Perspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in Uganda

Abstract Background The return of genetics and genomics research results has been a subject of ongoing global debate. Such feedback is ethically desirable to update participants on research findings particularly those deemed clinically significant. Although there is limited literature, debate contin...

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Autores principales: Joseph Ochieng, Betty Kwagala, John Barugahare, Erisa Mwaka, Deborah Ekusai-Sebatta, Joseph Ali, Nelson K. Sewankambo
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Publicado: BMC 2021
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spelling oai:doaj.org-article:513be0920eb148d09682f74f8cedfd922021-11-21T12:02:33ZPerspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in Uganda10.1186/s12910-021-00724-11472-6939https://doaj.org/article/513be0920eb148d09682f74f8cedfd922021-11-01T00:00:00Zhttps://doi.org/10.1186/s12910-021-00724-1https://doaj.org/toc/1472-6939Abstract Background The return of genetics and genomics research results has been a subject of ongoing global debate. Such feedback is ethically desirable to update participants on research findings particularly those deemed clinically significant. Although there is limited literature, debate continues in African on what constitutes appropriate practice regarding the return of results for genetics and genomics research. This study explored perspectives and ethical considerations of Ugandan genomics researchers regarding the return of genetics and genomics research results. Methods This was a qualitative study that employed in-depth interviews. Thirty participants were purposively selected based on their expertise as genomics researchers in Uganda. Data were analysed through content analysis along the main themes of the study using a comprehensive thematic matrix, to identify common patterns arising from the narratives. NVivo software 12 was used to support data analysis. Results The return of genetics and genomics research results was generally acceptable to researchers, and some indicated that they had previously returned individual or aggregate results to participants and communities. The main reasons cited for sharing research results with participants included their clinical utility, actionability and overall benefit to society. Ethical considerations for appropriate return of results included a need for effective community engagement, genetic counselling prior to disclosure of the results, adequate informed consent, and proper assessment of the implications of, or consequences of returning of results. However, the approaches to return of results were perceived as unstandardized due to the lack of appropriate regulatory frameworks. Conclusions The return of genetic and genomic research results is generally acceptable to researchers despite the lack of appropriate regulatory frameworks. Ethical considerations for return of genetics and genomics research results are highly divergent, hence the need for national ethical guidelines to appropriately regulate the practice.Joseph OchiengBetty KwagalaJohn BarugahareErisa MwakaDeborah Ekusai-SebattaJoseph AliNelson K. SewankamboBMCarticlePerspectivesEthical considerationsReturn of resultsGeneticsGenomics researchResearchersMedical philosophy. Medical ethicsR723-726ENBMC Medical Ethics, Vol 22, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Perspectives
Ethical considerations
Return of results
Genetics
Genomics research
Researchers
Medical philosophy. Medical ethics
R723-726
spellingShingle Perspectives
Ethical considerations
Return of results
Genetics
Genomics research
Researchers
Medical philosophy. Medical ethics
R723-726
Joseph Ochieng
Betty Kwagala
John Barugahare
Erisa Mwaka
Deborah Ekusai-Sebatta
Joseph Ali
Nelson K. Sewankambo
Perspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in Uganda
description Abstract Background The return of genetics and genomics research results has been a subject of ongoing global debate. Such feedback is ethically desirable to update participants on research findings particularly those deemed clinically significant. Although there is limited literature, debate continues in African on what constitutes appropriate practice regarding the return of results for genetics and genomics research. This study explored perspectives and ethical considerations of Ugandan genomics researchers regarding the return of genetics and genomics research results. Methods This was a qualitative study that employed in-depth interviews. Thirty participants were purposively selected based on their expertise as genomics researchers in Uganda. Data were analysed through content analysis along the main themes of the study using a comprehensive thematic matrix, to identify common patterns arising from the narratives. NVivo software 12 was used to support data analysis. Results The return of genetics and genomics research results was generally acceptable to researchers, and some indicated that they had previously returned individual or aggregate results to participants and communities. The main reasons cited for sharing research results with participants included their clinical utility, actionability and overall benefit to society. Ethical considerations for appropriate return of results included a need for effective community engagement, genetic counselling prior to disclosure of the results, adequate informed consent, and proper assessment of the implications of, or consequences of returning of results. However, the approaches to return of results were perceived as unstandardized due to the lack of appropriate regulatory frameworks. Conclusions The return of genetic and genomic research results is generally acceptable to researchers despite the lack of appropriate regulatory frameworks. Ethical considerations for return of genetics and genomics research results are highly divergent, hence the need for national ethical guidelines to appropriately regulate the practice.
format article
author Joseph Ochieng
Betty Kwagala
John Barugahare
Erisa Mwaka
Deborah Ekusai-Sebatta
Joseph Ali
Nelson K. Sewankambo
author_facet Joseph Ochieng
Betty Kwagala
John Barugahare
Erisa Mwaka
Deborah Ekusai-Sebatta
Joseph Ali
Nelson K. Sewankambo
author_sort Joseph Ochieng
title Perspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in Uganda
title_short Perspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in Uganda
title_full Perspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in Uganda
title_fullStr Perspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in Uganda
title_full_unstemmed Perspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in Uganda
title_sort perspectives and ethical considerations for return of genetics and genomics research results: a qualitative study of genomics researchers in uganda
publisher BMC
publishDate 2021
url https://doaj.org/article/513be0920eb148d09682f74f8cedfd92
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