Evidence map›Paper›PMID 31179811›Full record

ArticleJournal of empirical research on human research ethics : JERHRE2019

Walking the Tightrope between Study Participant Autonomy and Researcher Integrity: The Case Study of a Research Participant with Alzheimer's Disease Pursuing Euthanasia in Switzerland.

Elena Portacolone, Kenneth E Covinsky, Julene K Johnson, Robert L Rubinstein, Jodi Halpern

Abstract readCase Reports
In one paragraph

Article in Journal of empirical research on human research ethics : JERHRE, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Difficulty and help with activities of daily living among older adults living alone with cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Elena PortacoloneUniversity of California, San Francisco, USA.ORCID 0000-0003-2311-3836
Kenneth E CovinskyUniversity of California, San Francisco, USA.
Julene K JohnsonUniversity of California, San Francisco, USA.
Robert L RubinsteinUniversity of Maryland, Baltimore County, USA.
Jodi HalpernUniversity of California, Berkeley, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Torsten Brian Neilands · 1997 to 2026
$19.5M
Achieving ethical integration in the development of novel neurotechnologiesR01MH114860 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHIONG, WINSTON, DOHAN, DANIEL P. · 2017 to 2020
$2.0M
Living Alone in Older Age with Cognitive ImpairmentK01AG049102 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2015 to 2019
$724k
Access and use of long-term services and supports for older adults living alone with Alzheimer's disease and related dementias from four racial/ethnic groupsR56AG062165 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PORTACOLONE, ELENA · 2018 to 2018
$617k
NIA NIH HHS K01 AG049102NIA NIH HHS L30 AG057100NIA NIH HHS P30 AG015272NIA NIH HHS P30 AG044281NIA NIH HHS R56 AG062165NIMH NIH HHS R01 MH114860
6 · The paper itself

Abstract

This article addresses ethical issues in the conduct of ethnographic research with vulnerable study participants, such as individuals with cognitive impairment. Seven ethical issues emerged from this case study, in which a participant diagnosed with Alzheimer's disease wished to pursue euthanasia in Switzerland: (a) How to protect the participant's autonomy while ensuring his decision had not resulted from untreated depression or modifiable social factors; (b) How to interpret self-harm; (c) How to protect the research team members' "mandated reporter" status; (d) How to counteract the attractive qualities of pro-euthanasia videos depicting an easy end to personal suffering; (e) How to find a better alternative to the common practice of reporting self-harm cases to Adult Protective Services and then removing these cases from studies; (f) How to leverage a participant's trust to address these issues; and (g) Whether researchers should do anything further to help address unmet needs in similar situations.

Indexed as

Alzheimer DiseaseBioethical IssuesEthics, ResearchEuthanasiaPersonal AutonomyResearch SubjectsCognition DisordersDecision MakingHumansMandatory ReportingMiddle AgedResearch PersonnelStress, PsychologicalSwitzerlandTrustadverse eventsAlzheimer’s diseasecognitive impairmentethicsEuthanasiaqualitative researchsuicideSwitzerland

Identifiers

PMID31179811
PMCPMC6884661

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.