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Conscientious enrolment in clinical trials during the COVID-19 pandemic: right patient, right trial COVID-19大流行期间临床试验的谨慎注册:正确的病人,正确的试验
Pub Date : 2024-03-28 DOI: 10.1177/17470161241241409
Melanie Arnold, Stacie Merritt, Kathryn Mears, Anna Bryan, Jane Bryce
This article describes our efforts to screen and enrol clinical trial participants conscientiously in the COVID-19 pandemic setting. We present the standard screening and enrolment process prior to, and our process of adapting to, the pandemic. Our goal was to develop a way to screen and enrol people for clinical trials that was both equitable and effective. In addition, we outline the steps our research department took to ensure that ethical, clinical and logistical factors were considered when matching a patient to a clinical trial.
本文介绍了我们在 COVID-19 大流行环境下认真筛选和招募临床试验参与者的工作。我们介绍了大流行之前的标准筛选和注册流程,以及我们适应大流行的过程。我们的目标是开发一种既公平又有效的临床试验筛选和注册方法。此外,我们还概述了研究部门为确保将患者与临床试验相匹配时考虑到伦理、临床和后勤因素而采取的步骤。
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引用次数: 0
The development and evolution of ethics review boards – Israel as a case study 伦理审查委员会的发展与演变--以以色列为例
Pub Date : 2024-03-28 DOI: 10.1177/17470161241240594
Maya Peled-Raz, Yael Efron, S. Tzafrir, I. Doron, G. Enosh
Although well established in developed countries, Ethics review boards in the academia, and specifically for social and behavioral sciences (SBS) research, is a relatively new, and still a controversy inducing endeavor. This study explores the establishment and functioning of ERBs in Israeli academia, serving as a case study for the challenges and progress made in ensuring ethical research practices in non-medical related spheres. A purposeful sample of 46 participants was selected, comprising ERB current or past members and SBS researchers, who each interacted extensively with ERB’s evaluation processes. The participants came from all eight research universities of Israel, as well as seven large public and private academic colleges. Open, semi structured In-depth interviews were conducted in order to facilitate a critical reflective stance among the various participants, exploring their experiences, behaviors and the meanings they assign to ERB processes. Our research revealed two major themes. The first is the developmental trajectories in the construction processes of ERBs in Israel, comprised of the following stages: Initiation, expansion, opposition, and acceptance and assimilation. The second was a typology of participation throughout the ERBs’ construction process. Inspired by Merton’s strain theory, this typology includes conformists, ritualists, ideologists, control-freaks, and insurgents. The findings expose a unique perspective into the initiation, establishment, and development of ERBs, which can shed light on the role of ERBs in general, as well as point out how resistance to ERBs, as well as the different reasons for championing them, affected not only ERBs form and their legitimacy, but also their interaction with researchers.
虽然伦理审查委员会已在发达国家建立起来,但在学术界,特别是在社会和行为科学 (SBS)研究领域,伦理审查委员会还是一个相对较新的领域,而且仍然是一个引起争议的 领域。本研究探讨了以色列学术界伦理审查委员会的建立和运作情况,作为一个案例研究,说明在确保非医学相关领域的伦理研究实践方面所面临的挑战和取得的进展。研究有目的地抽取了 46 名参与者,其中包括 ERB 现任或前任成员和 SBS 研究人员,他们都与 ERB 的评估过程有着广泛的互动。参与者来自以色列所有八所研究型大学以及七所大型公立和私立学术学院。我们进行了开放式、半结构化的深入访谈,以促进不同参与者的批判性反思立场,探索他们的经历、行为以及他们赋予 ERB 流程的意义。我们的研究揭示了两大主题。第一个主题是以色列 ERB 建设过程中的发展轨迹,包括以下几个阶段:启动、扩展、反对、接受和同化。其次是对参与整个再培训机构建设过程的类型学分析。受默顿应变理论的启发,这一类型学包括守成者、仪式主义者、意识形态主义者、控制狂和叛乱者。研究结果从一个独特的视角揭示了企业资源规划机构的发起、建立和发展过程,从而揭示了企业资源规划机构的总体作用,并指出对企业资源规划机构的抵制以及倡导企业资源规划机构的不同原因不仅影响了企业资源规划机构的形式和合法性,还影响了企业资源规划机构与研究人员之间的互动。
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引用次数: 0
National cross-disciplinary research ethics and integrity study: methodology and results from Estonia 全国跨学科研究伦理与诚信研究:爱沙尼亚的方法和结果
Pub Date : 2024-03-20 DOI: 10.1177/17470161241239791
Kadri Simm, Mari-Liisa Parder, Anu Tammeleht, Kadri Lees
