Scoping review and thematic analysis of informed consent in humanitarian emergencies

Abstract Background To identify and to summarize challenges related to the informed consent process for research completed during humanitarian emergencies. Methods Using relevant search terms, a search of 5 databases was completed, without language, date, or study type restriction. Studies were scre...

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Main Authors: Benjamin Thomson, S. Mehta, C. Robinson
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Medical Ethics
Subjects:
Online Access:https://doi.org/10.1186/s12910-024-01125-w
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author Benjamin Thomson
S. Mehta
C. Robinson
author_facet Benjamin Thomson
S. Mehta
C. Robinson
author_sort Benjamin Thomson
collection DOAJ
description Abstract Background To identify and to summarize challenges related to the informed consent process for research completed during humanitarian emergencies. Methods Using relevant search terms, a search of 5 databases was completed, without language, date, or study type restriction. Studies were screened for inclusion, with eligible studies being those that were relevant to the informed consent process for research studies completed in humanitarian emergencies. A Grounded Theory Analysis was completed to identify themes and subthemes. Results Review identified 30 relevant studies. We identified 11 challenges (lack of trust, therapeutic misconception, reduced capacity, security and privacy concerns, harmful research, power differential, literacy, language/local and cultural context, researcher burden and re-evaluation of ongoing trials) and 7 strategies (engage local research communities, use alternative to standard written consent process, modify traditional process of research ethics board review, dynamic consent, training of research staff, mandating transparency of commercial interests, and mandating reporting of informed consent process in all publications) to confront the challenges. These challenges and strategies were unique to the informed consent process in research conducted during humanitarian emergencies. Conclusions This scoping review identified an evidence-based guide for researchers and research ethics boards to perform ethical informed consent procedures in humanitarian emergencies. Trial Registration This trial was not registered as scoping reviews can not be registered as per updated PROSPERO guidelines.
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spelling doaj-art-ea4d1a0805fd4e95b27b929e5469c9122024-11-24T12:42:13ZengBMCBMC Medical Ethics1472-69392024-11-0125111410.1186/s12910-024-01125-wScoping review and thematic analysis of informed consent in humanitarian emergenciesBenjamin Thomson0S. Mehta1C. Robinson2Bloomberg School of Public Health, Johns Hopkins UniversityBloomberg School of Public Health, Johns Hopkins UniversityBloomberg School of Public Health, Johns Hopkins UniversityAbstract Background To identify and to summarize challenges related to the informed consent process for research completed during humanitarian emergencies. Methods Using relevant search terms, a search of 5 databases was completed, without language, date, or study type restriction. Studies were screened for inclusion, with eligible studies being those that were relevant to the informed consent process for research studies completed in humanitarian emergencies. A Grounded Theory Analysis was completed to identify themes and subthemes. Results Review identified 30 relevant studies. We identified 11 challenges (lack of trust, therapeutic misconception, reduced capacity, security and privacy concerns, harmful research, power differential, literacy, language/local and cultural context, researcher burden and re-evaluation of ongoing trials) and 7 strategies (engage local research communities, use alternative to standard written consent process, modify traditional process of research ethics board review, dynamic consent, training of research staff, mandating transparency of commercial interests, and mandating reporting of informed consent process in all publications) to confront the challenges. These challenges and strategies were unique to the informed consent process in research conducted during humanitarian emergencies. Conclusions This scoping review identified an evidence-based guide for researchers and research ethics boards to perform ethical informed consent procedures in humanitarian emergencies. Trial Registration This trial was not registered as scoping reviews can not be registered as per updated PROSPERO guidelines.https://doi.org/10.1186/s12910-024-01125-wHumanitarian emergencyInformed consentHumanitarian researchResearch ethics
spellingShingle Benjamin Thomson
S. Mehta
C. Robinson
Scoping review and thematic analysis of informed consent in humanitarian emergencies
BMC Medical Ethics
Humanitarian emergency
Informed consent
Humanitarian research
Research ethics
title Scoping review and thematic analysis of informed consent in humanitarian emergencies
title_full Scoping review and thematic analysis of informed consent in humanitarian emergencies
title_fullStr Scoping review and thematic analysis of informed consent in humanitarian emergencies
title_full_unstemmed Scoping review and thematic analysis of informed consent in humanitarian emergencies
title_short Scoping review and thematic analysis of informed consent in humanitarian emergencies
title_sort scoping review and thematic analysis of informed consent in humanitarian emergencies
topic Humanitarian emergency
Informed consent
Humanitarian research
Research ethics
url https://doi.org/10.1186/s12910-024-01125-w
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