Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam

<p><strong>Background</strong> The informed consent process in clinical trials has been extensively studied to inform the development processes which protect research participants and encourage their autonomy. However, ensuring a meaningful informed consent process is still of grea...

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Main Authors: Nguyen, YHT, Dang, TT, Lam, NBH, Le, PT, Nguyen, PH, Bull, S, Kestelyn, E, Van Nuil, JI
格式: Journal article
语言:English
出版: BioMed Central 2023
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author Nguyen, YHT
Dang, TT
Lam, NBH
Le, PT
Nguyen, PH
Bull, S
Kestelyn, E
Van Nuil, JI
author_facet Nguyen, YHT
Dang, TT
Lam, NBH
Le, PT
Nguyen, PH
Bull, S
Kestelyn, E
Van Nuil, JI
author_sort Nguyen, YHT
collection OXFORD
description <p><strong>Background</strong> The informed consent process in clinical trials has been extensively studied to inform the development processes which protect research participants and encourage their autonomy. However, ensuring a meaningful informed consent process is still of great concern in many research settings due to its complexity in practice and interwined socio-cultural factors.</p> <p><strong>Objectives</strong> This study explored the practices and meaning of the informed consent process in two clinial trials conducted by Oxford University Clinical Research Unit in collaboration with the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam.</p> <p><strong>Methods</strong> We used multiple data collection methods including direct observervations, in-depth interviews with study physicians and trial participants, review of informed consent documents from 2009 to 2018, and participant observation with patients’ family members. We recruited seven physicians and twenty-five trial participants into the study, of whom five physicians and thirteen trial participants completed in-depth interviews, and we held twenty-two direct observation sessions.</p> <p><strong>Results</strong> We use the concept “fragmented understanding” to describe the nuances of understanding about the consent process and unpack underlying reasons for differing understandings.</p> <p><strong>Conclusions</strong> Our findings show how practices of informed consent and different understanding of the trial information are shaped by trial participants’ characteristics and the socio-cultural context in which the trials take place.</p>
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spelling oxford-uuid:beb0605f-1901-4ab4-aeff-0d2497a8b5b52023-10-16T15:13:21ZFragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, VietnamJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:beb0605f-1901-4ab4-aeff-0d2497a8b5b5EnglishSymplectic ElementsBioMed Central2023Nguyen, YHTDang, TTLam, NBHLe, PTNguyen, PHBull, SKestelyn, EVan Nuil, JI<p><strong>Background</strong> The informed consent process in clinical trials has been extensively studied to inform the development processes which protect research participants and encourage their autonomy. However, ensuring a meaningful informed consent process is still of great concern in many research settings due to its complexity in practice and interwined socio-cultural factors.</p> <p><strong>Objectives</strong> This study explored the practices and meaning of the informed consent process in two clinial trials conducted by Oxford University Clinical Research Unit in collaboration with the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam.</p> <p><strong>Methods</strong> We used multiple data collection methods including direct observervations, in-depth interviews with study physicians and trial participants, review of informed consent documents from 2009 to 2018, and participant observation with patients’ family members. We recruited seven physicians and twenty-five trial participants into the study, of whom five physicians and thirteen trial participants completed in-depth interviews, and we held twenty-two direct observation sessions.</p> <p><strong>Results</strong> We use the concept “fragmented understanding” to describe the nuances of understanding about the consent process and unpack underlying reasons for differing understandings.</p> <p><strong>Conclusions</strong> Our findings show how practices of informed consent and different understanding of the trial information are shaped by trial participants’ characteristics and the socio-cultural context in which the trials take place.</p>
spellingShingle Nguyen, YHT
Dang, TT
Lam, NBH
Le, PT
Nguyen, PH
Bull, S
Kestelyn, E
Van Nuil, JI
Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam
title Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam
title_full Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam
title_fullStr Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam
title_full_unstemmed Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam
title_short Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam
title_sort fragmented understanding exploring the practice and meaning of informed consent in clinical trials in ho chi minh city vietnam
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