Malawians permit research bronchoscopy due to perceived need for healthcare

Mtunthama, N., Malamba, R., French, Neil, Molyneux, Malcolm E, Zijlstra, E. E. and Gordon, Stephen ORCID: https://orcid.org/0000-0001-6576-1116 (2008) 'Malawians permit research bronchoscopy due to perceived need for healthcare'. Journal of Medical Ethics, Vol 34, Issue 4, pp. 303-307.

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Abstract

Objectives: Bronchoalveolar lavage obtained at bronchoscopy is useful for research on pulmonary defence mechanisms. Bronchoscopy involves some discomfort and risk to subjects. We audited the process of consent, experienced adverse effects and reasons for participation among research bronchoscopy volunteers.
Design: 100 consecutive volunteer research subjects attending for bronchoscopy, repeat bronchoscopy or routine recruitment clinic were interviewed. Information was gathered about volunteer motivation, perception of the consent process and adverse effects of bronchoscopy. Suggestions for improvement were requested. Responses were themed by a second investigator prior to data analysis.
Results: 81 bronchoscopy-experienced subjects (total of 263 procedures) and 19 new volunteers were interviewed. 19 subjects (21%) reported adverse symptoms during or after bronchoscopy, but no symptoms were of sufficient severity that they would not repeat the procedure. The frequency of symptoms was not related to gender, the quality of the lavage or the HIV status of the subject. 76 subjects (94%) reported that the information given pre-procedure was useful and adequate but 43 (56%) had further questions mostly relating to their own results. The reasons given for research participation were access to health assessment (75 subjects), access to treatment when ill (61 subjects), desire to participate in research (15 subjects) and remuneration (6 subjects). 7 subjects complained that the remuneration was inadequate.
Conclusions: The main incentive to participation in research bronchoscopy was access to healthcare. Informed consent and procedure technique were adequate but subjects would value more feedback about individual and project results.

Item Type:	Article
Uncontrolled Keywords:	flexible fiberoptic bronchoscopy alveolar macrophages informed-consent streptococcus-pneumoniae bronchoalveolar lavage developing-countries kenyan coast complications
Subjects:	WA Public Health > WA 30 Socioeconomic factors in public health (General) WB Practice of Medicine > WB 25 Technique of research in internal medicine W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 85 Patients. Attitude and compliance WF Respiratory System > WF 20 Research (General)
Faculty: Department:	Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI):	https://doi.org/10.1136/jme.2007.020461
Depositing User:	Users 43 not found.
Date Deposited:	19 Jul 2010 14:50
Last Modified:	17 Aug 2022 08:56
URI:	https://archive.lstmed.ac.uk/id/eprint/870

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