While empirical studies of research ethics and integrity are increasingly common, few have aimed at national scope, and even fewer at current results from Central and Eastern Europe. This article introduces the results of the first national research integrity survey in Estonia, which included all research-performing organisations in Estonia, was inclusive of all disciplines and all levels of experience. A web-based survey was developed and carried out in Estonia with a call sent to all accredited Estonian research institutions. The results indicate that the vast majority (89%) of respondents consider research ethics and integrity issues important and view falsification, fabrication, and plagiarism (FFPs) as the most severe forms of misconduct. Self-reporting of FFPs is generally comparable to levels published in other studies (6.2%). Gift authorship (41%) and hampering the work of a colleague (32%) were problematic practices most noticed among colleagues. At the same time, two of the noticed questionable research practices (QRPs) – salami-slicing and misuse of research funding – were seen as less severe, hinting at the existence of counter-norms that career advancement rules and structural factors like funding policies may encourage. The availability of research ethics and integrity guidelines was considered good. Ethical aspects of studying potentially stigmatising data in a very small research community are discussed in the article and results are analysed through counter-norms and normative dissonance frames.
虽然有关研究伦理与诚信的实证研究越来越常见,但针对全国范围的研究却寥寥无几,而中欧和东欧目前的研究成果更是少之又少。本文介绍了爱沙尼亚首次全国性研究诚信调查的结果,调查对象包括爱沙尼亚所有从事研究的组织,涵盖所有学科和所有经验水平。爱沙尼亚开发并开展了一项基于网络的调查,并向所有获得认证的爱沙尼亚研究机构发出了调查呼吁。结果表明,绝大多数受访者(89%)认为研究伦理和诚信问题非常重要,并将篡改、捏造和剽窃(FFPs)视为最严重的不当行为。受访者自我报告的篡改、捏造和剽窃率与其他研究中公布的水平(6.2%)基本相当。馈赠作者身份(41%)和妨碍同事工作(32%)是同事间最常见的问题行为。与此同时,两种被注意到的有问题的研究行为(QRP)--"萨拉米切片 "和滥用研究经费--被认为不太严重,这暗示着职业晋升规则和经费政策等结构性因素可能会鼓励反规范的存在。研究伦理和诚信准则的可用性被认为是好的。文章讨论了在一个非常小的研究群体中研究潜在的污名化数据所涉及的伦理问题,并通过反规范和规范失调框架对结果进行了分析。
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引用次数: 0
Enabling equitable and ethical research partnerships in crisis situations: Lessons learned from post-disaster heritage protection interventions following Nepal’s 2015 earthquake 在危机情况下促成公平和合乎道德的研究伙伴关系:从 2015 年尼泊尔地震灾后遗产保护干预措施中汲取的经验教训
Pub Date : 2024-03-04 DOI: 10.1177/17470161241234502
Robin Coningham, N. Lewer, K. P. Acharya, Kai Weise, R. B. Kunwar, Anie Joshi, Sandhya Parajuli Khanal
The earthquakes which struck Nepal’s capital in 2015 were humanitarian disasters. Not only did they inflict tragic loss of life and livelihoods, they also destroyed parts of the Kathmandu Valley’s unique UNESCO World Heritage site. These monuments were not just ornate structures but living monuments playing central roles in the daily lives of thousands, representing portals where the heavens touch earth and people commune with guiding deities. Their rehabilitation was also of economic importance as they represent a major source of tourist income and employment. Unfortunately, the social and political desire for rapid reconstruction resulted in the swift removal of many traditionally constructed foundations and their replacement with modern materials without assessments of whether they contributed towards the collapse of individual monuments. These actions, combined with the wholesale removal, mixing and dumping of modern and historic debris, contributed to a second, equally destructive, cultural catastrophe – irreversible damage to Kathmandu’s Medieval fabric, in a process which frequently excluded local communities and custodians. This case study draws from our collective reflections and lessons learned from our attempts to enable equitable and ethical research partnerships between UK and Nepali colleagues as well as local communities in the debris of the Kasthamandap, Kathmandu’s eponymous monument. After briefly describing the potential of mobilising archaeologists in post-disaster contexts and outlining the challenges of undertaking research in such a setting, our case study utilises the TRUST Code to assess the character and success of our multidisciplinary collaboration in a time of crises.
