Evidence map›Paper›PMID 33165556›Full record

ArticleInternational health2020

Participant understanding of informed consent in a multidisease community-based health screening and biobank platform in rural South Africa.

Nothando Ngwenya, Manono Luthuli, Resign Gunda, Ntombizonke A Gumede, Oluwafemi Adeagbo, Busisiwe Nkosi, Dickman Gareta, Olivier Koole, Mark Siedner, Emily B Wong and 2 more

Abstract read
In one paragraph

Article in International health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Broad consent in the emergency department: a cross sectional study.Archives of public health = Archives belges de sante publique · 2025
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  18. Spotlight on global health research.International health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Nothando NgwenyaAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Manono LuthuliAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Resign GundaAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Ntombizonke A GumedeAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Oluwafemi AdeagboAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Busisiwe NkosiAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Dickman GaretaAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Olivier KooleAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Mark SiednerAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Emily B WongAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Janet SeeleyAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Vukuzazi team

Funding

Evaluating UTT with a National HIV Cohort to Optimize South Africa's HIV Response (ENCORE)R01AI152149 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI BOR, JACOB, ONOYA, DORINA · 2020 to 2024
$1.8M
Studies of Mucosal Associated Invariant T (MAIT) cells in people with HIV, TB and HIV/TB co-infection in South AfricaK08AI118538 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI WONG, EMILY BETH · 2015 to 2019
$950k
NIAID NIH HHS K08 AI118538NIAID NIH HHS R01 AI152149Wellcome TrustWellcome Trust 082384/Z/07/ZWellcome Trust 096527
6 · The paper itself

Abstract

backgroundIn low- and middle-income settings, obtaining informed consent for biobanking may be complicated by socio-economic vulnerability and context-specific power dynamics. We explored participants experiences and perceptions of the research objectives in a community-based multidisease screening and biospecimen collection platform in rural KwaZulu-Natal, South Africa.

methodsWe undertook semi-structured in-depth interviews to assess participant understanding of the informed consent, research objectives and motivation for participation.

resultsThirty-nine people participated (individuals who participated in screening/biospecimen collection and those who did not and members of the research team). Some participants said they understood the information shared with them. Some said they participated due to the perceived benefits of the reimbursement and convenience of free healthcare. Most who did not participate said it was due to logistical rather than ethical concerns. None of the participants recalled aspects of biobanking and genetics from the consent process.

conclusionsAlthough most people understood the study objectives, we observed challenges to identifying language appropriate to explain biobanking and genetic testing to our target population. Engagement with communities to adopt contextually relevant terminologies that participants can understand is crucial. Researchers need to be mindful of the impact of communities' socio-economic status and how compensation can be potentially coercive.

Indexed as

Biological Specimen BanksInformed ConsentComprehensionHumansResearch PersonnelSouth Africademographic surveillanceethicsinformed consentSouth Africa

Identifiers

PMID33165556
PMCPMC7651191

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Registered trials

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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.