Ethical Issues in a Stage 1 Cognitive-Behavioral Therapy Feasibility Study and Trial to Reduce Alcohol Use Among HIV-Infected Outpatients in Western Kenya

epidemics of both HIV/AIDS and alcohol abuse in sub-Saharan Africa have spurred the conduct of local behavioral therapy trials for these problems, but the ethical issues involved in these trials have not been fully examined. In this paper, we discuss ethical issues that emerged during the conduct of...

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Bibliographic Details
Published in:Journal of empirical research on human research ethics 2012-07, Vol.7 (3), p.29-37
Main Authors: Papas, Rebecca K., Gakinya, Benson N., Baliddawa, Joyce B., Martino, Steve, Bryant, Kendall J., Meslin, Eric M., Sidle, John E.
Format: Article
Language:English
Subjects:
AIDS
Alcohol abuse
Alcohol drinking
Alcohol Drinking - epidemiology
Alcohol Drinking - prevention & control
Alcoholic beverages
Alcoholism
Alcoholism - complications
Alcoholism - epidemiology
Alcoholism - therapy
Alcohols
Biomedical Research - ethics
Clinical Trials, Phase I as Topic - ethics
Cognitive Behavioral Therapy
Cognitive therapy
Epidemics
Ethical behavior
Ethics, Research
Experimentation
Feasibility studies
Female
HIV
HIV Infections - complications
HIV Infections - epidemiology
HIV Infections - therapy
Human immunodeficiency virus
Humans
International Cooperation
Kenya
Laboratory schools
Male
Medical ethics
Mental health
Outpatient care facilities
Outpatients
Perspectives on Emerging Issues
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Summary:epidemics of both HIV/AIDS and alcohol abuse in sub-Saharan Africa have spurred the conduct of local behavioral therapy trials for these problems, but the ethical issues involved in these trials have not been fully examined. In this paper, we discuss ethical issues that emerged during the conduct of a behavioral intervention adaptation and trial using cognitive-behavioral therapy to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. The study was performed within our multinational collaboration, the USAID-Academic Model Providing Access to Healthcare Partnership. We discuss relevant ethical considerations and how we addressed them.
ISSN:1556-2646
1556-2654
DOI:10.1525/jer.2012.7.3.29