2015 年袭击尼泊尔首都的地震是一场人道主义灾难。地震不仅造成了惨重的生命和生计损失,还摧毁了加德满都谷地独一无二的联合国教科文组织世界遗产的部分遗址。这些古迹不仅是华丽的建筑,而且是活生生的古迹,在成千上万人的日常生活中发挥着核心作用,是上天接触大地的门户,是人们与指导神灵交流的地方。修复古迹还具有重要的经济意义,因为它们是旅游收入和就业的主要来源。遗憾的是,由于社会和政治上希望快速重建,许多传统建造的地基被迅速拆除,取而代之的是现代材料,而没有评估它们是否导致了个别古迹的倒塌。这些行动,再加上现代和历史废墟的大规模清除、混合和倾倒,造成了第二场同样具有破坏性的文化灾难--对加德满都中世纪结构造成了不可逆转的破坏,而在这一过程中,当地社区和监护人往往被排除在外。在加德满都同名纪念碑卡萨曼达普(Kasthamandap)的废墟中,我们尝试在英国和尼泊尔同事以及当地社区之间建立公平、合乎道德的研究合作关系,本案例研究汲取了我们的集体反思和经验教训。我们的案例研究简要介绍了在灾后背景下动员考古学家的潜力,并概述了在这种环境下开展研究的挑战,然后利用 TRUST 准则评估了我们在危机时刻开展多学科合作的特点和成功之处。
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引用次数: 0
Reshaping consent so we might improve participant choice (III) – How is the research participant’s understanding currently checked and how might we improve this process? 重塑 "同意",我们可以改进参与者的选择(III)--目前如何检查研究参与者的理解,我们可以如何改进这一过程?
Pub Date : 2024-02-24 DOI: 10.1177/17470161241235910
Hugh T Davies, S. Kolstoe, Anthony Lockett
Valid consent requires the potential research participant understands the information provided. We examined current practice in 50 proposed Clinical Trials of Investigational Medicinal Products to determine how this understanding is checked. The majority of the proposals ( n = 44) indicated confirmation of understanding would take place during an interactive conversation between the researcher and potential participant, containing questions to assess and establish understanding. Yet up until now, research design and review have not focussed upon this, concentrating more on written material. We propose ways this interactive conversation can be documented, and the process of checking understanding improved.
有效的同意要求潜在的研究参与者理解所提供的信息。我们研究了 50 项拟议的研究用医药产品临床试验的现行做法,以确定如何检查这种理解。大多数提议(n = 44)表示,确认理解将在研究者和潜在参与者之间的互动对话中进行,其中包含评估和确定理解的问题。然而,到目前为止,研究设计和审查还没有关注到这一点,而更多地集中在书面材料上。我们提出了记录这种互动对话的方法,并改进了确认理解的过程。
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引用次数: 0
‘I should do what?’ Addressing research misconduct through values alignment 我应该做什么?通过调整价值观解决研究不当行为
Pub Date : 2024-02-05 DOI: 10.1177/17470161231224481
K. Chatfield, Emma Law
Evidence suggests that the incidence of research misconduct is not in decline despite efforts to improve awareness, education and governance mechanisms. Two responses to this problem are favoured: first, the promotion of an agent-centred ethics approach to enhance researchers’ personal responsibility and accountability, and second, a change in research culture to relieve perceived pressures to engage in misconduct. This article discusses the challenges for both responses and explains how normative coherence through values alignment might assist. We argue that research integrity and research ethics convey mixed messages, which are likely to contribute to a form of normative confusion. For the successful adoption of an agent-centred approach, normative coherence is needed between the two. To facilitate normative coherence, we propose that research ethics and research integrity be underpinned by a shared set of moral values that can be enacted via codes and guidelines and imbue research environments. Furthermore, to facilitate culture change, the same normative coherence is necessary at all levels of an institution. Only via values alignment between institutional aims, management, institutional practices and researchers can an ethical culture become truly embedded in research institutions.
