2015-16INSTITUTIONALREVIEWBOARDHANDBOOK GuideforResearchinvolvingHumanSubjects EffectiveJune2016withtheImplementationofIRBManager TableofContents FrequentlyAskedQuestions GuidelinesforResearchInvolvingHumanSubjects JustinTime(JIT)Review DataSafetyMonitoringPlans FactorsConsideredwhenReviewingIRBApplications CertificationforProtectionofHumanSubjects FullBoardReview ExpeditedReview ExemptStatus InstitutionalAuthorizationAgreement CourseRelatedResearchbyAPUStudents InternationalandCrossCulturalResearch ExternalResearcherReviewProcess InformedConsent DeceptionandIncompleteDisclosure ConflictofInterest IntegrityinResearch SuspensionorTerminationofIRBApproval Researcher’sContinuingResponsibilities TheInstitutionalReviewBoard References Page 2 3 5 5 6 7 8 9 11 13 15 16 17 18 21 22 23 23 24 28 30 1 FrequentlyAskedQuestions (1) DoIneedspecialcertificationtoconductorapproveresearchinvolvinghumansubjectsatAzusa PacificUniversity? Yes.Allthosewhoconductresearch,reviewtheapplicationsofresearchers,orteachacoursewitha requirementforstudentresearchmustcompletetrainingfortheprotectionofhumansubjectsin research.Pleaseseepage7forinstructionsforcertification. (2) Ismyproject“research”with“humansubjects”thatmustbereviewedbytheIRB? Seepage3-4forthedefinitionsof“research”and“humansubjects,andadditionalguidance. (3)WhatlevelofIRBreviewisappropriateformyresearchproject? Therearethreecategoriesofreview.Pleasenotethatthecategorylabelsarenotdescriptive.The differencebetweenthereviewcategoriesisthedegreeofscrutiny,whichdependsonthelevelof risktohumansubjects. • FullBoardReviewseepage8 • Expedited–seepages9-10 • ExemptStatus–seepages11-12 (4)WhatdoestheIRBconsiderwhenreviewingaprojectforprotectionofhumansubjects? Seepage3. (5)WhendoestheIRBmeet? TheFullIRBBoardmeetsmonthly,twelvemonthsayear,generallythe3rdWednesdayofeach month.Thedeadlinetosubmitanapplicationforconsiderationbythefullboardis10workingdays beforethemeeting. (6)WhoarethemembersoftheIRB? TheViceProvostforGraduateProgramsandResearch/ResearchIntegrityOfficerappointsmembers inaccordancewithfederalguidelines.Amajorityofthemembersarefaculty.Forcurrentmembers andalternates,contactJoanieStude,IRBCoordinator. (7)WhatneedstobesubmittedforanIRBapplication? TheIRBManageronlineapplicationsystemwillguideyouthroughtheprocessincludingrequired attachmentssuchasInformedConsentform(s),participantrecruitment,andsurveyinstruments. Youcanaccesstheapplicationandattachmentformsathttps://apu.my.irbmanager.com. (8)WhatarespecialconsiderationsforpersonsplanningtosurveymembersoftheAPUcommunity? PersonsplanningtosurveymembersoftheAPUcommunity(whetherelectronicorpapersurveys) mustcontacttheOfficeofInstitutionalResearch(OIRA)[email protected] submissiontotheIRBforassistancewiththesurveyandforschedulingtheirdatacollection. (9)DoesaresearcherfromoutsidetheAPUcommunityneedtoreceiveapprovalfromAPU’s InstitutionalReviewBoardtoconductresearchusingAPUfaculty,staff,orstudents? Yes,IRBapprovalatAPUismostoftenrequired,thoughthisisdeterminedonacasebycasebasis. PleasecontactIRBCoordinatorJoanieStudeatjstude@apu.eduforinformation. Foranyquestions,contactJoanieStude,[email protected]. 2 GuidelinesforResearchInvolvingHumanSubjects Introduction AzusaPacificUniversity(APU)encouragestheconductofresearchinandamongitsschools,andin collaborationwithothereducationalinstitutions,agencies,andorganizations.TheUniversity,while respectingtherightoffacultyandstudentstoacademicfreedominresearch,isfirmlycommittedto adheringtothebasicChristianethicalprinciplesunderlyingtheacceptableconductofresearchinvolving humansubjects. AllresearchersaffiliatedwithAPUwhoareconductingresearchinwhichAPUisengagedmustobtain APUIRBapprovalfortheirresearchwithhumansubjectsbeforedatacollectionbegins.Engagingin researchwithhumansubjectswithoutIRBapprovalhasseriousethicalimplicationsandviolates universityandfederalpolicies.QuestionsregardingwhetherAPU’sIRBapprovalisrequiredmaybe [email protected]. AdherencetotheCommonRule:OnJune18,1991,seventeenFederalDepartmentsandAgencies adoptedacommonsetofregulationsknownastheFederalPolicyfortheProtectionofHumanSubjects or“CommonRule.”Seehttp://www.hhs.gov/ohrp/(Regulations45CFR46).Thesefederalregulations requirethatanyinstitutionrequestingandreceivingfundsfromafederaldepartmentoragencyfor researchinvolvinghumansubjectsmustassurethatresearchisreviewedandapprovedbythe University’sInstitutionalReviewBoard(IRB).Thedesignoftheseregulationsisbasedonestablished, internationallyrecognizedethicalprinciplesdiscussedintheBelmontReport(1979)asfollows: Respectforpersonsincorporatesatleasttwoethicalconvictions:“first,thatindividualsshould betreatedasautonomousagents;andsecond,thatpersonswithdiminishedautonomyare entitledtoprotection”(thus,theneedtoobtaininformedconsent). Beneficenceentailstreatingpersons“inanethicalmannernotonlybyrespectingtheir decisions,butalsobymakingeffortstosecuretheirwell-being...Twogeneralrules:(1)dono harm;and(2)protectfromharmbymaximizinganticipatedresultsandminimizingpossiblerisks ofharm.” Justicerequiresthatthe“benefitsandburdensofresearchbedistributedfairly” (thus,theprincipleofjusticeisappliedintheselectionofresearchsubjects). Formoreinformation,pleaserefertoBelmontReport:EthicalPrinciplesandGuidelinesforthe ProtectionofHumanSubjectsofResearchat: http://www.hhs.gov/ohrp/humansubjects/guidance/belmont.html DefinitionofResearchwithHumanSubjects Research: Researchisdefinedas“asystematicinvestigation,includingresearchdevelopment,testingand evaluation,designedtodeveloporcontributetogeneralizableknowledge”(§45CFR.46.102[d]).For thecurrentCodeofFederalRegulations,pleasesee: http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html. 3 HumanSubjects: HumanSubjectsare“livingindividual(s)aboutwhomaninvestigatorconductingresearch obtains:(1)datathroughinterventionorinteractionwiththeindividual;or(2)identifiable privateinformation”(§45CFR46.101[f]). Aprojectorstudyis“research”inthiscontextifit:a)isconductedwiththeintentionofdrawing conclusionsthathavesomegeneralapplicabilitytopopulationsorsituationsotherthantheonebeing studied(“generalizableknowledge”),andb)usesacommonlyacceptedqualitativeorquantitative method.Morespecifically,generalizableknowledgeisinformationbasedonresultsorfindingsthatare expected1)tobereproducible,and2)toapplybroadlywiththeexpectationofpredictableoutcomes. Ifyourprojectmeetsthecriteriaofboth“research”andwith“humansubjects”asnotedabove,itmust