StATS: Ethical principles for Complementary and Alternative Medicine Research (created 2005-01-24)
The National Academies Press, has a new publication available, Complementary and Alternative Medicine in the United States. This publication was prepared by the U.S. Institute of Medicine at the request of the National Institutes of Health and the Agency for Healthcare Research and Quality. You have to purchase the PDF files that constitute the book, but you can also browse through the contents and view a free executive summary.
One chapter title that immediately caught my attention was "An Ethical Framework for CAM Research, Practice, and Policy." The authors list five ethical principles that provide the foundation for their recommendations.
The first three principles relate directly to beneficence, nonmalificence, and informed consent, that were first outlined in the Belmont Report. The last two are new and interesting considerations.
Another interesting quote comments on biological mechanisms.
A therapy should not be excluded from consideration because it does not meet any one particular criterion—say, biological plausibility. However, the absence of such a mechanism will inevitably raise the level of skepticism about the potential effectiveness of the treatment (whether conventional or CAM). Moreover, the amount of basic research needed to justify funding for clinical studies of the treatment, and the level of evidence from those studies that is needed to consider the treatment as “established,” will both increase under such circumstances.
The authors also point out some innovative research methods, such as the patient preference trial and the attribute-treatment interaction model, that help with some of the difficulties associated with studying CAM approaches.
I have not read the full report, but it sounds like it addresses some issues about research that I touch on in briefly in my speech, Is the randomized trial the gold standard for research?
The National Academies Press also has several other intriguing publications:
This page was written by Steve Simon while working at Children's Mercy Hospital. Although I do not hold the copyright for this material, I am reproducing it here as a service, as it is no longer available on the Children's Mercy Hospital website. Need more information? I have a page with general help resources. You can also browse for pages similar to this one at Category: Ethics in research.