SlideShare ist ein Scribd-Unternehmen logo
1 von 60
Facing Up to the Challenge Informed Consent in Vulnerable Populations
Vulnerable populations ,[object Object]
Not to harm ,[object Object]
Delimiting the problem ,[object Object],[object Object]
Good of many  or respect of the few? ,[object Object],[object Object]
Quest for justice?  ,[object Object],[object Object],[object Object],[object Object]
Timeline concept of protection ,[object Object]
Current challenge ,[object Object]
Protective concept of justice ,[object Object]
Protective concept of justice (continued) ,[object Object]
Protective concept of justice (continued) ,[object Object]
A new concept of justice ,[object Object]
Possible pitfalls of the new concept ,[object Object],[object Object],[object Object]
Proposed course of action ,[object Object]
Essential elements to consider ,[object Object],[object Object],[object Object],[object Object]
Informed consent  ,[object Object]
Informed consent (continued) ,[object Object]
Definition ,[object Object]
Kant’s Imperative ,[object Object]
Basis of research  ,[object Object]
Free and informed consent ? ,[object Object]
Barriers to informed consent ,[object Object],[object Object],[object Object],[object Object]
Patient-centered barriers ,[object Object],[object Object],[object Object],[object Object],[object Object]
Process-centered barriers ,[object Object],[object Object],[object Object],[object Object]
Overall message ,[object Object]
How to proceed? ,[object Object],[object Object],[object Object]
[object Object]
First case study ,[object Object]
Setting the case ,[object Object],[object Object],[object Object]
Any foreseen difficulties? ,[object Object],[object Object],[object Object],[object Object]
Proposed alternatives ,[object Object],[object Object],[object Object]
FDA ‘Final Rule’ Guidelines (1996)  ,[object Object],[object Object],[object Object]
Final Rule Guidelines (continued) ,[object Object],[object Object],[object Object],[object Object]
Weak provisions? ,[object Object],[object Object],[object Object]
Questions remain ,[object Object],[object Object],[object Object]
Questions remain (continued) ,[object Object],[object Object]
Current situation ,[object Object],[object Object],[object Object]
Publications: Waiver of Informed Consent ,[object Object],[object Object],[object Object],[object Object]
Publications: Waiver of Informed Consent (continued) ,[object Object],[object Object],[object Object],[object Object]
Other solutions ,[object Object],[object Object]
Tri-Council Policy Statement ,[object Object]
Canadian overview ,[object Object],[object Object],[object Object],[object Object],[object Object]
Back to the beginning ? ,[object Object],[object Object]
Second case study ,[object Object]
Setting the case ,[object Object]
Competency to consent to research ,[object Object],[object Object],[object Object],[object Object],[object Object]
Competency, subject to change? ,[object Object],[object Object],[object Object]
Any foreseen difficulties? ,[object Object],[object Object]
Any foreseen difficulties? (continued) ,[object Object],[object Object]
Proposed alternatives ,[object Object],[object Object]
Complexity/Nature of the Informed Consent Content ,[object Object],[object Object],[object Object]
Complexity/Nature of the Informed Consent Content ,[object Object],[object Object],[object Object]
Effectiveness of Various Delivery Systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effectiveness of Various Delivery Systems (continued) ,[object Object],[object Object]
Effectiveness of Various Delivery Systems (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Question remains ,[object Object]
Back to the beginning? ,[object Object],[object Object]
Conclusions ,[object Object]
Conclusions (continued) ,[object Object],[object Object],[object Object]
Contact information ,[object Object],[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

Health Insurance Information Needs: How Librarians Can Help
Health Insurance Information Needs: How Librarians Can HelpHealth Insurance Information Needs: How Librarians Can Help
Health Insurance Information Needs: How Librarians Can Help
evardell
 
UC BRAID Clinical Research Billing
UC BRAID Clinical Research BillingUC BRAID Clinical Research Billing
UC BRAID Clinical Research Billing
CTSI at UCSF
 
Antiretroviral Medication Adherence
Antiretroviral Medication AdherenceAntiretroviral Medication Adherence
Antiretroviral Medication Adherence
CDC NPIN
 

Was ist angesagt? (20)

Sue Stableford - Health literacy, numeracy and shared decisionmaking
Sue Stableford - Health literacy, numeracy and shared decisionmakingSue Stableford - Health literacy, numeracy and shared decisionmaking
Sue Stableford - Health literacy, numeracy and shared decisionmaking
 
Encouraging patient autonomy
Encouraging patient autonomyEncouraging patient autonomy
Encouraging patient autonomy
 
Recruitment in cancer trials
Recruitment in cancer trials Recruitment in cancer trials
Recruitment in cancer trials
 
