Table 5.
CC Ethical Goal13 | Definition | CBPR strategy14 | CAR Project Example |
---|---|---|---|
Enhanced protection |
Identifying risks for individuals & communities not previously known & suggesting potential protections |
Integrated sources of knowledge |
Each CAR represents unique populations & concerns relevant to current EFIC study |
Enhanced benefit | Identifying enhanced benefits to participants, population & community |
Achievement of common goals |
Ongoing education to CARs which facilitate dissemination into their target communities Community concerns are quickly addressed, education is formatted & disseminated in community context |
Legitimacy | Giving parties with an interest in the research opportunity to express concerns when changes can be made |
Active engagement and shared decision- making Integrated sources of knowledge Multiple channels of dissemination |
Communications are designed by CARs for their communities CARs “hosted” community consultation events within their communities Flyers and brochures distributed directly within communities |
Shared responsibility |
Consulted communities may share some moral responsibility and take on some aspects of research |
Active engagement and shared decision- making Iterative data collection & analysis |
Bi-directional communications about the study are on ongoing Attendance at meetings is increased which engages community members to actively think about the research study and its impact |
CC = community consultation; CBPR = community-based participatory research; CAR = community advocates for research; EFIC = exception from informed consent