Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN, USA.
Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
Stem Cell Reports. 2023 Aug 8;18(8):1549-1554. doi: 10.1016/j.stemcr.2023.06.004.
Misinformation among clinics advertising unproven stem cell interventions (SCIs) is pervasive and has resulted in patient and societal harms. Most bioethics commentaries have centered on advancing regulatory approaches to curtail the supply side of the market, but insufficient attention has been paid to considering strategies influencing patient demand. In this article, we offer an ethical justification for the design and deployment of persuasive patient education on unproven SCIs and distinguish it from didactic and manipulative education frames. Persuasive education should aim to correct and inoculate against misinformation about unproven SCIs and instill a sense of caution among patients considering experimental interventions outside of a clinical trial. We outline various communication strategies to effectively correct or inoculate against SCI misinformation. The stem cell community needs to invest in understanding patients' informational sources, attitudes, and beliefs about SCIs to develop and implement evidence-based persuasive education to promote informed decision-making about these therapies.
在宣传未经证实的干细胞干预措施 (SCIs) 的诊所中,错误信息普遍存在,并导致了患者和社会的伤害。大多数生物伦理评论都集中在推进监管措施以遏制市场供应方,但对影响患者需求的策略关注不足。在本文中,我们为设计和部署针对未经证实的 SCIs 的有说服力的患者教育提供了伦理依据,并将其与说教和操纵性教育框架区分开来。有说服力的教育应该旨在纠正和预防关于未经证实的 SCIs 的错误信息,并在患者考虑在临床试验之外进行实验性干预时灌输谨慎意识。我们概述了各种沟通策略,以有效地纠正或预防 SCI 错误信息。干细胞界需要投资于了解患者关于 SCIs 的信息来源、态度和信念,以开发和实施基于证据的有说服力的教育,促进对这些治疗方法的知情决策。