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首页> 外文期刊>Journal of substance abuse treatment >Ethical issues in the conduct of longitudinal studies of addiction treatment.
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Ethical issues in the conduct of longitudinal studies of addiction treatment.

机译：纵向研究成瘾治疗的伦理问题。

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摘要

Many complex ethical issues arise in the day-to-day conduct of longitudinal studies of addiction treatment. These issues are rooted, in part, in the sustained and potentially ambiguous relationship between research staff and study participants, the frequently changing clinical and legal status of study participants, the assertive methods required to generate high follow-up rates, and the numerous systems of care and control in which participants are involved. To identify common ethical issues that arise in such studies, the authors conducted individual and group interviews with seasoned members (case trackers, field trackers, interviewers, and supervisors) of the research team. The ethical dilemmas identified through these interviews fell into seven broad arenas: (1) informed consent for research participation, (2) confidentiality and information disclosure, (3) relationship boundaries between study participants and research staff, (4) duty to warn/report responsibilities, (5) questions of autonomy andprivacy, (6) issues related to compensation for research participation, and (7) data integrity. Case studies that illustrate common ethical dilemmas within each of these seven areas are presented and discussed. Ethical dilemmas in the study of addiction treatment can be effectively managed via ethically informed research protocols, staff training in ethical decision-making, monitoring and supervision, and collective debriefing of critical events.
机译：在日常的成瘾治疗纵向研究中，出现了许多复杂的伦理问题。这些问题部分源于研究人员与研究参与者之间的持续和潜在的模棱两可的关系，研究参与者的临床和法律地位经常变化，产生高跟进率所需的自信方法以及众多的关心和控制参与者的参与。为了确定此类研究中出现的常见伦理问题，作者与研究团队的经验丰富的成员（案例跟踪者，现场跟踪者，访调员和主管）进行了个人和小组访谈。通过这些访谈确定的道德困境可分为七个大领域：（1）研究参与的知情同意;（2）保密性和信息披露;（3）研究参与者与研究人员之间的关系界限;（4）警告/报告义务责任;（5）自治和隐私问题;（6）与研究参与补偿有关的问题;（7）数据完整性。提出并讨论了说明这七个领域中常见的道德困境的案例研究。可以通过以道德为依据的研究方案，在道德决策，监督和监督中进行员工培训以及对关键事件进行集体汇报来有效地管理成瘾治疗研究中的道德困境。

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