Ethical issues in the design and conduct of stepped-wedge cluster randomized trials in low-resource settings
ConclusionThe design and conduct of stepped-wedge cluster randomized trials raises at least two ethical issues that need special consideration in both high- and low-resource settings: the justification for using the design, specifically the delayed rollout of the intervention to the control group, and the classification of the study as research or nonresearch. In our case studies, these issues did not seem to raise special ethical scrutiny in low-resource settings. Further ethical evaluation will hopefully result in specific ethical guidelines for the use of SW-CRTs in both high- and low-resource settings to contribute to ...
Source: Trials - December 18, 2019 Category: Research Source Type: clinical trials
Delivery of home-based postpartum contraception in rural Guatemalan women: a cluster-randomized trial protocol
This study is a cluster-randomized trial of communities in rural Guatemala where women receive ante- and postnatal care through a community-based nursing program. When nurses visit women for their postpartum visit in the intervention clusters, instead of providing only routine care that includes postpartum contraceptive education and counseling, the nurses will also bring a range of barrier, short-acting, and long-acting contraceptives that will be offered and administered in the home setting, after routine clinical care is provided.DiscussionA barrier to postpartum contraception is access to medications and devices. Our s...
Source: Trials - November 20, 2019 Category: Research Source Type: clinical trials
A Qualitative Study of Cultural Perception of Health in Rural Guatemala
Conditions: Qualitative Research; Beliefs Intervention: Sponsor: University of Colorado, Denver Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - November 4, 2019 Category: Research Source Type: clinical trials
