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Community Engagement Strategy for Building Trust in Human Challenge Studies Using Participatory and Creative Methods

An Ethical Imperative

Datos Bibliográficos

ID21504568
AutoresEvelyn Muleba Kunda‐Ng'andu (0000-0003-1178-2362, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia, autor de correspondencia), Masuzyo Chirwa (0000-0001-6036-7320, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Seke Muzazu (0000-0003-0101-8416, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Natasha Makabilo Laban (0000-0002-6217-0289, Centre for Infectious Disease Research in Zambia), Natasha Laban (Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Caroline Cleopatra Chisenga (0000-0002-7850-7915, Centre for Infectious Disease Research in Zambia), Caroline Chisenga (Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Michelo Simuyandi (0000-0002-7348-2835, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Stanley Mwale (Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia), Roma Chilengi (0000-0003-0221-9527, Zambia National Public Health Institute ZNPHI Lusaka Zambia), Anjali Sharma (0000-0001-6297-3113, Centre for Infectious Disease Research in Zambia), A V N L Sharma (0000-0002-5751-0357, Centre for Infectious Disease Research in Zambia CIDRZ Lusaka Zambia)
Año2026
Volumen40
Número1
Páginas27-34
Fecha de publicación2026-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBioethics (JOURNAL)
Identificadores de la revistaISSN: 0269-9702 • E-ISSN: 1467-8519
EditorialWiley (PUBLISHER • GB)
DOI10.1111/bioe.70028
PMID40938292
OpenAlexW4414160139
IdiomaEN
Referencias citadas25

Human Infection Challenge studies (HICs) are crucial for advancing global understanding of disease pathogenesis, immune responses, and accelerating vaccine and drug development. Explorations on willingness to participate among medical students revealed the need to ensure full understanding of HIC requirements, for example, for residency, by the broader community. This raised the question of ‘How could we ensure informed and understood consent for the ethical conduct of HIC?’ We employed iterative participatory discovery and creative design methods, including three Zoom meetings and discussions with university students and community leaders. Neighbourhood Health Committee leaders further refined suggested creatives of a future mass‐media campaign for building trust in HICs. Deliberative focus group discussions and workshops were conducted on communication strategies on HICs’ requirements, risks, requirements, and benefits. The final creative brief suggested (1) using a pyramid approach utilizing existing community structures, to introduce HIC concepts progressively to larger groups, (2) engaging communities through theatre for development, community dialogue, and engagement meetings, and wide society through social and mass media advertisements, and (3) preference for the term ‘Human Challenge Studies’ over ‘Human Infection Challenge Studies’. We learned that community engagement, if properly conducted, can create systems of ownership of research and build communication strategies to achieve an accurate understanding of HICs and use informed participation that results in trustworthy data. We need further research, including in rural areas, pilot testing of evaluation strategies, and continued engagement with diverse stakeholders to create products that can be adapted by future HIC studies in settings such as Zambia

Citizen journalism · Civic engagement · Community engagement · Community-based participatory research · Focus group · Informed consent · Participatory action research · Public engagement · Viewpoints · Ethics in Clinical Research · Vaccine Coverage and Hesitancy · Viral Infections and Outbreaks Research

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