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Prospective integration of cultural consideration in biomedical research for patients with advanced cancer: Recommendations from an international conference on malignant bowel obstruction in palliative care.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

<mark>Journal publication date</mark>07/2007
<mark>Journal</mark>Journal of Pain and Symptom Management
Issue number1
Pages (from-to)S28-39
Publication StatusPublished
<mark>Original language</mark>English


In the setting of an international conference on malignant bowel obstruction as a model for randomized controlled trials (RCTs) in palliative care, we discuss the importance of incorporating prospective cultural considerations into research design. The approach commonly used in biomedical research has traditionally valued the RCT as the ultimate “way of knowing” about how to best treat a medical condition. The foremost limitation of this approach is the lack of recognition of the impact of cultural viewpoints on research outcomes. We propose that interest relevant to cultural viewpoints should be emphasized in conceptualizing and interpreting research questions, designs, and results. In addition to recognizing our cultural biases as individuals and researchers, we recommend two major shifts in designing and implementing RCTs: 1) inclusion of a multidisciplinary team of researchers to inform the diversity of perspectives and expertise brought to the research, and 2) use of mixed methods of inquiry, reflecting both deductive and inductive modes of inference.

Bibliographic note

This paper resulted from an international working conference that brought together an interdisciplinary group of surgeons, physicians, nurses, social workers, clergy and researchers. The topic area reflects an approach towards biomedical palliative care research, promoting a mixed methods approach that fully incorporates cultural consideration. RAE_import_type : Journal article RAE_uoa_type : Social Work and Social Policy & Administration