Using ethnographic fieldwork to inform hepatitis C vaccine preparedness studies with people who inject drugs.
BACKGROUND
Feasibility studies are an important component of preparations for field trials of biomedical prevention interventions, including vaccines.


METHODS
We conducted ethnographic fieldwork to assess feasibility, including eligibility and willingness to participate, prior to recruitment of a prospective observational study of hepatitis C negative people who inject drugs (PWID) in Sydney, Australia. Five staff conducted ethnographic fieldwork in 16 locations during 2008. Observations and interactions with PWID were recorded as field notes and data were used iteratively to guide targeting of locations and the follow-up of networks and individuals.


RESULTS
Findings informed the development of the study protocol, resulting in changes in the amount and type of participant reimbursement and the quantity of blood collected at screening, as well as highlighting the need for increased emphasis on communicating eligibility and exclusion criteria and study remuneration procedures.


CONCLUSIONS
Results illustrate the value of ethnographic research in facilitating consultation and discussion with potential participants in natural settings, identifying motivations and concerns prior to study commencement and providing affected community input into the development of research protocols.
Maher
Lisa
L
National Centre in HIV Epidemiology and Clinical Research and School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia. LMaher@nchecr.unsw.edu.au
White
Bethany
B
Donald
Aylza
A
Bates
Anna
A
Enriquez
Jarliene
J
Pham
Steve
S
Liao
Len
L
D000884:Anthropology, Cultural; D002986:Clinical Trials as Topic / Q000379:methods*; D005240:Feasibility Studies; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006526:Hepatitis C / Q000517:prevention & control*; D006801:Humans; D009042:Motivation; D010353:Patient Education as Topic / Q000379:methods*; D018579:Patient Selection; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000523:psychology*; D014611:Vaccination / Q000379:methods*