Procedures of recruiting, obtaining informed consent, and compensating research participants in Qatar: findings from a qualitative investigation

Abstract Background Very few researchers have reported on procedures of recruiting, obtaining informed consent, and compensating participants in health research in the Arabian Gulf Region. Empirical research can inform the debate about whether to adjust these procedures for culturally diverse settings. Our objective was to delineate procedures related to recruiting, obtaining informed consent, and compensating health research participants in the extremely high-density multicultural setting of Qatar. Methods During a multistage mixed methods project, field observations and qualitative interviews were conducted in a general medicine clinic of a major medical center in Qatar. Participants were chosen based on gender, age, literacy, and preferred language, i.e., Arabic, English, Hindi and Urdu. Qualitative analysis identified themes about recruitment, informed consent, compensation, and other research procedures. Results A total of 153 individuals were approached and 84 enrolled; the latter showed a diverse age range (18 to 75 years); varied language representation: Arabic (n = 24), English (n = 20), Hindi (n = 20), and Urdu (n = 20); and balanced gender distribution: women (n = 43) and men (n = 41). Primary reasons for 30 declinations included concern about interview length and recording. The study achieved a 74% participation rate. Qualitative analytics revealed key themes about hesitation to participate, decisions about participation with family members as well as discussions with them as “incidental research participants”, the informed consent process, privacy and gender rules of the interview environment, reactions to member checking and compensation, and motivation for participating. Vulnerability emerged as a recurring issue throughout the process among a minority of participants. Conclusions This study from Qatar is the first to provide empirical data on recruitment, informed consent, compensation and other research procedures in a general adult population in the Middle East and Arabian Gulf. This investigation illustrates how potential research participants perceive research participation. Fundamentally, Western ethical research principles were applicable, but required flexibility and culturally informed adaptations.http://deepblue.lib.umich.edu/bitstream/2027.42/109514/1/12910_2013_Article_251.pd

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Fat Mass is Negatively Associated with Composite Indices of Femoral Neck Strength in Elderly Lebanese Subjects

International audienceThe aim of the current study was to explore the relationships between fat mass and composite indices of femoral neck strength ((compressive strength index (CSI), bending strength index (BSI) and impact strength index (ISI)) in a group of elderly Lebanese subjects. 59 elderly women and 39 elderly men whose ages range between 60 and 85 years participated in this study. Height and weight were measured, and body mass index (BMI) was calculated. Body composition and femoral neck bone mineral density were measured by DXA. Handgrip strength was measured by a hand dynamometer. In women, fat mass was negatively correlated to CSI and ISI. In men, fat mass was negatively correlated to CSI, BSI and ISI. The negative correlations between fat mass and composite indices of femoral neck strength remained significant after controlling for age. In conclusion, the current study suggests that fat mass is a negative determinant of composite indices of femoral neck strength in elderly Lebanese subjects. Implementing strategies to reduce fat mass excess seems important to prevent osteoporotic fractures in elderly subjects

Patient responses to research recruitment and follow-up surveys: findings from a diverse multicultural health care setting in Qatar

Abstract Background Health care researchers working in the Arabian Gulf need information on how to optimize recruitment and retention of study participants in extremely culturally diverse settings. Implemented in Doha, Qatar in 2012 with 4 language groups, namely Arabic, English, Hindi, and Urdu, this research documents persons’ responses to recruitment, consent, follow-up, and reminder procedures during psychometric testing of the Multicultural Assessment Instrument (MAI), a novel self- or interviewer-administered survey. Methods Bilingual research assistants recruited adults in outpatient clinics by approaching persons in particular who appeared to be from a target language group. Participants completed the MAI, a second acculturation instrument used for content-validity assessment, and a demographics questionnaire. Participants were asked to take the MAI again in 2–3 weeks, in person or by post, to assess test-retest reliability. Recruitment data were analyzed by using nonparametric statistics. Results Of 1503 persons approached during recruitment, 400 enrolled (27 %)—100 per language group. The enrollment rates in the language groups were: Arabic-32 %; English-33 %; Hindi-18 %; Urdu-30 %. The groups varied somewhat in their preferences regarding consent procedure, follow-up survey administration, contact mode for follow-up reminders, and disclosure of personal mailing address (for postal follow-up). Over all, telephone was the preferred medium for follow-up reminders. Of 64 persons who accepted a research assistant’s invitation for in-person follow-up, 40 participants completed the interview (follow-up rate, 63 %); among 126 persons in the postal group with a deliverable address, 29 participants mailed back a completed follow-up survey (response rate, 23 %). Conclusions Researchers in the Arabian Gulf face challenges to successfully identify, enroll, and retain eligible study participants. Although bilingual assistants—often from the persons’ own culture—recruited face-to-face, and our questionnaire contained no health care-related content, many persons were reluctant to participate. This occurrence was observed especially at follow-up, particularly among participants who had agreed to follow-up by post

Synthesis and Characterization of Novel Sprayed Ag-Doped Quaternary Cu₂MgSnS₄ Thin Film for Antibacterial Application

In this work, the effects of silver doping with different Ag/(Ag + Cu) ratios (i.e., 2%, 5% and 10% at.% in the spray solution) on the structural, morphological, optical, electrical and antibacterial properties of Cu2MgSnS4 (CMTS) thin film grown by spray pyrolysis have been studied. The X-ray diffraction (XRD) and selected area electron diffraction (SAED) results have shown that the kesterite phase of CMTS thin films has a maximum crystallite size of about 19.60 nm for 5% Ag/(Ag + Cu). Scanning electron microscopy (SEM) images have shown spherical grain shapes. The transmission electron microscopy (TEM) and high-resolution TEM (HRTEM) microscopy observations confirmed the intrinsic reticular planes of CMTS thin film with (112) as a preferred orientation and interplanar spacing value of 3.1 Å. The optical properties showed high absorbance and an absorption coefficient of about 104 cm−1 in the visible region with an optical band gap energy of 1.51 eV. Impedance analysis spectroscopy demonstrated good electrical properties of the CMTS film obtained using 5% Ag/(Ag + Cu). The antibacterial activity of the undoped and Ag-doped particles of CMTS obtained using 5% Ag/(Ag + Cu) against different strains of pathogenic bacteria was tested using the agar well diffusion method. These results showed a significant antibacterial activity of the Ag-doped CMTS particle, which was much higher than the undoped CMTS particles. These experimental findings may open new practices for the Ag-doped CMTS compound, especially the one obtained using 5% Ag/(Ag + Cu), in antibacterial application

Additional file 1: of Traditional Arabic & Islamic medicine: validation and empirical assessment of a conceptual model in Qatar

Sample Interview Guide. (DOC 40 kb

Correction to: Relationship between Toxoplasma gondii seropositivity and schizophrenia in the Lebanese population: potential implication of genetic polymorphism of MMP-9

International audienceAn amendment to this paper has been published and can be accessed via the original article