。
N Engl J Med. 2017 Sep 28;377(13):1213-1215. doi: 10.1056/NEJMp1702651.
4
Objective monitoring of Insecticide-treated bednet use to improve malaria prevention: SmartNet development and validation.客观监测经杀虫剂处理蚊帐的使用以改善疟疾预防:智能蚊帐的开发与验证
PLoS One. 2017 Feb 3;12(2):e0168116. doi: 10.1371/journal.pone.0168116. eCollection 2017.
5
Maternal Attitudes about Objectively Monitored Bednet Use in Rural Uganda.乌干达农村地区产妇对客观监测蚊帐使用情况的态度。
Malar Res Treat. 2016;2016:8727131. doi: 10.1155/2016/8727131. Epub 2016 Oct 19.
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Nature. 2015 Oct 8;526(7572):207-211. doi: 10.1038/nature15535. Epub 2015 Sep 16.
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Ethical Questions in Medical Electronic Adherence Monitoring.医学电子依从性监测中的伦理问题
J Gen Intern Med. 2016 Mar;31(3):338-42. doi: 10.1007/s11606-015-3502-4. Epub 2015 Sep 10.
8
The use of motion detectors to estimate net usage by householders, in relation to mosquito density in central Cote d'Ivoire: preliminary results.在科特迪瓦中部,使用运动探测器来估计居民的净使用量与蚊子密度的关系:初步结果。
Parasit Vectors. 2014 Mar 6;7:96. doi: 10.1186/1756-3305-7-96.
9
Net benefits: a multicountry analysis of observational data examining associations between insecticide-treated mosquito nets and health outcomes.净收益:一项多国家观察性数据分析,研究经杀虫剂处理的蚊帐与健康结果之间的关联。
PLoS Med. 2011 Sep;8(9):e1001091. doi: 10.1371/journal.pmed.1001091. Epub 2011 Sep 6.
10
Community-based participatory research from the margin to the mainstream: are researchers prepared?从边缘到主流的基于社区的参与性研究:研究人员准备好了吗?
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