Recognizing the Role of Research Assistants in the Protection of Participants in Vulnerable Circumstances

Abstract

Little is known about how research assistants (RAs) protect participants in vulnerable circumstances. Using a critical qualitative method informed by feminist ethics, we ran five focus groups with experienced RAs. We identified two themes: (a) expressing moral competencies (subthemes: recognizing power, privilege, and vulnerability; adapting processes and providing support; understanding the sources of moral competencies) and (b) negotiating and making transparent roles and responsibilities (subthemes: separating responsibilities as a clinician from those of an RA; critically reflecting on the shared responsibilities of principal investigators and RAs; and identifying the role of the Research Ethics Committee). Although RAs possess a variety of moral competencies and have an important role in protecting research participants in vulnerable circumstances, that role is largely unrecognized.

Tailoring Sexual Health Research Practices to Meet the Needs of Adolescent Girls in Low- and Middle-Income Countries: Findings from Mexico

“…Research team members play a critical role in establishing and maintaining a rapport with study participants. This practice not only enhances the quality and reliability of research data but also upholds ethical principles and ensures a positive and respectful experience for participants [40]. Consistent with previous work in other LMICs involving medically underserved women and girls, participants greatly valued their relationships with research staff whom they perceived as trustworthy and caring [41], which impacted their decision to divulge sensitive information or agreeing to participate in research.…”

“…A relational approach to research places participants at the center of the research process, emphasizing respect, collaboration, and empowerment [40]. By fostering positive relationships and valuing the contributions of participants, this approach not only produces more ethical and high-quality research but also supports the well-being and self-efficacy of those involved in the research process.…”