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Open AccessJournal ArticleDOI

Altruism: Scoping review of the literature and future directions for HIV cure-related research.

TLDR
A scoping review of altruism in general, clinical research, cancer, and HIV clinical research–including the HIV prevention, treatment, and cure-related research fields is conducted to better contextualize and understand how altruism is or could be operationalized in HIV cure- related research.
Abstract
Author(s): Dube, Karine; Perry, Kelly E; Mathur, Kushagra; Lo, Megan; Javadi, Sogol S; Patel, Hursch; Concha-Garcia, Susanna; Taylor, Jeff; Kaytes, Andy; Dee, Lynda; Campbell, Danielle; Kanazawa, John; Smith, David; Gianella, Sara; Auerbach, Judith D; Saberi, Parya; Sauceda, John A | Abstract: IntroductionThe question of what motivates people to participate in research is particularly salient in the HIV field. While participation in HIV research was driven by survival in the 1980's and early 1990's, access to novel therapies became the primary motivator with the advent of combination antiretroviral therapy (cART) in the late 1990s. In the HIV cure-related research context, the concept of altruism has remained insufficiently studied.MethodsWe conducted a scoping review to better contextualize and understand how altruism is or could be operationalized in HIV cure-related research. We drew from the fields of altruism in general, clinical research, cancer, and HIV clinical research-including the HIV prevention, treatment, and cure-related research fields.DiscussionAltruism as a key motivating factor for participation in clinical research has often been intertwined with the desire for personal benefit. The cancer field informs us that reasons for participation usually are multi-faceted and complex. The HIV prevention field offers ways to organize altruism-either by the types of benefits achieved (e.g., societal versus personal), or the origin of the values that motivate research participation. The HIV treatment literature reveals the critical role of clinical interactions in fostering altruism. There remains a dearth of in-depth knowledge regarding reasons surrounding research participation and the types of altruism displayed in HIV cure-related clinical research.ConclusionLessons learned from various research fields can guide questions which will inform the assessment of altruism in future HIV cure-related research.

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The voice of the patient.

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"[It] is now my responsibility to fulfill that wish:" Clinical and rapid autopsy staff members' experiences and perceptions of HIV reservoir research at the end of life

TL;DR: Understanding staff members’ nuanced emotional and procedural experiences is crucial to the Last Gift study’s sustainability and will inform similar cure research studies conducted with people living with HIV at the end of life.
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Lessons for Understanding Central Nervous System HIV Reservoirs from the Last Gift Program

TL;DR: The Last Gift program was developed to address these needs by enrolling altruistic people with HIV (PWH) at the end of life who agree to rapid research autopsy as mentioned in this paper .
References
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The norm of reciprocity: a preliminary statement *

TL;DR: The notion of complementarity and reciprocity in functional theory is explored in this article, enabling a reanalysis of the concepts of "survival" and "exploitation" and the need to distinguish between complementarity, reciprocity, and the generalized moral norm of reciprocity.
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The end of AIDS: HIV infection as a chronic disease

TL;DR: Concerns are growing that the multimorbidity associated with HIV disease could affect healthy ageing and overwhelm some health-care systems, particularly those in resource-limited regions that have yet to develop a chronic care model fully.
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Social semantics: altruism, cooperation, mutualism, strong reciprocity and group selection.

TL;DR: The aim here is to address issues of semantic confusion that have arisen with research on the problem of cooperation, and to emphasize the need to distinguish between proximate (mechanism) and ultimate (survival value) explanations of behaviours.
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Information and participation preferences among cancer patients

TL;DR: Most patients in each age group displayed high levels of hope, preferences for open communication about their illness, and a desire for maximum amounts of information.
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Cochrane Update. 'Scoping the scope' of a cochrane review.

TL;DR: A crucial step in the systematic review process is to thoroughly define the scope of the research question, particularly one with a very broad topic scope, such as those edited by the Cochrane Public Health Group.
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What is the literature review on participation theory and HIV projects?

Altruism is a key motivator for HIV research participation, evolving from survival to therapy access. However, in HIV cure-related research, altruism's operationalization remains understudied.