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Ethical Challenges in Promoting the Implementation of Preventive Interventions: Report of the SPR Task Force

机译:促进预防性干预措施实施的道德挑战:SPR工作队的报告

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摘要

Prevention science researchers and practitioners are increasingly engaged in a wide range of activities and roles to promote evidence-based prevention practices in the community. Ethical concerns invariably arise in these activities and roles that may not be explicitly addressed by university or professional guidelines for ethical conduct. In 2015, the Society for Prevention Research (SPR) Board of Directors commissioned Irwin Sandler and Tom Dishion to organize a series of roundtables and establish a task force to identify salient ethical issues encountered by prevention scientists and community-based practitioners as they collaborate to implement evidence-based prevention practices. This article documents the process and findings of the SPR Ethics Task Force and aims to inform continued efforts to articulate ethical practice. Specifically, the SPR membership and task force identified prevention activities that commonly stemmed from implementation and scale-up efforts. This article presents examples that illustrate typical ethical dilemmas. We present principles and concepts that can be used to frame the discussion of ethical concerns that may be encountered in implementation and scale-up efforts. We summarize value statements that stemmed from our discussion. We also conclude that the field of prevention science in general would benefit from standards and guidelines to promote ethical behavior and social justice in the process of implementing evidence-based prevention practices in community settings. It is our hope that this article serves as an educational resource for students, investigators, and Human Subjects Review Board members regarding some of the complexity of issues of fairness, equality, diversity, and personal rights for implementation of preventive interventions.
机译:预防科学研究人员和从业者越来越多地从事广泛的活动和角色,以促进社区中的基于证据的预防行为。在这些活动和角色中总是出现伦理的担忧,这些活动和大学可能没有明确解决的作用或道德行为的专业指南。 2015年,预防学会(SPR)董事会委托Irwin Sandler和Tom andon组织了一系列圆桌会议,并建立了一支任务队,以确定预防科学家和社区的从业者遇到的突出道德问题基于证据的预防措施。本文介绍了SPR伦理工作队的进程和调查结果,并旨在告知持续努力表达道德实践。具体而言,SCR成员和工作组确定了通常源于实施和扩大努力的预防活动。本文提出了说明典型的道德困境的例子。我们提出了可以用来筹集在实施和扩大努力中可能遇到的道德问题的讨论的原则和概念。我们总结了源自我们讨论的价值陈述。我们还得出结论,预防科学领域一般会受益于标准和准则,以促进在社区环境中实施基于证据的预防实践的过程中促进道德行为和社会正义。我们希望本文作为学生,调查人员和人类主体的教育资源,审查董事会成员,了解公平性,平等,多样性和个人权利执行预防干预措施的某些复杂性。

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