havesomelevelofreviewfromtheIRB.Inaddition,theneedforIRBreviewisnotdeterminedby whethertheresearcherintendstopresentorpublishthestudyoutcomes,sincepublishingtheresultsof aprojectdoesnotbyitselfclassifythestudyasonethatisgeneralizable.However,insomecases,the intenttopublishcanbeusedasonecriteriafordeterminingwhethertheprojectmeetstheabove definitionof“research.” Opportunitysamples,pilotstudies,andpreliminarystudiesdesignedtohelptheinvestigatorrefinedata collectionprocedures,instruments,orresearchdesign,requirethesamescrutinyasfull-scaleresearch projects.TheyarethereforesubjecttoIRBreview. Researchinvolvingthesecondaryanalysisofexistingdata(e.g.,publicde-identifieddata)doesnot requirereviewwhenitdoesnotmeetthedefinitionofresearchwithhumansubjectsnotedabove. However,thesecondaryuseofdatamayqualifyforExemptStatusunderthefederalregulationsifthe initialdatasetisidentifiableandifitwouldnotbepossiblefortheresearchertoidentifythesubjects.In somecases,secondaryuseofdatamaywarrantexpeditedorfullboardreview(e.g.,researchinvolving prisoners,researchusingdatacollectedforapreviousstudywhereadditionalinformedconsentmaybe warranted).Foradditionaldiscussiononresearchinvolvingthesecondaryuseofexistingdata,please refertoUniversityofCalifornia,Berkeley’sguidelinesonthistopicwhichcanbefoundat: http://cphs.berkeley.edu/secondarydata.pdf. Studiesinitiatedwiththeprimaryintentofimprovinginstitutionalpractice(sometimeslabeledoutcome studiesorprogramassessment)areconsidered“qualityimprovement”activitiesandaretypicallynot classifiedasresearch.However,someprogramevaluationprojectsmayfallintothedefinitionof researchbasedondesignandintenttogeneralizeoutsideofthelocalarea. Studiesconductedbyfacultywiththeirownstudentswouldnottypicallyleadtogeneralizableoutcomes andwouldnotnormallyfallunderthecategoryofresearchtobereviewedbytheIRB.Professorsthat choosetodoresearchwiththeirownuniversitystudentsshouldbeawarethattheywillneedto mitigatetheinherentpotentialforbiasbuiltintothatmethodology. Pleasenotethat,ifhumansubjectsareinvolvedinastudywhichdoesnotmeetthedefinitionof “research,”theymustbeprotectedusingthesamelevelofcareasifIRBreviewhadtakenplace.For example,theresearchermustalwaysobtainpermissionfromparticipantsanddiscloseanyriskstothem beforecollectingdata.PleaseconsultwiththeIRBCoordinatorortheIRBChairforadditionalguidance. SeeDecisionTreeat:http://www.hhs.gov/ohrp/policy/checklists/decisioncharts.html,Chart1. 4 JustinTimeReview “Just-in-Time”isaprocedureusedbytheNationalInstitutesofHealthtofacilitatethetimelycollection ofinformationtosupportproposalsthataredeemedtobeinthefundablerange.Supplemental informationforproposalswithalikelihoodoffunding(includingIRBapproval)isrequestedjustbefore NIHcouncilreview,or“just-in-time”fortheawardsdecision.IRBapprovalisthereforenotrequiredat thetimeofgrantapplication,savingresearchersandIRBpersonnelconsiderableeffortinlightofthelow fundingoddsforgrantapplications. Uponnotificationofthe“Just-in-Time”(JIT)request,thePIshouldbegintopreparetheIRBapplication rightaway.TheOfficeofResearchandGrants(ORG)DirectorofSponsoredResearchwillcoordinatethe timingoftheprotocolsubmissionwiththePIandtheIRBCoordinator.Thenormaldeadlinetosubmit theprotocolof10daysbeforeafullboardreviewmaybeshortenedinthesecases.TheIRBapplication shouldincludeadraftJITresponseletterand/oranexplanationofpotentialdiscrepanciesbetweenthe grantapplicationandtheIRBapplicationandhowtheywillbereconciled,ifappropriate.Ifatall possible,afullboardreviewofaJust-in-Timeprotocolshouldbeundertakenduringaregularly scheduledmonthlyIRBmeeting.Ifthisisnotfeasible,theIRBwillmakeeveryefforttoconveneat anothertimeinordertofacilitatethetimelyreviewoftheprotocol. Pleasenotethatfederallysponsoredresearchapplicationsinvolvinghumansubjectsarerequiredbythe U.S.DepartmentofHealthandHumanServicestobeappropriatelymatchedtoanapprovedIRB protocol.ThegrantapplicationandthehumansubjectsdocumentsmustbereviewedbyanAPU representative(typicallyanIRBmember,amemberoftheOfficeofResearchandGrants,orthe ResearchIntegrityOfficer)anddeterminedtobe“entirelyconsistent”(perOHRPguidanceofMay31, 2000).Thisprocessmaytakeuptotenbusinessdays.Anydiscrepancybetweentheprotocolandthe grantmustberesolvedoraccountedforbeforethegrantcanbeapproved,andpreferablybeforethe IRBprotocolisapproved.TheIRBmaythereforerequestthattheIRBapplicationberevisedtoreconcile discrepancies,bere-submitteddemonstratingitisinalignment,orbesupplementedwithclarification onthedifferences.Non-federallyfundedgrantsmayalsobesimilarlyreconciled. DataSafetyMonitoringPlans IfanexternalfundingagencyrequiresaDataSafetyMonitoringPlan(DSMP),theresearchershould includethisdocumentintheIRBapplication.ADSMPisadocumentthatdescribeshowtheresearcher planstooverseethesafetyofhumansubjectsandthesafetyofthedataduringtheconductofthe study.Itdetailsprotocolcomplianceandthereviewandreportingofunanticipatedevents.Insome cases,theDSMPwillincludetheexistenceofaDataSafetyMonitoringBoard(DSMB),agroupof carefullyselectedexpertswhowillmeetperiodicallytooverseethecollectionandprocessingofthe data.WhereaDSMBisplanned,thedocumentshouldalsoincludeproposedmembershipoftheboard andtheanticipatedcommunicationoftheDSMBandtheIRB.(e.g.,regardingunanticipatedevents). 5 FactorsConsideredwhenReviewingIRBApplications Benefit-FederalregulationschargetheIRBwithdeterminingthatresearchbenefitsoutweigh researchrisks.Benefitcanbedefinedasvaluetoanindividualresearchsubject,orsomethingthat willcontributetotheacquisitionofgeneralizableknowledge. Risk-Riskcanbedefinedasthemagnitudeofthepotentialharmordiscomfortandtheprobability oftheharmordiscomfortoccurring.Forpurposesofprotectinghumansubjectsinresearch projects,riskincludes: a. Violationofprivacy b.Violationofconfidentiality c.Questionsthattheparticipantmayconsidersensitive d.Possibleemotionaldistressorphysicalinjury e.Invasiveprocedures MinimalRisk-Theprobabilityandmagnitudeofharmordiscomfortanticipatedintheresearchare notgreaterinandofthemselvesthanthoseordinarilyencounteredindailylifeorduringthe performanceofroutinephysicalorpsychologicalexaminationsortests. Benefitvs.Risk-TheCommonRuleinstructsInstitutionalReviewBoardstoensurethat“risksto subjectsareminimized”and“riskstosubjectsarereasonableinrelationtoanticipatedbenefits,if any,tosubjectsandtheimportanceoftheknowledgethatmaybereasonablyexpectedtoresult”. Vulnerablepopulations-Vulnerablepopulationsareindividualsorgroupswho,byreasonof