Bioethics training programmes for Africa: evaluating professional and bioethics-related achievements of African trainees after a decade of Fogarty NIH investment
Bioethics training programmes for Africa: evaluating professional and bioethics-related achievements of African trainees after a decade of Fogarty NIH investment
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DOI：
10.1136/bmjopen-2016-012758
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发表时间：
2016-01-01
期刊：
影响因子：
2.9
通讯作者：
Hyder, Adnan A.
中科院分区：
文献类型：
--
作者：
Kass, Nancy E.;Ali, Joseph;Hyder, Adnan A.
目的：我们的主要目的是评估美国国立卫生研究院（NIH）资助的生物伦理学培训计划的影响（Fogarty生物伦理培训方案，FBTP），在方案的头十年里对来自非洲的个人进行培训，以审查培训前和培训后个人成绩的变化，并记录个人、培训方案和培训后成绩之间的任何联系。我们调查了2000年至2011年由NIH Fogarty国际中心资助的10个生物伦理学项目的学员，其中包括非洲学员。McNemar和Wilcoxon签署的秩和检验被用来分析一般和生物伦理学相关的专业成就的前后水平。具体的培训后成就成果的可能性是使用逻辑回归，包括人口统计学，培训前和培训内变量进行测量。设置：10个不同的FBTP，从2000年到2011年培训来自非洲的个人。参与者：253名合格的受访者中，171人完成了调查（答复率67.6%）。主要结果测量：专业成就指标的前后比较（例如，担任领导角色、教学、出版手稿）;具体培训后成就成果的可能性。结果：培训后，受访者更有可能报告担任领导职务，担任研究资助的调查员，在国际委员会任职，担任导师，并发表手稿比培训前。培训后，与培训前相比，有更多的受访者报告了生物伦理学相关的成就，包括担任生物伦理学讲师，在机构审查委员会（IRB）任职，担任生物伦理学研究员以及发表生物伦理学相关手稿。控制其他因素，有没有显着差异性别培训后的成功，这些参与者的领导角色，作为教师，研究人员赠款和举行IRB roles.Conclusions：非洲学员参加FBTP报告显着更高水平的专业成就培训后。没有一个单一的因素-无论是与受训者的专业背景有关的人口统计学因素，还是方案设计因素-始终可以预测受训后取得更高水平的成就。
Objectives: Our primary aim was to evaluate the impact of US National Institutes of Health (NIH)-funded bioethics training programmes (Fogarty bioethics training programmes, FBTPs) that trained individuals from Africa over the programme's first 10 years to examine changes between pretraining and post-training in individual achievement and to document any associations between individual, training programme and post-training accomplishments.Design: We surveyed trainees from the 10 bioethics programmes funded by NIH Fogarty International Center from 2000 to 2011 that included African trainees. McNemar's and Wilcoxon signed rank-sum tests were used to analyse pre-post levels of general and bioethics-related professional achievement. Likelihood of specific post-training achievement outcomes was measured using logistic regression including demographic, pretraining and intratraining variables.Setting: 10 different FBTPs that trained individuals from Africa from 2000 to 2011.Participants: Of 253 eligible respondents, 171 completed the survey (response rate 67.6%).Primary outcome measures: Pre-post comparisons of professional achievement indicators (eg, serving in leadership roles, teaching, publishing manuscripts); likelihood of specific post-training achievement outcomes.Results: Post-training, respondents were significantly more likely to report serving in a leadership role, being an investigator on a research grant, serving on international committees, serving as a mentor, and publishing manuscripts than at pretraining. Post-training, significantly greater numbers of respondents reported bioethics-related achievements including being a bioethics instructor, serving on an Institutional Review Board (IRB), being an investigator on a bioethics grant and publishing bioethics-related manuscripts than pretraining. Controlling for other factors, there were no significant differences by gender in the post-training success of these participants in terms of leadership roles, being instructors, investigators on grants and holding IRB roles.Conclusions: African trainees who participated in FBTPs reported significantly higher levels of professional achievement after training. There was no single factor-either demographic, related to a trainee's professional background, or in programme design-that consistently predicted greater levels of post-training achievement.