有证据表明,尽管在提高认识、教育和管理机制方面做出了努力,但研究不当行为的发生率并没有下降。针对这一问题,人们倾向于采取两种应对措施:第一,推广以代理人为中心的伦理方法,以加强研究人员的个人责任和问责制;第二,改变研究文化,以减轻参与不当行为的压力。本文讨论了这两种应对措施所面临的挑战,并解释了如何通过价值观调整来实现规范的一致性。我们认为,研究诚信和研究道德所传达的信息相互混淆,很可能会造成某种形式的规范混乱。要想成功采用以代理人为中心的方法,就需要在两者之间实现规范一致性。为了促进规范的一致性,我们建议研究伦理和研究诚信应得到一套共同的道德价值观的支持,这套价值观可以通过准则和指导方针颁布,并渗透到研究环境中。此外,为了促进文化变革,机构的各个层面都必须具有相同的规范一致性。只有通过机构目标、管理层、机构实践和研究人员之间的价值观协调,道德文化才能真正融入研究机构。
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引用次数: 0
‘I should do what?’ Addressing research misconduct through values alignment 我应该做什么?通过调整价值观解决研究不当行为
Pub Date : 2024-02-05 DOI: 10.1177/17470161231224481
K. Chatfield, Emma Law
Evidence suggests that the incidence of research misconduct is not in decline despite efforts to improve awareness, education and governance mechanisms. Two responses to this problem are favoured: first, the promotion of an agent-centred ethics approach to enhance researchers’ personal responsibility and accountability, and second, a change in research culture to relieve perceived pressures to engage in misconduct. This article discusses the challenges for both responses and explains how normative coherence through values alignment might assist. We argue that research integrity and research ethics convey mixed messages, which are likely to contribute to a form of normative confusion. For the successful adoption of an agent-centred approach, normative coherence is needed between the two. To facilitate normative coherence, we propose that research ethics and research integrity be underpinned by a shared set of moral values that can be enacted via codes and guidelines and imbue research environments. Furthermore, to facilitate culture change, the same normative coherence is necessary at all levels of an institution. Only via values alignment between institutional aims, management, institutional practices and researchers can an ethical culture become truly embedded in research institutions.
有证据表明,尽管在提高认识、教育和管理机制方面做出了努力,但研究不当行为的发生率并没有下降。针对这一问题,人们倾向于采取两种应对措施:第一,推广以代理人为中心的伦理方法,以加强研究人员的个人责任和问责制;第二,改变研究文化,以减轻参与不当行为的压力。本文讨论了这两种应对措施所面临的挑战,并解释了如何通过价值观调整来实现规范的一致性。我们认为,研究诚信和研究道德所传达的信息相互混淆,很可能会造成某种形式的规范混乱。要想成功采用以代理人为中心的方法,就需要在两者之间实现规范一致性。为了促进规范的一致性,我们建议研究伦理和研究诚信应得到一套共同的道德价值观的支持,这套价值观可以通过准则和指导方针颁布,并渗透到研究环境中。此外,为了促进文化变革,机构的各个层面都必须具有相同的规范一致性。只有通过机构目标、管理层、机构实践和研究人员之间的价值观协调,道德文化才能真正融入研究机构。
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引用次数: 0
Death of a reviewer or death of peer review integrity? the challenges of using AI tools in peer reviewing and the need to go beyond publishing policies 审稿人之死还是同行评审诚信之死?在同行评审中使用人工智能工具的挑战以及超越出版政策的必要性
Pub Date : 2024-01-09 DOI: 10.1177/17470161231224552
V. Mollaki
Peer review facilitates quality control and integrity of scientific research. Although publishing policies have adapted to include the use of Artificial Intelligence (AI) tools, such as Chat Generative Pre-trained Transformer (ChatGPT), in the preparation of manuscripts by authors, there is a lack of guidelines or policies on whether peer reviewers can use such tools. The present article highlights the lack of policies on the use of AI tools in the peer review process (PRP) and argues that we need to go beyond policies by creating transparent procedures that will enable journals to investigate allegations of non-compliance and take decisions that will protect the integrity of the peer review system. Reviewers found to violate relevant policies must be excluded from the process to safeguard the integrity of the peer review system.
同行评审有助于科学研究的质量控制和完整性。尽管出版政策已经调整,将人工智能(AI)工具(如聊天生成预训练转换器(ChatGPT))的使用纳入作者的稿件准备过程,但对于同行评审人员是否可以使用此类工具,却缺乏相关的指导原则或政策。本文强调了在同行评审过程(PRP)中使用人工智能工具的政策缺失,并认为我们需要超越政策,建立透明的程序,使期刊能够调查违规指控并做出决定,保护同行评审制度的完整性。被发现违反相关政策的审稿人必须被排除在程序之外,以保护同行评审制度的完整性。
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引用次数: 0
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Research Ethics
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