disability,illness,age,orotherstatusexhibitdiminishedpersonalautonomy.NeithertheFederal regulationsnorethicalcodesproscribeinclusionofvulnerablepersonsasresearchsubjects. However,theDepartmentofHealthandHumanServicesregulationsmandatespecialjustification forresearchinvolvingfetuses,pregnantwomen,humaninvitrofertilization,prisoners,andchildren. Sensitivetopics-Anyresearchprotocolthatinvolvessolicitationofinformationfromhuman subjectsthatcouldreasonablycauseharmtotheparticipantifthedatawerenotkeptconfidentialis consideredsensitivetopicresearch.Causingembarrassmentistheminimumthresholdfor determiningwhetherresearchharmisforeseeableandthussensitive. Privacy-Privacyisdefinedashavingcontroloverextent,timingandcircumstancesofsharing oneselfwithothers.Pleasebeattentivetothreatstoparticipants’privacy.Anacceptablepracticeis todistributeinvitationstoabroadpopulationandaskforpersonstoself-identifyasmeetingmore narrowcriteria.Anoptionforsomesensitiveinterviewresearchistooffertheparticipantthe opportunitytoreviewpublicationdraftsforunintendedmarkersofidentity. Confidentiality-Confidentialitypertainstothetreatmentofinformationanindividualhasdisclosed inarelationshipoftrustandwiththeexpectationthatitwillnot,withoutpermission,bedivulgedto othersinwaysthatareinconsistentwiththeunderstandingoftheoriginaldisclosure.Researchers ordinarilyuseinformationparticipantshavedisclosedorprovidedvoluntarily(i.e.,withtheir informedconsent)forresearchpurposes.Seepage25forexpandedinformation. 6 CertificationforProtectionofHumanSubjects Certificationfortheprotectionofhumansubjectsinresearchisrequiredofthefollowinggroupspriorto applicationtotheIRB: • Faculty,staff,andstudentswhointendtoconductresearchinvolvinghumansubjects.This includesthosewhoconductInformedConsentorhaveanyothercontactwithparticipants • Allthosewhoreviewtheapplicationsofresearchers Inanefforttoprovidethemostcomprehensivetrainingforresearchersofhumansubjects,APU’sIRB requirestrainingandsuccessfulcompletionoftheCollaborativeInstitutionalTrainingInitiative(CITI) HumanSubjectsResearchcourse.Thison-linecourseisfreetoAPUfaculty,staff,andstudents,andis dividedintoanumberofmodules.Thesitecanbeenteredandexitedatanytimeduringthetraining. ToaccesstheCITIsitegoto:www.citiprogram.org.Thereyouwillloginandchooseapassword.Once youhavesubmittedyourmemberinformationandhaveaffiliatedwithAPU,youwillbedirectedtothe APUpage.Fromthereyoucanreviewtheinstructionpage,andthenproceedto“AddaCourseor UpdateLearnerGroups”.OntheHumanSubjectsResearch(IRB)pageyouwillchoosethelearnergroup thatismostappropriateforyoufromthefivegroupslistedthere.Youwillnotethatsomemodulesare requiredandsomeareoptional.Optionalmodulesmayberequiredifyourresearchinvolvesaparticular topicorpopulation.TheIRBCoordinatorisresponsibletoassignadditionalmodulesbasedonthe researchtopic.Issuesthatmaypromptadditionalmodulesincludethefollowing: Vulnerablepopulations InternationalResearch InternetResearch Students Culturalconsiderations OncetheCITItrainingiscompleted,theCITICompletionReportisvalidforthreeyears.Youwillreceivea reminderfromCITIwhenyouareduetotakearefreshercourse. TheIRBcoordinatorisavailableforanyquestionsyoumighthave.PleasefeelfreetocontactJoanie [email protected]. 7 FullBoardReview CriteriaforaFullBoardReview Researchthatinvolves(a)vulnerablepopulations,or(b)sensitivetopics,or(c)involvesmorethan minimalriskrequiresfullboardreview. A.VulnerablePopulations-Allresearchthatinvolvesfetuses,pregnantwomen,prisoners,orgroups whomayhavediminishedcapacitytoprovideconsentorwhomaybehighriskmustbeprovidedfull review. See§45CFR46.201-207,pregnantwomen; 46.300-306,prisoners; 46.401-409,childrenandminors(exceptasincludedunderexemptandexpeditedcategories) B.SensitiveTopics-Anyresearchprotocolthatinvolvessolicitationofinformationfromhumansubjects thatcouldreasonablycauseharmtotheparticipantifthedatawerenotkeptconfidential.Causing embarrassmentistheminimumthresholdfordeterminingwhetherresearchharmisforeseeableand thussensitive(Seeinformationboxbelowforexamplesofsomesensitivetopics). C.MorethanMinimalRisk-Theprobabilityandmagnitudeofharmordiscomfortanticipatedinthe researcharegreaterinandofthemselvesthanthoseordinarilyencounteredindailylifeorduringthe performanceofroutinephysicalorpsychologicalexaminationsortests(45CFR46).Invasive procedures,possibleemotionaldistress,andthepotentialforlackofconfidentiality,forexample,are consideredgreaterthanminimalrisk.InordertobeapprovedbytheBoard,suchrisksmustbe addressed. ExamplesofSensitiveTopicsthatMayRequireFullBoardReview 1.Illegalorpunishableconduct,includinguseofalcohol,drugs,orotheraddictiveproducts 2.Informationthatcoulddamageanindividual’sfinancialstanding,employability,orreputation 3.Information(usuallyinmedicalrecords)thatcouldleadtosocialstigmatizationordiscrimination 4.Psychologicalwell-beingormentalhealth,includingphysicalormentalabuse 5.Sexualorientation,attitudes,preferences,orpractices 6.Incest,rape,daterape,orsexualmolestation 7.Geneticinformation 8.Religiousorientationorviews–Religionisjustoneexampleofasensitivetopic.Aswithallsensitive topics,thebroaderprincipleiswhetherornotthereisapotentialforharmifthedatawere revealed.Identifyingreligiousorientationonaresearchprojectwouldnottypicallybeconsidereda sensitivetopicatAzusaPacificUniversity.However,itshouldbenotedthattherearemany possiblescenarioswherereligiousresearchcouldbepotentiallyharmfultotheparticipantif confidentialdatawererevealed. 9.Veteranorwartimeexperiences 10.Topicsthatmaybeperceivedassensitiveorinjuriousbyparticipants 11.Immigrationstatus Pleasenote:Thesensitivesubjectslistedaboveareexamplesandnotaninclusivelist. TocompleteanapplicationtotheIRBforFullBoardReviewgotohttps://apu.my.irbmanager.com 8 ExpeditedReview CriteriaforanExpeditedReview Expeditedreviewproceduresrefertoresearchthatdoesnotinvolvevulnerablepopulations,sensitive topicsandinvolvesnomorethanminimalrisktohumansubjects.Expeditedresearchproposalsare reviewedforprotectionofhumansubjectsbytheChairoftheIRBordesignee. CriteriaforIRBapprovalofexpeditedreviewinclude: 1. Riskstosubjectsareminimized: • byusingprocedureswhichareconsistentwithsoundresearchdesignandwhichdonot unnecessarilyexposesubjectstorisk,and • wheneverappropriate,byusingproceduresalreadybeingperformedonthesubjectsfor diagnosticortreatmentpurposes. 