Ethical issues in informed consent with substance abusers
Ethical issues in informed consent with substance abusers
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DOI：
10.1037/0022-006x.67.2.186
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发表时间：
1999-04-01
影响因子：
5.9
通讯作者：
Bux, DA
中科院分区：
文献类型：
--
作者：
McCrady, BS;Bux, DA
酒精和药物滥用者提出的问题使知情同意过程复杂化。本研究检查了联邦资助的临床研究人员在获得酒精和药物滥用者知情同意方面的实践。91名（51%）研究人员完成了关于知情同意问题的27项调查。大多数研究人员（57%）招募了易受胁迫的参与者：大多数人使用程序来最大限度地减少胁迫。三分之二的研究人员使用客观的手段来确定给予同意和理解同意书的能力。几乎所有的调查人员都有处理自杀、凶杀或虐待儿童报告的政策：不到1/2的人告知参与者这些保密限制。近50%的调查人员处理过醉酒或自杀的参与者; 12%遇到过杀人的参与者; 23%遇到过虐待或忽视儿童。一半的样本使用抵押品数据来源;其中约1/2从抵押品获得书面知情同意书。建议了药物滥用者知情同意的准则。
Alcohol and drug abusers present issues that complicate the informed consent process. The present study examined the practices of federally funded clinical investigators in obtaining informed consent from alcohol and drug abusers. Ninety-one (51%) researchers completed a 27-item survey on informed consent issues. The majority of investigators (57%) recruited participants susceptible to coercion: most used procedures to minimize coercion. Two thirds of researchers used objective means to determine competence to give consent and comprehension of consent forms. Virtually all investigators had policies to deal with suicidality, homicidality, or reports of child abuse: less than 1/2 informed participants of these limits to confidentiality. Almost 50% of investigators had dealt with intoxicated or suicidal participants; 12% had encountered homicidal participants; and 23% had encountered child abuse or neglect. Half of the sample used collateral data sources; about 1/2 of these obtained written informed consent from collaterals. Guidelines for informed consent with substance abusers are suggested.