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弱势群体的知情同意:注意力缺陷多动障碍被拘留者的案例

Stéphanie Baggio^1,2, Leonel da Cunha Gonçalves^1,3, Patrick Heller^3,4

¹Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.

Journal of empirical research on human research ethics : JERHRE

|May 9, 2025

概括

注意缺陷多动症 (ADHD) 并没有显著影响被拘留者的知情同意理解或签署意愿. 对研究同意的总体理解仍然很低,需要改善对弱势群体的方法.

科学领域:

临床心理学临床心理学
神经科学是一个神经科学.
医学伦理医学伦理

背景情况:

知情同意 (IC) 对于道德的人参与者研究至关重要.
对IC信息的理解往往是有限的,特别是在弱势群体中.
注意缺陷多动障碍 (ADHD) 对被拘留人群中IC理解的影响还未得到充分研究.

研究的目的:

调查ADHD与被拘留者对知情同意 (IC) 的理解之间的联系.
评估ADHD是否影响该人群签署IC的意愿.

主要方法:

从瑞士监狱中的随机试验中获得的数据的二次分析 (n=183).
统计回归模型被用来比较IC理解和签名的意愿与没有ADHD查的个体之间.
用查工具评估参与者是否有ADHD.

主要成果:

具有 (平均值=5.2) 和没有 (平均值=4.9) ADHD查的个体之间的IC理解得分没有显著差异 (p=.468).
群体之间签署IC的可比接受率:83.3% (ADHD) 与84.9% (非ADHD) (p=.814) 相比.
在两组中都观察到总体较低的IC理解水平.

结论:

在被拘留者中,ADHD并没有显著影响知情同意理解或参与决策.
这些发现凸显了弱势群体在理解研究同意信息方面的普遍缺陷.
需要量身定制的策略来增强被拘留者的IC理解力,无论ADHD状态如何.

关键词:

更多关于 ADHD ADHD 的文章伦理学伦理伦理学获得知情同意的情况.监狱是一个监狱.精神疾病精神疾病精神疾病

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