CITI Cultural Competence

A research university in California is concerned that the high number of Asian immigrants may result in enrollments in research due to a cultural deference to authority. The university wishes to write a policy for informed consent that will help assure that the cultural deference to authority is addressed by researchers. The best solution would be to include a requirement for:

A "cooling off" period of at least one day between providing consent information and signing the consent form

A 2011 report from the conference "Dialogues on Diversifying Clinical Trials," sponsored by FDA's Office of Women's Health and the Society for Women's Health Research found that:

African Americans account for 5 percent of clinical trial participants and Hispanics 1 percent

The best working definition of "cultural competence" in research is that it refers to understanding the importance of:

Cultural influence on the beliefs and behaviors of the subject

In the U.S., the federal government:

Encourages a racially and ethnically diverse study population in research

The future of medicine is likely to be personalized to an individual's:

Genetic make-up

The 1991 CIOMS guidelines for epidemiological studies state, that at the level of the individual, ethics governs how one person should relate to another and the moral claims of each member of a community, and at the level of the community, ethics applies to how one community relates to another and members of other groups with different cultural values. When it comes to research, the best statement about procedures is that:

Procedures that are unethical at one level cannot be justified merely because they are considered ethically acceptable at the other.

The "Teach-back" method, when used in the consent process has been shown to improve understanding, especially when:

Questions are pre-imbedded in the process

Of the many tools for enhancing the consent process between two different cultures, the most important is for:

The researcher to be open and respectful of the differences in viewpoints and values of subjects

Regarding minority populations in the U.S., they are expected:

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