2. Riskstosubjectsarereasonableinrelationtotheanticipatedbenefitsifanytosubjectsandthe importanceoftheknowledgethatmaybereasonablyexpectedtoresult. 3. Selectionofthesubjectsisequitable. 4. Informedconsentisreceivedfromeachprospectivesubject. 5. Informedconsentisappropriatelydocumented. 6. Theresearchplanmakesadequateprovisiontoensurethesafetyofsubjects. 7. Adequateprovisionsaremadetoprotecttheprivacyofsubjectsandtomaintainthe confidentialityofdata. AlloftheitemsabovemustapplyforanapplicationtobeconsideredforExpeditedReview. SeeDecisionTreesathttp://www.hhs.gov/ohrp/policy/checklists/decisioncharts.html,Charts8and9. TocompleteanapplicationtotheIRBforExpeditedReviewgotohttps://apu.my.irbmanager.com 9 ResearchCategoriesforanExpeditedReview Thefollowingcategoriesgenerallyrequireanexpeditedreview.Forfurtherexplanation,see http://www.hhs.gov/ohrp(seeexpeditedreview). (1) Clinicalstudiesofdrugsandmedicaldeviceswheneitheraninvestigationalnewdrug applicationoraninvestigationaldeviceexemptionapplicationisnotrequired. (2) Collectionofbloodsamplesbyfingerstick,heelstick,earstickorvenipunctureasper guidelines. (3) Prospectivecollectionofbiologicalspecimensforresearchpurposesbynoninvasivemeans, e.g.,hairandnailclippings,excreta,skinswab,etc. (4) Collectionofdatathroughnoninvasiveprocedures(notinvolvinggeneralanesthesiaor sedation)routinelyemployedinclinicalpractice,excludingproceduresinvolvingx-raysor microwaves. (5) Researchinvolvingmaterials(data,documents,records,orspecimens)thathavebeen collected,orwillbecollectedsolelyfornon-researchpurposessuchasmedicaltreatmentor diagnosis. (6) Collectionofdatafromvoice,video,digital,orimagerecordingsmadeforresearch purposes. (7) Researchemployingsurvey,oralhistory,focusgroup,programevaluation,humanfactors evaluation,orqualityassurancemethodologies. (8) ContinuingreviewofresearchpreviouslyapprovedbytheconvenedIRB: (a) where (i) theresearchispermanentlyclosedtotheenrollmentofnewsubjects;and (ii) allsubjectshavecompletedallresearch-relatedinterventions;and (iii) theresearchremainsactiveonlyforlongtermfollow-upofsubjects; OR (b) wherenosubjectshavebeenenrolledandnoadditionalriskshavebeenidentified; OR (c) wheretheremainingresearchactivitiesarelimitedtodataanalysis. 10 ExemptStatus Somestudiesonhumansubjectsmaybeexemptfromtheneedforfullorexpeditedreviewbythe InstitutionalReviewBoard.ExemptresearchproposalsaresubmittedtotheIRBCoordinatorvia IRBManagerandthenreviewedforprotectionofhumansubjectsbyamemberoftheInstitutional ReviewBoard. WhatcategoriesofresearchmaybeexemptfromrequirementsoftheCodeofFederalRegulations? Manyeducational,behavioral,andsocialsciencestudiespresentlittleornorisktosubjectsandcanbe exemptfromIRBreview.SeeCodeofFederalRegulations(45CFR46.101(b)).Studiesofmedicalcharts arenottypicallyeligibleforexemptreviewunlesssuchrecordsarepubliclyavailable. Exemption1-NormalEducationalPracticesandSettings Researchconductedinestablishedorcommonlyacceptededucationalsettings,involvingnormal educationalpractices,suchas(i)researchonregularandspecialeducationinstructional strategies,or(ii)researchontheeffectivenessoforthecomparisonamonginstructional techniques,curricula,orclassroommanagementmethods. Note:Exemption1islimitedtonormaleducationalpracticesconductedincommonlyaccepted settings.Anexampleistheevaluationoftheeffectivenessofanexistinginstructionalprogram. Astudythatinvolvesevaluationofaradicalnewstrategyorrandomassignmentisnotexempt becausethemethodsemployedarenotnormaleducationalpractices(RefIRBMgmt.and Function,p94). Exemption2-AnonymousEducationalTests,Surveys,InterviewsorObservations Researchinvolvingtheuseofeducationaltests(cognitive,diagnostic,aptitude,achievement), surveyprocedures,interviewprocedures,orobservationsofpublicbehavior,unless:(i) informationobtainedisrecordedinsuchamannerthathumansubjectscanbeidentified, directlyorthroughidentifierslinkedtothesubjects;and(ii)anydisclosureofthehuman subjects’responsesoutsidetheresearchcouldreasonablyplacethesubjectsatriskofcriminalor civilliabilityorbedamagingtothesubjects’financialstanding,employability,orreputation. Note:Thisexemptionreflectsconcernwithprotectingsubjects’privacyandavoidinganyrisks associatedwithbreachofconfidentiality.Theparticipants’responsestosurveyquestionsmust beanonymousorde-identifiedbeforedataanalysis.Exemptsurveyresearchdatamustnotbe linkedtoindividualsubjects.Ifresearchdatacontainpersonallyidentifyinginformationandif disclosureofdatatounauthorizedpersonscouldharmthesubjectinanyway,theresearchis notexempt.Surveyresearchthatdealswithsensitiveandprivateaspectsofthesubject’s behavior,suchassexualpreferencesandsubstanceabuse,isnotexemptifdatacanbelinkedto individuals.Eveniftheresearchhasnosubjectidentifiers,invasivequestionsthatmaycause emotionaldistressordiscomfortnegateexemption. Exemption3 Researchinvolvingtheuseofeducationaltests(cognitive,diagnostic,aptitude,achievement), surveyprocedures,interviewprocedures,orobservationofpublicbehaviorthatisnotexempt underExemption2above,if(i)thehumansubjectsareelectedorappointedpublicofficialsor candidatesforpublicoffice;or(ii)thefederalstatute(s)require(s)withoutexceptionthatthe 11 confidentialityofthepersonallyidentifiableinformationwillbemaintainedthroughoutthe researchandthereafter. Exemption4-CollectionorStudyofExistingData Researchinvolvingthecollectionofthestudyofexistingdata,documents,records,pathological specimens,ordiagnosticspecimens,ifthesesourcesarepubliclyavailableoriftheinformation isrecordedbytheinvestigatorinsuchamannerthatsubjectscannotbeidentified,directlyor throughidentifierslinkedtothesubjects. Note:Thedatamustbe“on-the-shelf”atthetimetheresearchbegins.Theresearchdatamust berecordedsothatsubjectscannotbeidentified.Inmostcasesthedatacollectionmusthave beenpreviouslyapprovedbyanIRB.Thisincludesdemographicinformationthatcouldlinkthe datatothesubject.Theexistenceofakeythatcouldbeusedtoidentifyasubjectdisqualifies theresearchfromusingthisexemption. Exemption5 Researchanddemonstrationprojectsthatareconductedbyorsubjecttotheapprovalof departmentoragencyheads,andwhicharedesignedtostudy,evaluate,orotherwiseexamine: (i)publicbenefitorserviceprograms;(ii)proceduresforobtainingbenefitsorservicesunder thoseprograms;(iii)possiblechangesinoralternativestothoseprogramsorprocedures;and (iv)possiblechangesinmethodsorlevelsofpaymentforbenefitsorservicesunderthose programs. Exemption6 Tasteandfoodqualityevaluationandconsumeracceptancestudies,(i)ifwholesomefoods