141st APHA Annual Meeting

In This section

281937
On establishing culturally relevant ethical standards in community-engaged research

Tuesday, November 5, 2013 : 12:45 PM - 1:00 PM

Elizabeth Bromley, MD, PhD , Semel Institute Center for Health Services and Society, University of California, Los Angeles, Los Angeles, CA
Lisa Mikesell, PhD , Semel Institute Center for Health Services and Society, University of California, Los Angeles, Los Angeles, CA
Dmitry Khodyakov, PhD , The RAND Corporation, Santa Monica, CA
Ethical principles guiding traditional research aim to protect the rights and well-being of individual subjects. Community-engaged research, however, also considers the rights and well-being of community researchers and the community at large, which requires additional ethical considerations that have been extensively discussed but not analyzed systematically. Based on a comprehensive thematic literature review of ethics in community-partnered research and interviews with academic and community partners involved in community-engaged studies, we present an alternative ethical frame, which includes unique risks and ethical guidelines deemed essential by both academic and community partners. Academic researcher partners balance the goals of improving cultural capacity-building, building partnerships with community, adequately respecting community beliefs, and conducting research that benefits community with the goals of accomplishing research aims on time and ensuring the project's scientific validity. Our findings also indicate the importance of additional ethical principles, such as mutual understanding, cooperation, and respect between academic and community partners, suggesting that the process of building cultural competence is bi-directional and requires trust and ongoing negotiation. Academic and community partners are concerned with the direct and short-term risks/benefits of research, as well as with indirect and long-term risks/benefits to the partners and community. The processes that result in ethical partnered research may not be monitored or evaluated by academic institutional review boards, which further reinforces the need to build trustworthy relationships between academic and community research partners. We discuss implications for building and maintaining culturally competent research partnerships with communities.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Ethics, professional and legal requirements

Learning Objectives:
Describe the ethical principles of community-engaged and/or partnered research from the literature. Compare perspectives of academic and community members experienced in engaged and partnered work. Evaluate the role and relevance of such culturally competent ethical guidelines that may not be prioritized or monitored by institutional review boards.

Keywords: Cultural Competency, Community Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-PI (with Dmitry Khodyakov) of an NIEHS-funded R21 on research integrity in community based participatory research. With my co-authors, I conducted and analyzed the interview data on which the presentation is based.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.