By Catlin R. Tucker
This advisor is helping lecturers combine on-line with face-to-face guideline to customize studying, elevate engagement, and get ready scholars for high-stakes tests with out sacrificing classification time.
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They can’t read so they wonder why you need their thumbprint. It’s a big fear…the issue has to do with government documents. It’s threatening because they don’t know what they are signing or what they might be giving away” (Marshall, 2001:C21). International guidelines recognize the validity of verbal consent when written consent is either inappropriate or unacceptable but only when it is properly documented (Council of Europe, 1997; Nuffield Council on Bioethics, 2002, 2005; World Medical Association, 2000; CIOMS, 2002).
In their study of informed consent for an influenza vaccine for children in The Gambia, Leach and colleagues (1999) report that, although 90% of the 189 consenting parents knew that the purpose of the vaccine was to prevent disease, only 10% understood the placebo control design. Pace and colleagues (2005) also found that, although most respondents in their study of comprehension of consent to a randomized drug trial among HIVpositive individuals in Thailand said that they were well informed, only one third correctly reported that half of the participants would receive the experimental therapy.
Ethical review of research protocols in resource-poor settings should be improved. • Responsibilities of multiple IRBs involved in a single project must be clarified to avoid confusion. • Regulation of ethical review of clinical trials by private companies from resource-rich countries is needed. • Educate institutional review boards and ethical review committees concerning appropriate methods to protect confidentiality for the study population. qxd 1/03/07 10:45 Page 38 CASE TWO Designing a group-based intervention to promote condom use in HIV serodiscordant couples in three countries: India, Thailand and Uganda Janet W.