The 'empty choice
A sociological examination of choosing medical research participation in resource-limited Sub-Saharan Africa
Bibliographic Data
| ID | 2305861 |
|---|---|
| Authors | Patricia Kingori (0000-0001-5420-2183, University of Oxford, corresponding author) |
| Year | 2015 |
| Volume | 63 |
| Issue | 5 |
| Pages | 763-778 |
| Publication date | 2015-09-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Current Sociology (JOURNAL) |
| Journal identifiers | ISSN: 0011-3921 • E-ISSN: 1461-7064 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/0011392115590093 |
| PMID | 27182072 |
| OpenAlex | W2151557978 |
| Language | EN |
| Citations received | 29 |
| References cited | 30 |
This article explores the views of frontline research staff in different Sub-Saharan African contexts on the notion of choice in biomedical research. It argues that the current emphasis on individual choice, in the conduct of biomedical research, ignores significant structural and contextual factors in resource-limited settings. These factors severely constrain individual options and often make biomedical research enrolment the most amenable route to healthcare for the world's poorest. From the position of frontline research staff, local contextual factors and structural issues narrowly frame the parameters within which many prospective participants are asked to choose, to such an extent that individuals are effectively presented with an 'empty choice'. The article draws on ethnographic and interview data and insights gained through graphic elucidation techniques. It demonstrates that for frontline research staff, macro-level structural factors and their bearing on everyday realities shape what choice in biomedical research participation means in practice
Argument (complex analysis) · Ethnography · Humanities · Sociology · Anthropology · Biomedical Ethics and Regulation · Ethics in Clinical Research · Global Health and Surgery · Medicine
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Considering Risks to Researchers and Staff in Low-Resource Settings during Public Health Crises
Overcoming data collection challenges in rural settings by community engagement initiatives
Model for developing context-sensitive responses to vulnerability in research
Clinical research on Covid-19
Understanding and processing informed consent during data-intensive health research in sub-Saharan Africa
Seizing the opportunity
Putting research ethics in context
The Ethics of Health Care Delivery in a Pediatric Malaria Vaccine Trial
Communities and Clinical Trials
Vulnerability, Agency, and the Research Encounter
Aligning in the dark
A graphic elicitation technique to represent patient rights
Navigating uncertainties of death
Doing ‘reciprocity work’
Labouring’ on the frontlines of global health research
Balancing solidarity, normality and trust
Culturally responsive research ethics
A Model to Navigate the Ethical Terrain
Unfair knowledge practices in global health
Decision making in a clinical trial for a life-threatening illness
Channeling hope
Writing to template
Six dimensions of research trial acceptability
Let's say it wears an Ebola Coat, but it's not Ebola
Dimensions of Researcher Vulnerability in Qualitative Health Research and Recommendations for Future Practice
Dealing with complicity in fieldwork
Clean Blood, Religion, and Moral Triage in Tuberculosis Vaccine Trials
Digital hyperconnectivity and the self
When People Come First
The Logic of Care
Clinical Labor
Scrambling for Africa
Technologies of the Self
Enterprise and its Futures
False Hopes and Best Data
Critically Queer
Powers of Freedom
When Experiments Travel
The Professional Guinea Pig
Adverse events and placebo effects
Taking as Giving
The problem of choice in the logic of care
As Free and as Just as Possible
Ethical variability
Breaking Out Again
Beyond the standard interview
The truthful messenger
Graphic elicitation
An Anthropology of Structural Violence
Clinical Trials As An Industry And An Employer Of Labour
| Citations per year | 3.22 |
|---|---|
| Citation span | 2017 - 2026 (10) |
| Highly cited | No |