Towards better-informed consent: research with livestock-keepers and informal traders in East Africa

Cooper, Tarni Louisa, Kirino, Yumi, Alonso, Silvia, Lindahl, Johanna and Grace, Delia (2016) Towards better-informed consent: research with livestock-keepers and informal traders in East Africa. Preventive Veterinary Medicine, 128 135-141. doi:10.1016/j.prevetmed.2016.04.008

Author Cooper, Tarni Louisa
Kirino, Yumi
Alonso, Silvia
Lindahl, Johanna
Grace, Delia
Title Towards better-informed consent: research with livestock-keepers and informal traders in East Africa
Journal name Preventive Veterinary Medicine   Check publisher's open access policy
ISSN 0167-5877
Publication date 2016-06-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.prevetmed.2016.04.008
Open Access Status DOI
Volume 128
Start page 135
End page 141
Total pages 7
Place of publication Amsterdam, Netherlands
Publisher Elsevier BV
Collection year 2017
Language eng
Abstract With the rise of the One Health paradigm, ethicists have called for new research approaches, considering the interdependent relationships of humans, animals, and their environment. These relationships can be particularly complex within resource-poor, smallholder livestock systems, necessitating a rigorous informed-consent process. Little has been published on informed consent beyond human-subject research. This paper outlines two studies on informed consent, for research identifying diseases of animal and human importance, within smallholder livestock value chains.Firstly, a randomized independent-group study compared three communication tools (written, cartoons, and photographs) for informing 22 Tanzanian livestock-keepers before seeking their consent. A significant difference in comprehension and engagement in the informed-consent process was found between tools, and cartoons had the highest (i.e. best combined comprehension and engagement) scores. Most (21 out of 22) farmers answered half or more the questions correctly, but none were able to answer all questions. Comprehension testing allowed identification of common misunderstandings, such as immediate benefits the farmers would receive and the process to be used for relaying research results. Dialogue stimulated by cartoons and photographs allowed researchers to determine and respond to participants' varied relationships with their livestock.The second study assessed preferred methods for indicating consent among informal-sector milk vendors in Nairobi, Kenya. Of consenting participants, 61% (140/230) indicated consent verbally, 39% (90/230) signed consent and none chose thumbprint. There was a significant enumerator-effect on both overall consent and the methods chosen.Several of these findings echo those published in human-medical research. Additionally, highlighted here is the importance of facilitating dialogue during the informed-consent process in One Health research, for a more nuanced understanding of relationships between humans, animals, and their environment. Also discussed is how a requirement to sign consent forms might limit consent among workers in informal markets, which are commonly studied in One Health research. We suggest expansion of these, and development of further, studies towards improving consent processes in One Health research.
Keyword Autonomy
Informed consent
One Health
Research ethics
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Veterinary Science Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 31 May 2016, 00:28:14 EST by System User on behalf of Learning and Research Services (UQ Library)