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Culturally responsive research ethics: How the socio-ethical norms of Arr-nar/Kreng-jai inform research participation at the Thai-Myanmar border

Despite advances, international research ethics guidelines still tend to consist of high-level ethical principles reflecting residual influence from North American and European traditions of ethics. Local ethics committees and community advisory boards can offer more culturally-sensitive approaches...

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Autores principales: Khirikoekkong, Napat, Asarath, Supa-at, Nosten, Suphak, Hanboonkunupakarn, Borimas, Jatupornpimol, Nattapat, Roest, Jennifer, Parker, Michael, Nosten, Francois, McGready, Rose, Cheah, Phaik Yeong, Kelley, Maureen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159138/
https://www.ncbi.nlm.nih.gov/pubmed/37141207
http://dx.doi.org/10.1371/journal.pgph.0001875
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author Khirikoekkong, Napat
Asarath, Supa-at
Nosten, Suphak
Hanboonkunupakarn, Borimas
Jatupornpimol, Nattapat
Roest, Jennifer
Parker, Michael
Nosten, Francois
McGready, Rose
Cheah, Phaik Yeong
Kelley, Maureen
author_facet Khirikoekkong, Napat
Asarath, Supa-at
Nosten, Suphak
Hanboonkunupakarn, Borimas
Jatupornpimol, Nattapat
Roest, Jennifer
Parker, Michael
Nosten, Francois
McGready, Rose
Cheah, Phaik Yeong
Kelley, Maureen
author_sort Khirikoekkong, Napat
collection PubMed
description Despite advances, international research ethics guidelines still tend to consist of high-level ethical principles reflecting residual influence from North American and European traditions of ethics. Local ethics committees and community advisory boards can offer more culturally-sensitive approaches to training but most institutions lack substantive practical ethics guidance to engage rich moral understandings in day-to-day research practice in diverse cultural contexts. To address this gap, we conducted an international series of qualitative research ethics case studies, linked prospectively to active research programs in diverse settings. Here, we share findings from two case studies with a research team working on malaria and hepatitis B prevention with pregnant women in clinics serving migrants along the Thai-Myanmar border. In this sociocultural ethical analysis, we consider how core ethical requirements of voluntary participation, provision of fair benefits, and understandings of research risks and burdens are shaped, enriched, and in some instances challenged, by deep-seated and widespread Burmese, Karen and Thai cultural norms known as Arr-nar (in Burmese and Karen) or Kreng-jai (in Thai), encompassing multiple meanings including consideration for others and graciousness. We offer a model illustrating how one might map ethically significant sociocultural influences across the research practice pathway and close with lessons for developing a more culturally responsive research ethics practice in other international settings.
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spelling pubmed-101591382023-05-05 Culturally responsive research ethics: How the socio-ethical norms of Arr-nar/Kreng-jai inform research participation at the Thai-Myanmar border Khirikoekkong, Napat Asarath, Supa-at Nosten, Suphak Hanboonkunupakarn, Borimas Jatupornpimol, Nattapat Roest, Jennifer Parker, Michael Nosten, Francois McGready, Rose Cheah, Phaik Yeong Kelley, Maureen PLOS Glob Public Health Research Article Despite advances, international research ethics guidelines still tend to consist of high-level ethical principles reflecting residual influence from North American and European traditions of ethics. Local ethics committees and community advisory boards can offer more culturally-sensitive approaches to training but most institutions lack substantive practical ethics guidance to engage rich moral understandings in day-to-day research practice in diverse cultural contexts. To address this gap, we conducted an international series of qualitative research ethics case studies, linked prospectively to active research programs in diverse settings. Here, we share findings from two case studies with a research team working on malaria and hepatitis B prevention with pregnant women in clinics serving migrants along the Thai-Myanmar border. In this sociocultural ethical analysis, we consider how core ethical requirements of voluntary participation, provision of fair benefits, and understandings of research risks and burdens are shaped, enriched, and in some instances challenged, by deep-seated and widespread Burmese, Karen and Thai cultural norms known as Arr-nar (in Burmese and Karen) or Kreng-jai (in Thai), encompassing multiple meanings including consideration for others and graciousness. We offer a model illustrating how one might map ethically significant sociocultural influences across the research practice pathway and close with lessons for developing a more culturally responsive research ethics practice in other international settings. Public Library of Science 2023-05-04 /pmc/articles/PMC10159138/ /pubmed/37141207 http://dx.doi.org/10.1371/journal.pgph.0001875 Text en © 2023 Khirikoekkong et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Khirikoekkong, Napat
Asarath, Supa-at
Nosten, Suphak
Hanboonkunupakarn, Borimas
Jatupornpimol, Nattapat
Roest, Jennifer
Parker, Michael
Nosten, Francois
McGready, Rose
Cheah, Phaik Yeong
Kelley, Maureen
Culturally responsive research ethics: How the socio-ethical norms of Arr-nar/Kreng-jai inform research participation at the Thai-Myanmar border
title Culturally responsive research ethics: How the socio-ethical norms of Arr-nar/Kreng-jai inform research participation at the Thai-Myanmar border
title_full Culturally responsive research ethics: How the socio-ethical norms of Arr-nar/Kreng-jai inform research participation at the Thai-Myanmar border
title_fullStr Culturally responsive research ethics: How the socio-ethical norms of Arr-nar/Kreng-jai inform research participation at the Thai-Myanmar border
title_full_unstemmed Culturally responsive research ethics: How the socio-ethical norms of Arr-nar/Kreng-jai inform research participation at the Thai-Myanmar border
title_short Culturally responsive research ethics: How the socio-ethical norms of Arr-nar/Kreng-jai inform research participation at the Thai-Myanmar border
title_sort culturally responsive research ethics: how the socio-ethical norms of arr-nar/kreng-jai inform research participation at the thai-myanmar border
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159138/
https://www.ncbi.nlm.nih.gov/pubmed/37141207
http://dx.doi.org/10.1371/journal.pgph.0001875
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