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El. knyga: Proposed Revisions to the Common Rule: Perspectives of Social and Behavioral Scientists: Workshop Summary

  • Formatas: 110 pages
  • Išleidimo metai: 26-Aug-2013
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309288248
  • Formatas: 110 pages
  • Išleidimo metai: 26-Aug-2013
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309288248

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On July 26, 2011, the U.S. Department of Health and Human Services issued an advance notice of proposed rulemaking (ANPRM) with the purpose of soliciting comments on how current regulations for protecting research participants could be modernized and revised. The rationale for revising the regulations was as follows: this ANPRM seeks comment on how to better protect human subjects who are involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators. The current regulations governing human subjects research were developed years ago when research was predominantly conducted at universities, colleges, and medical institutions, and each study generally took place at only a single site. Although the regulations have been amended over the years, they have not kept pace with the evolving human research enterprise, the proliferation of multisite clinical trials and observational studies, the expansion of health services research, research in the social and behavioral sciences, and research involving databases, the Internet, and biological specimen repositories, and the use of advanced technologies, such as genomics.



Proposed Revisions to the Common Rule: Perspectives of Social and Behavioral Scientists: Workshop Summary focuses on six broad topic areas:

1. Evidence on the functioning of the Common Rule and of institutional review boards (IRBs), to provide context for the proposed revisions.

2. The types and levels of risks and harms encountered in social and behavioral sciences, and issues related to the severity and probability of harm, because the ANPRM asks for input on calibration of levels of review to levels of risk.

3. The consent process and special populations, because new rules have been proposed to improve informed consent (e.g., standard consent form, consent for future uses of biospecimens, and re-consenting for further use of existing research data).

4. Issues related to the protection of research participants in studies that involve use of existing data and data sharing, because the ANPRM proposed applying standards for protecting the privacy of healthcare data to research data.

5. Multidisciplinary and multisite studies, because the ANPRM proposed a revision to the regulations that would allow multisite studies to be covered by a single IRB.

6. The purview and roles of IRBs, because the ANPRM included possible revisions to categories of research that could entail changes in IRB oversight.

Table of Contents



Front Matter Introduction Session 1: Review of the Evidence Session 2: Risks and Harms Session 3: The Consent Process and Special Populations Session 4: Data Use and Sharing and Technological Advancements Session 5: Multisite and Multidisciplinary Studies Session 6: Purview and Roles of Institutional Review Boards Appendix A: Workshop Agenda Appendix B: Biographical Sketches of Speakers
Introduction 1(4)
Session 1 Review of the Evidence
5(14)
Previous Reports by the National Academies
5(7)
IRBs: The Evidence
12(4)
References
16(3)
Session 2 Risks and Harms
19(16)
Understanding Minimal Risk
21(3)
Risks and Harms in the Context of Research with LGBT Youth
24(3)
Calibrating Risk of Harms with Levels of Review
27(4)
Possible Extensions of the Exempt and Excused Categories
31(2)
References
33(2)
Session 3 The Consent Process and Special Populations
35(14)
Longitudinal Research with Behavioral and Biospecimen Data from Families
35(5)
Consent in Disaster and Traumatic Stress Research
40(3)
Informed Consent with Children and Vulnerable Populations
43(4)
Reference
47(2)
Session 4 Data Use and Sharing and Technological Advancements
49(12)
Archiving and Sharing Confidential Data in the Social Sciences
49(4)
Data-Based Decision Making for Education
53(3)
Toward Unified Data Security Requirements for Human Research
56(5)
Session 5 Multisite and Multidisciplinary Studies
61(12)
A Single IRB for Multisite Research
61(4)
Managing Local Precedents---Three Models
65(4)
International Multisite and Multidisciplinary Studies
69(3)
Reference
72(1)
Session 6 Purview and Roles of Institutional Review Boards
73(10)
Perspective of a Human Research Protections Program That Maximizes Opportunities to Be Flexible and Innovative
73(4)
Effects of Proposed Changes on Sociocultural Anthropology
77(2)
Human Subjects Protection in Research Funded by the Department of Justice
79(2)
Reference
81(2)
APPENDIXES
A Workshop Agenda
83(8)
B Biographical Sketches of Speakers
91