Methods for Fostering the Widespread Implementation of Shared Decision Making
Methods for Fostering the Widespread Implementation of Shared Decision MakingMethods for Fostering the Widespread Implementation of Shared Decision Making
Methods for Fostering the Widespread Implementation of Shared Decision Making
 
Christine Grady, "Broad Consent for Research on Biospecimens"
Christine Grady, "Broad Consent for Research on Biospecimens"Christine Grady, "Broad Consent for Research on Biospecimens"
Christine Grady, "Broad Consent for Research on Biospecimens"
 
Cr ppt 1
Cr ppt 1Cr ppt 1
Cr ppt 1
 
Shared decision making
Shared decision makingShared decision making
Shared decision making
 
Health Insurance Information Needs: How Librarians Can Help
Health Insurance Information Needs: How Librarians Can HelpHealth Insurance Information Needs: How Librarians Can Help
Health Insurance Information Needs: How Librarians Can Help
 
UC BRAID Clinical Research Billing
UC BRAID Clinical Research BillingUC BRAID Clinical Research Billing
UC BRAID Clinical Research Billing
 
Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)
 
Cadth 2015 d7 presentation 2015 14 apr15
Cadth 2015 d7 presentation 2015 14 apr15Cadth 2015 d7 presentation 2015 14 apr15
Cadth 2015 d7 presentation 2015 14 apr15
 
Antiretroviral Medication Adherence
Antiretroviral Medication AdherenceAntiretroviral Medication Adherence
Antiretroviral Medication Adherence
 
HCSO
HCSOHCSO
HCSO
 
AAA 2016 Poster2
AAA 2016 Poster2AAA 2016 Poster2
AAA 2016 Poster2
 
Decision Quality Measurement
Decision Quality MeasurementDecision Quality Measurement
Decision Quality Measurement
 
Implementation of Shared Decision Making: Measuring Success
Implementation of Shared Decision Making: Measuring SuccessImplementation of Shared Decision Making: Measuring Success
Implementation of Shared Decision Making: Measuring Success
 
vbhc
vbhcvbhc
vbhc
 
Cadth 2015 b2 slide show
Cadth 2015 b2 slide showCadth 2015 b2 slide show
Cadth 2015 b2 slide show
 
DayOne Accelerator 2019/20 shortlisted projects
DayOne Accelerator 2019/20 shortlisted projectsDayOne Accelerator 2019/20 shortlisted projects
DayOne Accelerator 2019/20 shortlisted projects
 
From Populations to Patients
From Populations to PatientsFrom Populations to Patients
From Populations to Patients
 

Andere mochten auch (13)

Promoting and protecting the health of vulnerable aggregates
Promoting and protecting the health of vulnerable aggregatesPromoting and protecting the health of vulnerable aggregates
Promoting and protecting the health of vulnerable aggregates
 
Quantitative vs qualitative_research
Quantitative vs qualitative_researchQuantitative vs qualitative_research
Quantitative vs qualitative_research
 
Nursing 7001 vulnerable populations presentation
Nursing 7001 vulnerable populations presentationNursing 7001 vulnerable populations presentation
Nursing 7001 vulnerable populations presentation
 
Introto Nursing Research Show
Introto Nursing Research  ShowIntroto Nursing Research  Show
Introto Nursing Research Show
 
Nursing research
Nursing researchNursing research
Nursing research
 
Research in nursing practice revision
Research in nursing practice   revisionResearch in nursing practice   revision
Research in nursing practice revision
 
Quant Vs Qual Research
Quant Vs Qual ResearchQuant Vs Qual Research
Quant Vs Qual Research
 
Types of Nursing Research
Types of Nursing ResearchTypes of Nursing Research
Types of Nursing Research
 
Nursing Research Paper Example
Nursing Research Paper ExampleNursing Research Paper Example
Nursing Research Paper Example
 
Nursing Research
Nursing ResearchNursing Research
Nursing Research
 
Qualitative Vs Quantitative Research
Qualitative Vs Quantitative ResearchQualitative Vs Quantitative Research
Qualitative Vs Quantitative Research
 
Collecting Qualitative Data
Collecting Qualitative DataCollecting Qualitative Data
Collecting Qualitative Data
 
Qualitative and quantitative methods of research
Qualitative and quantitative methods of researchQualitative and quantitative methods of research
Qualitative and quantitative methods of research
 

Ähnlich wie Facing Up The Challenge Sep 27 2007

Discussion 1Decision-Making ProcessWith the paternalistic de
Discussion 1Decision-Making ProcessWith the paternalistic deDiscussion 1Decision-Making ProcessWith the paternalistic de
Discussion 1Decision-Making ProcessWith the paternalistic de
VinaOconner450
 