withoutadditivesareconsumedor(ii)ifafoodisconsumedthatcontainsafoodingredientator belowthelevelforausefoundtobesafe,oragriculturalchemicalorenvironmental contaminantatorbelowthelevelfoundtobesafe,bytheFoodandDrugAdministrationor approvedbytheEnvironmentalProtectionAgencyortheFoodSafetyandInspectionServiceof theU.S.DepartmentofAgriculture. Whatresearchcannotqualifyforexemptstatus? Researchthatcannotqualifyforexemptstatusincludes: § Researchinvolvinginteractionwithchildren § Researchinvolvingprisoners § Researchthatinvolvesdeceptionorwithholdingofinformationfromsubjects § Researchthatinvolvesintensephysicalexercise § Researchthatmaycauseemotionaldistressordiscomfortgreaterthatwhatwouldbe expectedindailylife SeeDecisionTreesathttp://www.hhs.gov/ohrp/policy/checklists/decisioncharts.html,Charts2-7. TocompleteanapplicationrequestingExemptStatusgotohttps://apu.my.irbmanager.com 12 InstitutionalAuthorizationAgreement Aninstitutionalauthorizationagreement(IAA)isaformal,writtendocumentthatprovidesamechanism forAPUtoacceptauthoritytoreviewandapproveresearchconductedelsewhere,orforAPUtocede thatauthoritytoanotherentity.AnIAAisajointreviewarrangementthatfacilitatescollaborationon humansubjectsresearch,enablingcollaboratinginstitutionstorelyonasingleIRB(an“IRBofRecord”) forreviewandforsomeorallaspectsofcontinuingoversightoftheresearch,inorderavoida duplicationofefforts.Inallcases,theInstitutionalOfficial(ViceProvostforGraduateProgramsand Research)mustapprovethearrangementupontherecommendationoftheIRBChairandtheExecutive DirectorofResearchandGrants. SomeinstanceswhenanIAAmaybeappropriateinclude,butarenotlimitedto: • • • • Ifanotherinstitutionreceivesagrantandcontractsoutallhumansubjectsresearchto investigatorsatAPU,thenAPUmayagreetoserveastheIRBofrecord;APUcouldaccept additionalauthority. IfAPUresearcherscollaboratewithresearchersfromanotherfederally-assuredinstitutionand theresearchiscollectedataneutralsite,APUmayagreetoserveastheIRBofrecordincertain circumstances;APUcouldacceptadditionalauthority. IfaninvestigatoratAPUcollaboratesonaprojectwithanotherinstitutionandhis/her involvementislimitedtodataanalysisofresearchcollectedbycollaboratinginvestigatorsatthe otherinstitution,thentheotherinstitutionmayagreetoserveastheIRBofrecordforthe project;APUcouldcedeauthority. IfinvestigatorsatAPUandanotherinstitutionarecollaboratingonaprojectandtheIRBatthe otherinstitutionisbetter-preparedtoreviewtheresearch,thenthatinstitutionmayagreeto serveastheIRBofrecordfortheproject;APUcouldcedeauthority. InvestigatorsmayrequestanIAA,butgenerallytheyareinitiatedbyIRBadministratorsandrequire approvaloftheInstitutionalOfficialateachinstitution.TheIRBChairandExecutiveDirectorof ResearchandGrantswillconsiderusinganIAAonacase-by-casebasisincludingfactorssuchas 1)ensuringqualityandthoroughnessofprotocolreview; 2)localcontextissues; 3)institutionalliability; 4)complexityofsharedcontrolandaccountability; 5)costsofdelegatingoracceptingreview;and 6)relationshiptotheoutsideorganization. Exemptresearchprojectsarenoteligibleforconsideration.Also,APUwillnotnormallyprovideIRB-ofrecordservicesforresearchinwhichtheuniversityisnotengaged,orinwhichitsinvestigatorsarenot otherwiseinvolved.Itwillalsonotreviewresearchoverwhichtheuniversitycannotappropriately addressthelocalcontextorotherwiseexerciseadequateoversight. TheIRBChairandExecutiveDirectorofResearchandGrantswilldetermineeligibilityforanIAAandwill recommendthetermsofsuchanagreement.ForbecomingtheIRB-of-Record,considerationsinclude, forexample,thetimeandresourcesrequiredtoacceptthereview,APU’sexpertiseforinitialand 13 continuingreview,andthewillingnessoftheotherinstitutiontomonitorcompliance,reviewadverse eventsandtohandlecomplaints.Forcedingauthoritytoanotherinstitution,considerationsincludethe impracticabilityofanAPUIRBreview,theappropriatenessoftheotherIRBtoreviewtheprotocol,and theproposedarrangementsforthatinstitutiontomonitorandoverseetheresearch. AspartoftheIAAorinaseparatedocument,thepartiesmustestablishandclearlydocumentrolesand responsibilities,theIRBofrecordforaprotocol,communicationchannels,etc.Researchmaynot commenceuntiltheIAAisfullyexecuted.BecauseestablishinganIAArequiresthoroughreview,it shouldnotbeconsideredasatime-savingeffort;indeed,someagreementstakeseveralweeksto negotiate,renderingafullboardreviewmoreexpedient. Insomecases,theFederalwideAssurance(FWA)oftheinstitutionrelyingonanotherinstitution’sIRBor independentIRBmayneedtobeamendedtolistthereviewinginstitution’sIRBorindependentIRB. CopiesofthesignedagreementmustbekeptatbothinstitutionsandbemadeavailabletoanyCommon Ruleagencyuponrequest. 14 CourseRelatedResearchbyAPUStudents Theinstructorofrecordisresponsibleforsafeguardinghumansubjectsinresearchprojectsundertaken bygraduateandundergraduatestudentsintheircoursesandprogramsofstudy.Courserelated researchprojectsmayincluderesearchpracticaandundergraduatethesisprojectsinvolvingresearch methodologyandcourse-assigneddatacollection.Theseactivitiesgenerallydonotmeetthefederal definitionofresearchbecausetheirpurposeistoprovidetraininginresearchaspartoftheoverall educationalmissionofaprogramandarenotdesignedtocontributetonewgeneralizableknowledge. If,asanexception,aprojectwithhumansubjectsisintendedtocontributetogeneralizableknowledge ortopossiblyleadtopublication,thefacultyandstudentmustsubmitanapplicationtotheIRBpriorto thecollectionofdata. Theinstructorofrecordmusthaveacertificateinprotectionofhumansubjectsandisresponsiblefor ensuringthatstudentprojectsarelowriskanddonotinvolvechildrenorothervulnerablepopulations. IngeneralitisadvisablethatallstudentswouldberequiredtocompleteCITItraininginprotectionof humansubjectsbeforebeginningtheirprojects.Inaddition,theinstructormustdeterminethat studentsconductingcourse-relatedprojectshavedocumentedinformedconsentfromallparticipants whenrequired(seep.20orcontacttheIRBCoordinatororIRBChair).Inaddition,theinstructormust ensurethatstudentresearcherstakeproperstepstomaintainconfidentialityofresearchdata.Itis essentialtoremoveparticipantnamesfromresearchdata. Itoccasionallyhappensthatastudentisinvolvedinacourse-relatedactivitydesignedtoteachresearch methodologies,andtheinstructoralongwiththestudentwishtoconductfurtherinvestigationand analysesinordertocontributetoscholarlyknowledge.Thissuggeststheneedforfreshdatacollection conductedwithIRBapproval.APUdoesnothaveaprovisionforretroactiveIRBapproval. 