Literature DB >> 31691625

Refining Interventions Through Formative Research: A Focus on Ethical Considerations in a Family-Based Home-Based Counseling and Testing (FBCT) Intervention in KwaZulu-Natal.

Zaynab Essack1,2, Nkosinathi Ngcobo1, Natasha Van der Pol1, Lucia Knight3, Tamsen Rochat1,4, Mirriam Mkhize1, Heidi Van Rooyen1,4.   

Abstract

Conducting formative research is a scientific, ethical, and community engagement imperative. This article describes how formative research refined ethical processes for a family-based home-based counseling and testing (FBCT) intervention in KwaZulu-Natal. In-depth interviews were conducted to explore community (n = 20) and key stakeholders' (n = 20) needs, concerns, and perspectives on the FBCT model, including ethical issues for working with children and families. Data were analyzed thematically using NVivo software. Four key ethical considerations emerged, namely, respect for community norms and cultural practices; confidentiality, privacy, and forced disclosure; identifying potential risks and benefits; and voluntariness and capacity to consent. Data were used to refine the intervention and address participants' concerns by engaging the community, providing ethics training for intervention staff, and incorporating independent consent mechanisms for adolescent HIV testing that supported opportunities for family-based testing and disclosure.

Entities:  

Keywords:  HIV counseling and testing; disclosure; family-based counseling and testing; informed consent; risks and benefits

Year:  2019        PMID: 31691625      PMCID: PMC7200267          DOI: 10.1177/1556264619885214

Source DB:  PubMed          Journal:  J Empir Res Hum Res Ethics        ISSN: 1556-2646            Impact factor:   1.742


  28 in total

1.  Protecting communities in research: current guidelines and limits of extrapolation.

Authors:  C Weijer; G Goldsand; E J Emanuel
Journal:  Nat Genet       Date:  1999-11       Impact factor: 38.330

2.  What makes clinical research in developing countries ethical? The benchmarks of ethical research.

Authors:  Ezekiel J Emanuel; David Wendler; Jack Killen; Christine Grady
Journal:  J Infect Dis       Date:  2004-02-17       Impact factor: 5.226

3.  Voluntariness of consent to HIV clinical research: A conceptual and empirical pilot study.

Authors:  Nicole Mamotte; Douglas Wassenaar
Journal:  J Health Psychol       Date:  2016-02-29

4.  High Acceptability and Increased HIV-Testing Frequency After Introduction of HIV Self-Testing and Network Distribution Among South African MSM.

Authors:  Sheri A Lippman; Tim Lane; Oscar Rabede; Hailey Gilmore; Yea-Hung Chen; Nkuli Mlotshwa; Kabelo Maleke; Alexander Marr; James A McIntyre
Journal:  J Acquir Immune Defic Syndr       Date:  2018-03-01       Impact factor: 3.731

5.  Health in South Africa: changes and challenges since 2009.

Authors:  Bongani M Mayosi; Joy E Lawn; Ashley van Niekerk; Debbie Bradshaw; Salim S Abdool Karim; Hoosen M Coovadia
Journal:  Lancet       Date:  2012-11-30       Impact factor: 79.321

6.  Stakeholder perspectives on ethical challenges in HIV vaccine trials in South Africa.

Authors:  Zaynab Essack; Jennifer Koen; Nicola Barsdorf; Catherine Slack; Michael Quayle; Cedilia Milford; Graham Lindegger; Chitra Ranchod; Richard Mukuka
Journal:  Dev World Bioeth       Date:  2010-04       Impact factor: 2.294

7.  Parents' disclosure of their HIV infection to their children in the context of the family.

Authors:  David P Kennedy; Burton O Cowgill; Laura M Bogart; Rosalie Corona; Gery W Ryan; Debra A Murphy; Theresa Nguyen; Mark A Schuster
Journal:  AIDS Behav       Date:  2010-10

Review 8.  Uptake of home-based voluntary HIV testing in sub-Saharan Africa: a systematic review and meta-analysis.

Authors:  Kalpana Sabapathy; Rafael Van den Bergh; Sarah Fidler; Richard Hayes; Nathan Ford
Journal:  PLoS Med       Date:  2012-12-04       Impact factor: 11.069

9.  Taking HIV Testing to Families: Designing a Family-Based Intervention to Facilitate HIV Testing, Disclosure, and Intergenerational Communication.

Authors:  Heidi van Rooyen; Zaynab Essack; Tamsen Rochat; Daniel Wight; Lucia Knight; Ruth Bland; Connie Celum
Journal:  Front Public Health       Date:  2016-08-05

10.  Listening to the community: Using formative research to strengthen maternity waiting homes in Zambia.

Authors:  Nancy A Scott; Taryn Vian; Jeanette L Kaiser; Thandiwe Ngoma; Kaluba Mataka; Elizabeth G Henry; Godfrey Biemba; Mary Nambao; Davidson H Hamer
Journal:  PLoS One       Date:  2018-03-15       Impact factor: 3.240

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