Enhancing HIV vaccine trial consent preparedness among street drug users.

Enhancing HIV vaccine trial consent preparedness among street drug users.
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DOI:
10.1525/jer.2010.5.2.65
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发表时间:
2010-06
期刊:
Journal of empirical research on human research ethics : JERHRE
影响因子:
--
通讯作者:
Fisher CB
Fisher CB
中科院分区:
其他
文献类型:
--
作者:
Fisher CB

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这项研究使用开放式和真假问题来评估96个种族多样化,经济和社会边缘化的成年街头吸毒者同意参加艾滋病毒疫苗试验(HVT)的准备情况。易受同意影响的具体领域包括对以下方面的误解:(1)疫苗的一般康复价值和风险;(2)疫苗中存在艾滋病毒,以及由于参与而感染或传播艾滋病毒的可能性;(3)纳入标准和实验盲法;(4)对医疗和研究机构的不信任。一个简短的HVT教训管理的30名参与者是有效的纠正特定的HVT知识的误解,并增加某些,但不是所有领域的HVT信任。评估课后对伦理相关问题的反应提供了有关受访者对艾滋病安全行为,研究风险和收益,金钱补偿和参与意愿的态度的信息。提高知情同意的HVT涉及积极吸毒者的影响进行了讨论。
This research used open-ended and true-false questions to assess the preparedness of 96 ethnically diverse, economically and socially marginalized adult street drug users to consent to participate in HIV vaccine trials (HVT). Specific areas of consent vulnerability included misconceptions about: (1) the recuperative value and risk of vaccines in general; (2) the presence of the HIV virus within the vaccine and the possibility of contracting or transmitting HIV as a consequence of participation; (3) inclusion criteria and experimental blinds; and (4) distrust in the medical and research establishments. A brief HVT lesson administered to 30 participants was effective in correcting specific HVT knowledge misperceptions and increasing certain, but not all areas of HVT trust. Assessment of post-lesson responses to ethics-relevant questions provides information on respondents' attitudes toward AIDS safe behavior, research risks and benefits, monetary compensation, and willingness to participate. Implications for enhancing informed consent for HVT involving active drug users are discussed.
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