15 InternationalandCrossCulturalResearch Allhumansubjectresearchconductedinternationallyoracrossculturesmustadequatelyprotectthe rightsandwelfareoftheresearchsubjects.Researchersmustprovideevidencethatresearchprojects andtranslateddocumentsaresensitivetoparticipants’localresearchcontext,particularlycultureand language.Theseprotocolsshouldbecategorized(i.e.,expedited,fullboard)usingthesamerisk/benefit considerationsappliedtoanyotherresearchproject.InadditiontoobtainingAPUIRBapproval,thePI mustprovideevidencethatresearchprojectsandtranslateddocumentsaresensitivetoparticipant context,inclusiveofcultureandlanguage.Thefirstchoicefordocumentingsensitivitytoparticipant contextisIRBreviewintheparticipants’countryofresidence.Asanalternative,PI’smayseekwritten documentationofsensitivitytolocalresearchcontextfrompersonswhomeetallthreecriteria,namely (a)indigenoustotheparticipantculture,(b)aresidentoftheresearchareafortwoofthelasttenyears, and(c)presentlyservingasanofficialofalocalgovernmentorlocalacademicinstitution. Internationalandcrossculturalresearchproposalsrequiringtranslateddocumentsshouldinclude contactinformation/scriptsandinformedconsent.ThePIcandemonstrateaccuracyandsensitivityof translateddocumentsthroughbacktranslationbypersonsindigenoustotheparticipantcultureand fluentinparticipantlanguage.ThePIcantranslatedocuments,butcannotserveasbacktranslatorof documentsemployedinhis/herresearch.LocalconsulatesmayhavepersonnelthatmeetIRBcriteria thatcanassistwithverifyingthattheplannedresearchisculturallysensitiveand/orwithtranslations. TheInternationalCompilationofHumanResearchStandardsprovidesaresourceoflaws,regulations, andguidelinesthatgovernhumansubjectresearchaswellasthestandardsfromanumberof internationalandregionalorganizations.Thesearelistedbycountryandcanbefoundhere: http//www.hhs.gov/ohrp/international/index.html. PIswhoconductresearchinaninternationalsettingmustcompletethesupplementaltrainingmodule oninternationalresearchintheCITIprogram. 16 ExternalResearchReviewProcess AllrequestsfromresearchersoutsideofAPUtoinvolveAPUfaculty,staff,andstudentsfortheir researchwithhumansubjectsshouldbesenttotheIRBCoordinatorwhowillassisttheresearcherin understandingtheAPUspecificreviewprocessforsuchrequests.TheextenttowhichAPUpersonnel areinvolvedintheresearchisthefirstreviewcriteria.Iftheproposalisdeemedtobe“non-engaged research,”theresearchershouldsubmitacopyofhis/herIRBapplicationfromhis/herhomeinstitution, ifoneexists.Iftheproposalisdeemedtobe“engagedresearch,”theresearchermustsubmita completedAPUIRBapplication.Thisisanecessarystep,eveniftheresearchwasclassifiedas“exempt” atanotherinstitution.TheIRBapplicationshould,wheneverpossible,identifyasponsoratAPU-- someoneatthedepartmentchairordirectorlevel.Theexternalresearcher’sproposalandsupporting materialsareforwardedtoAPU’sViceProvostforGraduateProgramsandResearch. TheViceProvostwillrequestareviewoftheproposalbyAPU’sExternalResearchReviewCommittee whichwillconsiderfactorsincludingthetimingoftheprojectrelatedtootherplannedresearch projects,whethersuchinformationhasrecentlybeencollectedatAPU,andthepurposeandpotential benefitoftheresearchproject.Baseduponthecommittee’srecommendation,theViceProvostwill determinewhethertheproposedresearchisapproved.TheViceProvostorIRBCoordinatorwillnotify theresearcheroftheapprovalordenial,notinganyconditionsinthecaseofapproval,andwilldirect theexternalresearchertotheOfficeofInstitutionalResearchandAssessmentoranotheridentifiedAPU contactpersonfornextsteps.Inthecaseof“engaged”researchwithhumansubjects,thenextstepis IRBreviewandapproval.TheIRBCoordinatorwillthendirecttheresearchertotheon-lineapplication process. 17 InformedConsent Noinvestigatormayinvolveahumanbeingasasubjectinresearchcoveredbythesepoliciesunlessthe investigatorhasobtainedthelegallyeffectiveinformedconsentofthesubjectorthesubject’slegally authorizedrepresentative. TheInformedConsentwillcontain: 1. Astatementthatthestudyinvolvesresearch; 2. Anexplanationofthepurposeoftheresearch,aninvitationtoparticipateandexplanationof whytheparticipantwasselected,andtheexpecteddurationoftheparticipant'sparticipation; 3. Adescriptionofprocedurestobefollowedandidentificationofwhichproceduresare investigationalandwhichmightbeprovidedasstandardcaretotheparticipantinanother setting.Useofresearchmethodssuchasrandomizationandplacebocontrolsshouldbe explained; 4. Astatementofanyfinancialorothermeansofsponsorshipfortheresearch; 5. Adescriptionofanyforeseeablerisksordiscomfortstotheparticipant,anestimateoftheir likelihood,andadescriptionofwhatstepswillbetakentopreventorminimizethem;aswellas acknowledgmentofpotentiallyunforeseeablerisks; 6. Adescriptionofanybenefitstotheparticipantortoothersthatmayreasonablybeexpected fromtheresearch,andanestimateoftheirlikelihood; 7. Adisclosureofanyappropriatealternativeproceduresorcoursesoftreatmentthatmightbe advantageoustotheparticipant; 8. Astatementdescribingtowhatextentrecordswillbekeptconfidential,includingexamplesof whomayhaveaccesstoresearchrecordssuchashospitalpersonnel,theFDA,anddrug sponsors; 9. Anexplanationanddescriptionofanycompensationandanymedicaltreatmentsthatare availableifparticipantsareinjuredthroughparticipation;wherefurtherinformationcanbe obtained,andwhomtocontactintheeventofresearch-relatedinjury; 10. Anexplanationofwhomtocontactforanswerstoquestionsabouttheresearchandthe researchparticipant'srightsincludingthenameandphonenumberofthePrincipalInvestigator (PI); 11. Astatementinformingthesubjectthatinquiriesregardingthenatureoftheresearch,his/her rightsasasubject,oranyotheraspectoftheresearchasitrelatestohis/herparticipationasa subjectcanbedirectedtotheResearchIntegrityOfficeratAzusaPacificUniversity; 18 12. Astatementthatresearchisvoluntaryandthatrefusaltoparticipateoradecisiontowithdraw atanytimewillinvolvenopenaltyorlossofbenefitstowhichtheparticipantisotherwise entitled; 13. Astatementthatifaparticipantdeclinestocontinue,anydatagatheredtothatpointmaybe partofdataanalysis; 14. Astatementindicatingthattheparticipantismakingadecisionwhetherornottoparticipate, andthathis/hersignatureindicatesthathe/shehasdecidedtoparticipatehavingreadand discussedtheinformationpresented; 15. Astatementoutliningthenatureofsubjectremuneration(ifany).Remunerationshouldbe describedasa“tokenofappreciation”forparticipatingsubjects.Careshouldbetakentoensure