Community Engagement Strategy for Building Trust in Human Challenge Studies Using Participatory and Creative Methods: An Ethical Imperative.

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 re...

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Publicado en:Bioethics Vol. 40; no. 1; pp. 27 - 35
Autores principales: Kunda‐Ng'andu, Evelyn Muleba, Chirwa, Masuzyo, Muzazu, Seke, Laban, Natasha, Chisenga, Caroline, Simuyandi, Michelo, Mwale, Stanley, Chilengi, Roma, Sharma, Anjali
Formato: Artículo
Publicado: Wiley-Blackwell Jan2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2026
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      pub: Wiley-Blackwell
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        10.1111/bioe.70028
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        atl: Community Engagement Strategy for Building Trust in Human Challenge Studies Using Participatory and Creative Methods: An Ethical Imperative.
      aug:
        au:
          Kunda‐Ng'andu, Evelyn Muleba
          Chirwa, Masuzyo
          Muzazu, Seke
          Laban, Natasha
          Chisenga, Caroline
          Simuyandi, Michelo
          Mwale, Stanley
          Chilengi, Roma
          Sharma, Anjali
        affil:
          Centre for Infectious Disease Research in Zambia, CIDRZ, Lusaka, Zambia
          Zambia National Public Health Institute, ZNPHI, Lusaka, Zambia
      su:
        Zambia
        Health literacy
        Meetings
        Focus groups
        Human research subjects
        Cultural competence
        Communities
        Bioethics
        Creative ability
        Mass media
        Advertising
        Trust
        Action research
        Medical research
        Informed consent (Medical law)
        Communication
        Psychology of college students
        Student attitudes
        Patient participation
        Research funding
        Infection
        Descriptive statistics
        Medical students
        Immunity
      sug:
        subj:
          Health literacy
          Meetings
          Focus groups
          Human research subjects
          Cultural competence
          Communities
          Bioethics
          Creative ability
          Mass media
          Advertising
          Trust
          Action research
          Medical research
          Informed consent (Medical law)
          Communication
          Psychology of college students
          Student attitudes
          Patient participation
          Zambia
          Outdoor Advertising
          Other Services Related to Advertising
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Research funding
          Infection
          Descriptive statistics
          Medical students
          Immunity
      keyword:
        clinical trials
        community engagement
        ethical review
        human challenge studies
        human infection studies
        informed consent
        vaccine research
        clinical trials
        community engagement
        ethical review
        human challenge studies
        human infection studies
        informed consent
        vaccine research
      ab: 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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