Warrier Prasanna, Ho Calvin Wai-Loon, Bull Susan, Vaz Mario, Vaz Manjulika
Health and Humanities, St John's Research Institute, Bengaluru, Karnataka, 560034, India.
Faculty of Law and Centre for Medical Ethics and Law, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.
Wellcome Open Res. 2021 Feb 16;6:5. doi: 10.12688/wellcomeopenres.16558.2. eCollection 2021.
There is growing interest in advancing biobanking and genetic research in many countries, including India. Concurrently, more importance is being placed on participatory approaches involving the public and other stakeholders in addressing ethical issues and policymaking as part of a broader governance approach. We analyse the tools, purposes, outcomes and limitations of engaging people towards biobanking and genetic research governance that have been undertaken worldwide, and explore their relevance to India. Papers to be reviewed were identified through a targeted literature search carried out using ProQuest and PubMed. Retrieved papers were analysed with the Rpackage for Qualitative Data Analysis using inductive coding and thematic analysis, guided by the Framework Method. Empirical studies on public and community engagement in the context of biobanking and or genetic research show a predominance towards the end of the last decade, spanning 2007 to 2019. Numerous strategies-including public meetings, community durbars, focus group discussions, interviews, deliberations, citizen-expert panels and community advisory boards-have been used to facilitate communication, consultation and collaboration with people, at the level of general and specific publics. Engagement allowed researchers to understand how people's values, opinions and experiences related to the research process; and enabled participants to become partners within the conduct of research. Constructs such as 'co-production', 'engagement of knowledges', 'rules of engagement' and 'stewardship' emerge as significant mechanisms that can address the ethical challenges and the governance of biobanking and genetic research in India. Given the inherent diversity of the Indian population and its varying cultural values and beliefs, there is a need to invest time and research funds for engagement as a continuum of participatory activity, involving communication, consultation and collaboration in relation to biobanking and genetic research. Further research into these findings is required to explore their effective employment within India.
包括印度在内的许多国家,对推进生物样本库和基因研究的兴趣日益浓厚。与此同时,作为更广泛治理方法的一部分,人们越来越重视让公众和其他利益相关者参与解决伦理问题和制定政策的参与式方法。我们分析了全球范围内让人们参与生物样本库和基因研究治理的工具、目的、成果和局限性,并探讨了它们与印度的相关性。通过使用ProQuest和PubMed进行的定向文献检索,确定了要审查的论文。使用定性数据分析的R包,在框架方法的指导下,通过归纳编码和主题分析对检索到的论文进行了分析。关于公众和社区参与生物样本库及基因研究的实证研究显示,在2007年至2019年的过去十年末占主导地位。包括公开会议、社区杜尔巴、焦点小组讨论、访谈、审议、公民专家小组和社区咨询委员会在内的众多策略,已被用于在一般公众和特定公众层面促进与人们的沟通、协商和合作。参与使研究人员能够了解人们与研究过程相关的价值观、意见和经历;并使参与者能够成为研究实施过程中的合作伙伴。诸如“共同生产”、“知识参与”、“参与规则”和“管理”等概念,成为应对印度生物样本库和基因研究的伦理挑战及治理的重要机制。鉴于印度人口的固有多样性及其不同的文化价值观和信仰,需要投入时间和研究资金,将参与作为一种持续的参与式活动,涉及与生物样本库和基因研究相关的沟通、协商和合作。需要对这些发现进行进一步研究,以探索它们在印度的有效应用。