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Table 3 Development of themes using the DMT concepts

From: Operationalising a real-time research ethics approach: supporting ethical mindfulness in agriculture-nutrition-health research in Malawi

DMT constructs

RTRE approach (AHHA trial decisions/outcomes)

Key themes

Ethical principles: Do good, do no harm, empowerment, social responsibility, participation, openness, accountability, fairness

Education sessions with Trial Implementation Team and TPs

Responsive and constructive approaches to tackling diverse ethical issues during research implementation

A catalysts for participant engagement and reflections on participant roles

A catalyst for enhanced informed consent

Maize field visit, flour processing visit, dish sharing get-together meeting, Tailored information education sessions

Recruitment of community volunteers

Engagement with local leaders

Ethics workshops, ethics approval, study protocol

Informed consent, information sheets

Evidence

Focus groups discussions

Acknowledgement of study participants’ lived world

Trial reports

 

Observations

 

In-depth Interviews

 

Suppositions on appropriate actions

Delivering Respect for autonomy

A catalyst Enhanced Informed consent

Supporting Voluntariness

Respect for persons

Protecting Privacy and confidentiality

Enhancing Safety

Decisions

Study design and trial activities, the safety of study participants, community engagement, strategies to enhance positive experiences, trial results dissemination protocol, community exit strategies, ethics training

A catalyst for participant empowerment