Supporting research sites in resource-limited settings: challenges in implementing information technology
Christopher J Whalen1, Deborah Donnell, Michael Tartakovsky
1*Office of CyberInfrastructure and Computational Biology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD; and †Fred Hutchinson Cancer Research Center, Seattle, WA.
Electronic data capture and mobile computing aid international research, but resource-limited sites face infrastructure challenges. Addressing these practical and ethical hurdles is crucial for global clinical study participation.
Area of Science:
- Clinical research informatics
- Global health research
- Biomedical research infrastructure
Background:
- Advancements in information and communication technology (ICT) enable electronic data capture and mobile computing for international research.
- Despite improved Internet access, remote regions often have inadequate infrastructure, hindering participation in modern research.
- Resource-limited settings face significant obstacles in adopting advanced data collection and communication technologies for clinical studies.
Purpose of the Study:
- To discuss experiences supporting research in resource-limited settings.
- To highlight practical and ethical/regulatory challenges of using new technologies in multisite clinical studies.
- To identify strategies for overcoming infrastructure barriers in global health research.
Main Methods:
- Case study analysis of research projects in resource-limited settings.
- Review of practical challenges in implementing electronic data capture (EDC) and mobile computing.
- Examination of ethical and regulatory considerations for multisite studies in diverse environments.
Main Results:
- Poor infrastructure poses significant challenges for electronic data capture and Internet-dependent research.
- Implementing advanced technologies requires addressing issues related to connectivity, power, and technical support.
- Ethical and regulatory compliance is complex in multisite studies involving resource-limited areas.
Conclusions:
- Successful global research collaboration requires tailored approaches to infrastructure limitations.
- Addressing practical and ethical challenges is essential for equitable participation in international clinical trials.
- Further development of adaptable technologies and support systems is needed for resource-limited research settings.
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