thatremunerationisappropriatetothescopeandcontextoftheproject.Excessive remunerationmaybeviewedaspotentiallycoercive; 16.CaliforniaExperimentalSubject’sBillofRights-ifhumansubjectsareinvolvedinan experimentalclinicalprocedure; 17.AuthorizationforUseofPrivateHealthInformation-ifpersonalinformationconsidered “ProtectedHealthInformation”isusedinthestudy; 18.Thesignatureoftheresearcherafterexplainingtheresearchtotheparticipantandwhenthey aresatisfiedtheparticipantfullyunderstands.Itisnotappropriatefortheresearchertosignin advanceortouseastampedsignature. InformedconsentshouldbeonAPUletterhead. AdditionalElementsofInformedConsent Whenappropriate,oneormoreofthefollowingelementsofinformationshallalsobeprovidedtoeach subject: 1. astatementthattheparticulartreatmentorproceduremayinvolveriskstothesubject(orto theembryoorfetus)ifthesubjectisormaybecomepregnantwhicharecurrently unforeseeable; 2. anticipatedcircumstancesunderwhichthesubject’sparticipationmaybeterminatedbythe investigatorwithoutregardtothesubject’sconsent; 3. anyadditionalcoststothesubjectthatmayresultfromparticipationintheresearch; 4. theconsequencesofasubject’sdecisiontowithdrawfromtheresearchandproceduresfor orderlyterminationofparticipationbythesubject; 5. astatementthatsignificantnewfindingsdevelopedduringthecourseoftheresearchwhich mayrelatetothesubject’swillingnesstocontinueparticipationwillbeprovidedtothesubject; 6. theapproximatenumberofsubjectsinvolvedinthestudy(§45CFR46.116). 19 DocumentationofInformedConsent 1.TheIRBmaywaivetherequirementfortheinvestigatortoobtainasignedconsentformforsome orallsubjectsifitfindseither: a. Theonlyrecordlinkingthesubjectandtheresearchwouldbetheconsentdocumentand theprincipalriskwouldbepotentialharmresultingfromabreachofconfidentiality.Each subjectwillbeaskedwhetherthesubjectwantsdocumentationlinkingthesubjectwiththe research,andthesubject’swisheswillgovern;or b.thattheresearchpresentsnomorethanminimalriskofharmtosubjectsandinvolvesno proceduresforwhichwrittenconsentisnormallyrequiredoutsideoftheresearchcontext. SeeDecisionTreesathttp://www.hhs.gov/ohrp/policy/checklists/decisioncharts.html,Charts10 and11. 2.Exceptasprovidedinparagraph1above,informedconsentshallbedocumentedbytheuseofa writtenconsentformapprovedbytheIRBorbyuseofanelectronicconsentformforelectronic surveys(seeInformedConsentformtemplatesintheAppendix).Thewrittenconsentforms mustbesignedbythesubjectorthesubject’slegallyauthorizedrepresentative.Acopyshallbe giventothepersonsigningtheform. 3.Exceptasprovidedinparagraph1ofthissection,theconsentformmaybeeitherofthe following: a. Awrittenconsentdocumentthatembodiestheelementsofinformedconsentrequiredby §45CFR46.116above.Thisformmaybereadtothesubjectorthesubject’slegally authorizedrepresentative,butinanyevent,theinvestigatorshallgiveeitherthesubjector therepresentativeadequateopportunitytoreaditbeforeitissigned;or b. Ashortwrittenconsentdocumentstatingthattheelementsofinformedconsentrequired by§45CFR46.116havebeenpresentedorallytothesubjectorthesubject’slegally authorizedrepresentative.Whenthismethodisused,thereshallbeawitnesstotheoral presentation.See§45CFR46.117foradditionalrelatedregulations. InformedConsenttemplatesforface-to-faceandelectronicsurveyresearchcanbefoundalongwith otherrequiredapplicationformsathttps://apu.my.irbmanager.com. StudentAssentForm TheIRBshalldeterminethatadequateprovisionsaremadeforsolicitingtheassentofchildren participatinginresearchwhen,inthejudgmentoftheIRB,thechildrenarecapableofprovidingassent. Children12-17yearsofagemustgivetheirwrittenassenttoparticipateinresearch.TheIRBmay determinethatchildrenyoungerthan12yearsofagemustgivetheirassentforaparticularresearch project. TheStudentAssentformforresearchwithminorscanbefoundalongwithotherrequiredapplication formsathttps://apu.my.irbmanager.com. 20 DeceptionandIncompleteDisclosure Incertaincircumstances,theuseofdeceptionorincompletedisclosureinresearchareacceptableand importanttechniques,thoughitplacesspecialresponsibilitiesbothontheresearcherandontheIRB.In thesecases,theIRBrequestsadditionalinformationfromresearchersandwillreviewthoseproposals carefully.Whereasdeceptionoccurswhenresearchsubjectsaredeliberatelygivenfalseinformation aboutsomeaspectoftheresearch,incompletedisclosureresultswhenthetruenatureorpurposeof theresearchiswithheld.Itisthereforetheprovisionoferroneousinformation(deception)orthe omissionofinformation(incompletedisclosure)whichcreatesacircumstancewarrantingspecial considerationfortheprotectionofthosehumansubjects. Inallcasesofdeceptionorincompletedisclosure,thefollowingguidelinesapply: • Theresearchmustinvolvenomorethanminimalrisktoparticipants • Thewaiveroralterationoftheinformedconsentmaynotadverselyaffecttherightsandwelfare oftheparticipants • Theresearchcouldnotpracticablybecarriedoutwithoutthealterationorwaiver • Attheappropriatetime,participantswillbeprovidedwithadditionalpertinentinformation regardingparticipation • Participantsmustbegiventherighttowithdrawtheirparticipationoncetheyaremadefully awareofthestudy’spurpose IRBapplicationsproposingtousedeceptionorincompletedisclosureshouldincludethefollowing information: • Aclearexplanationofwhydeceptionorincompletedisclosureisjustifiedandwhether alternativemethodscouldachievethesameresearchgoals • Anindicationofwhetherdeceptionorincompletedisclosuremayaffectaparticipant’s willingnesstoparticipateinresearch • IdentifywhatelementsoftheInformedConsenttheresearcherisrequestingtowaive • Anexplanationoftheprocesstodebriefparticipantsincludingwhowilldebriefthemandat whatpointinthestudy(includeacopyofthedebriefingstatementandthedebriefingscript). Theinformedconsentdocumentmustincludethefactthattheinformationprovidedtothe subjectisincompleteandthattheywillbedebriefedafterresearchproceduresarecompleted. • Anexplanationofwhetherdeceptionorincompletedisclosureislikelytocausethesubject discomfortbeforeorafterdebriefingandhowthatriskwillbeminimized Thedebriefingofparticipantsisrequiredatanappropriatepointintime.Suchadebriefingmustinclude afullexplanationoftheresearchquestionandhypothesis,theproceduresusedforthestudy,andwhy deceptionwasnecessary.Innocasecanthedebriefingcausemoreharmthanthedeceptionor incompletedisclosure. Initsreview,theIRBmustconsiderfactorsinadditiontothescientificvalueoftheresearchandthe efficacyofalternativeprocedures.Theywillalsoneedtoconfirmthatthedeceptiondoesnotextendto influencetheparticipants’willingnesstoparticipate,andthatanyexperimentallyinducedharmmaybe removedthroughdebriefing.Further,theIRBwillconsiderwhethertheresearcherisequippedto manageemotionalreactionsthatmayoccurduringdebriefing,andwhethertheproposeddeception couldfacilitateunwantedandinappropriateinvasionsofprivacy. 