Ethical Considerations In Clinical Trials
Ethical  Considerations In  Clinical  TrialsEthical  Considerations In  Clinical  Trials
Ethical Considerations In Clinical Trials
krathishbopanna
 
Clinical Decision Support System ( Cdss )
Clinical Decision Support System ( Cdss )Clinical Decision Support System ( Cdss )
Clinical Decision Support System ( Cdss )
Renee Wardowski
 
RESEARCH ARTICLE Open AccessEthical deliberations about in.docx
RESEARCH ARTICLE Open AccessEthical deliberations about in.docxRESEARCH ARTICLE Open AccessEthical deliberations about in.docx
RESEARCH ARTICLE Open AccessEthical deliberations about in.docx
rgladys1
 
Melanomabridge 2014_Patient-centered research
Melanomabridge 2014_Patient-centered researchMelanomabridge 2014_Patient-centered research
Melanomabridge 2014_Patient-centered research
Bettina Ryll
 
It is time to make a move new
It is time to make a move newIt is time to make a move new
It is time to make a move new
Acri India
 

Ähnlich wie Facing Up The Challenge Sep 27 2007 (20)

Discussion 1Decision-Making ProcessWith the paternalistic de
Discussion 1Decision-Making ProcessWith the paternalistic deDiscussion 1Decision-Making ProcessWith the paternalistic de
Discussion 1Decision-Making ProcessWith the paternalistic de
 
Ethics
EthicsEthics
Ethics
 
Ethics.ppt
Ethics.pptEthics.ppt
Ethics.ppt
 
Ethics.ppt
Ethics.pptEthics.ppt
Ethics.ppt
 
Lecture 19 research ethics (2)
Lecture 19 research ethics (2)Lecture 19 research ethics (2)
Lecture 19 research ethics (2)
 
5 Ethical issue.pptx
5 Ethical issue.pptx5 Ethical issue.pptx
5 Ethical issue.pptx
 
Casual consent to treatment muhammad saaiq
Casual consent to treatment  muhammad saaiqCasual consent to treatment  muhammad saaiq
Casual consent to treatment muhammad saaiq
 
Ethical Considerations In Clinical Trials
Ethical  Considerations In  Clinical  TrialsEthical  Considerations In  Clinical  Trials
Ethical Considerations In Clinical Trials
 
Ethical Issues of Applying Technological Solutions to the Informed Consent Pr...
Ethical Issues of Applying Technological Solutions to the Informed Consent Pr...Ethical Issues of Applying Technological Solutions to the Informed Consent Pr...
Ethical Issues of Applying Technological Solutions to the Informed Consent Pr...
 
Clinical Decision Support System ( Cdss )
Clinical Decision Support System ( Cdss )Clinical Decision Support System ( Cdss )
Clinical Decision Support System ( Cdss )
 
Paula Kim
Paula KimPaula Kim
Paula Kim
 
Developing health literate consent practices
Developing health literate consent practices Developing health literate consent practices
Developing health literate consent practices
 
Bioethics
BioethicsBioethics
Bioethics
 
RESEARCH ARTICLE Open AccessEthical deliberations about in.docx
RESEARCH ARTICLE Open AccessEthical deliberations about in.docxRESEARCH ARTICLE Open AccessEthical deliberations about in.docx
RESEARCH ARTICLE Open AccessEthical deliberations about in.docx
 
A New Ethical Model for Examining Emergency Medicine
A New Ethical Model for Examining Emergency MedicineA New Ethical Model for Examining Emergency Medicine
A New Ethical Model for Examining Emergency Medicine
 
Melanomabridge 2014_Patient-centered research
Melanomabridge 2014_Patient-centered researchMelanomabridge 2014_Patient-centered research
Melanomabridge 2014_Patient-centered research
 
Nursing education
Nursing educationNursing education
Nursing education
 
It is time to make a move new
It is time to make a move newIt is time to make a move new
It is time to make a move new
 
Leveraging Contextual Inquiry Methods to Empower Patients in a Learning Healt...
Leveraging Contextual Inquiry Methods to Empower Patients in a Learning Healt...Leveraging Contextual Inquiry Methods to Empower Patients in a Learning Healt...
Leveraging Contextual Inquiry Methods to Empower Patients in a Learning Healt...
 
Better Knowledge. Better Health? Making Research Relevant, Accessible, and P...
Better Knowledge. Better Health?  Making Research Relevant, Accessible, and P...Better Knowledge. Better Health?  Making Research Relevant, Accessible, and P...
Better Knowledge. Better Health? Making Research Relevant, Accessible, and P...
 

Facing Up The Challenge Sep 27 2007

  • 1. Facing Up to the Challenge Informed Consent in Vulnerable Populations
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.