21 Deceptionorincompletedisclosurecannotbeapprovedifnon-deceptivealternativesareavailable,if humansubjectswouldlikelynotparticipateifthetruepurposeofthestudywereknowntothem,andif itplacesparticipantsatsignificantriskofanytype. Foradditionalinformation,seeUCLA’sguidanceandprocedureat http://ora.research.ucla.edu/OHRPP/Documents/Policy/8/Deception.pdfandSwarthmoreCollege’sIRB policyathttp://www.swarthmore.edu/institutional-review-board/deception-incomplete-disclosuredebriefing. ConflictofInterest TheUniversity'sPolicyforConflictsofInterestisconsistentwithfederalrequirementsforresearchand bestpracticesinacademia.Thefullpolicycanbefoundatwww.apu.edu/grants/policies.Inorderto preventbiasortheappearanceofbiasinresearch,everyoneengagedinresearch(seedefinitionof "coveredindividual")mustcompleteaPotentialConflictofInterest(PCOI)disclosureformatthetimeof applicationforfundedresearchorwhenapplyingforIRBapproval(whichevercomesfirst),andwithin 30daysofchangestoanyresponseontheform.Inthecaseoffederallyfundedresearch,covered individualsmustverifypotentialconflictsofinterestatleastannually.Potentialconflictsofinterestwill bereviewedbyaninstitutionalCommitteeforConflictsofInterestandamanagementplanmaybe establishedinordertomanage,reduce,oreliminateknownorlikelyconflictsofinterestrelatingto research.BecausefederalregulationschangedonAugust24,2012,IRBapplicantsareurgedtoread carefullythequestionsonthecurrentformaswellasthedefinitionsofkeytermswhichcanbefound accompanyingthePCOIformandinthefullpolicy. TheUniversity,itsfaculty,andothermembersoftheUniversityresearchcommunitycommitthemselves tothepursuitofresearchattheUniversityinaccordancewiththehigheststandardsofintegrityandin compliancewithlegal,professional,ethicalandotherrequirementsthatpromoteobjectivityand protectagainstfinancialconflictsofinterestinresearch.TheUniversitywillidentifypossibleconflictsof interestinresearch,whetherapparentorreal,andprovidemechanismsfortheirmanagement, reductionoreliminationincompliancewithfederalandstatelawaswellasanyrelevantpoliciesof entitiesfundingresearchattheUniversity. ThesuccessofAzusaPacificUniversity’sresearchprogramdependsupontheintegrityoftheresearch andtheresearchersaswellasthepublic’sconfidenceinthem.Conflictsofinterestinresearchstrikeat theheartofaUniversity’sintegrity.Inpursuitofitsmissionasaprivateinstitutionofhighereducation, theUniversityseeksexcellenceinthequalityofitsresearch,intheteachingandeducationitprovidesto itsstudents,andintheserviceitprovidestothebroadercommunity.Thisknowledgetransferinevitably leadstoincreasinglycloserelationshipsbetweenuniversitiesandthosewithfinancialcapitalinthe privatesector.Thebenefitsthatpotentiallyaccruefromthisproximityareaccompaniedbyrealor apparentrisksthateconomicinterestsmightcompromiseacademicresearchbyinfluencingan investigator’sjudgmentaboutthedesign,conduct,reporting,ormanagementofresearch,and,inthe caseofresearchinvolvinghumansubjects,imperilthesafetyofparticipants. Facultyassumingtheresponsibilityforthedesign,conductorreportingofresearchhaveaspecial obligationtoavoidbiasortheappearanceofbiasintheconductofthesestudies.Anypossibleconflict ofinterestmustbeformallydisclosedtotheinstitution.Questionsaboutthepolicyortheformmaybe directedtoDr.DianeGuido,ResearchIntegrityOfficer,[email protected] ThePotentialConflictofInterestDisclosureformwhichisrequiredforapplicationstotheIRBcanbe foundathttps://apu.my.irbmanager.comalongwiththeotherformsrequiredforapplication. 22 IntegrityinResearch AzusaPacificUniversityvalueshonestyandintegrityofresearchandisdedicatedtoensuringthe credibilityandtrustworthinessoftheresearchconductedbyourresearchcommunity,toprotectingthis communityfromunsubstantiatedallegationsofresearchmisconduct,andtoupholdingtheuniversity’s highstandardsforresearchactivity.MisconductinresearchrepresentsabreachofthepoliciesofAzusa PacificUniversity,thestandardsexpectedbyoursponsors,andtheexpectationsofscholarly communitiesforaccuracy,validity,andintegrityinresearch.ItisthereforethepolicyofAzusaPacific Universitytoinquireintoand,ifnecessary,investigateandresolvepromptlyandfairlyallinstancesof allegedresearchmisconduct.Further,itisalsothepolicytocomplyinatimelymannerwithsponsor requirementsforreportingcasesofpossibleresearchmisconductwhensponsoredprojectfundsare involved. Theprimaryresponsibilityformaintainingstandardsofintegrityisheldbyindividualscholarsandthe departmentsinwhichtheywork.Accordingly,itisincumbentuponallfaculty,principalinvestigators, andothersinpositionsofresponsibilitytoexerciseactiveleadershipintheirsupervisoryrolestoensure theintegrityoftheresearchbeingconducted.ThePolicyonIntegrityinResearchsetsforththe proceduresbywhichAzusaPacificUniversityseekstomaintainandenforceintegrityinresearchthrough impartialfact-findingandfairadjudicationsofallegationsofresearchmisconduct.Eachallegationof researchmisconductwillberespondedtoinathorough,competent,objective,andfairmanner.An AnnualReportonPossibleResearchMisconductisfiledwiththeOfficeofResearchIntegrity(intheU.S. DepartmentofHealthandHumanServices)bytheResearchIntegrityOfficer(RIO). Researchmisconductisfabrication,falsification,plagiarism,orotherseriousdeviationfromcommonly acceptedpracticesintherelevantscientificcommunityforproposing,performing,orreviewing research,orinreportingresearchresults.Anyobserved,suspected,orapparentresearchmisconduct mustbereportedtotheRIO.Ifanindividualisunsurewhetherasuspectedincidentfallswithinthe definitionofresearchmisconduct,heorshemaymeetwiththeRIO(theViceProvostforGraduate ProgramsandResearch)todiscussthesuspectedresearchmisconductinformally.Ifthecircumstances describedbytheindividualdonotmeetthedefinitionofresearchmisconduct,theRIOwillreferthe individualorallegationtootherofficesorofficialswithresponsibilityforresolvingtheproblem. Foramoredetaileddescriptionofresearchmisconductandtheproceduresforreviewinganallegation, pleaseseethefullcopyofthePolicyonIntegrityinResearchatwww.apu.edu/grants/policies. SuspensionorTerminationofIRBApproval TheIRBhastheauthoritytosuspendorterminateapprovalofresearchthatisnotbeingconductedin accordancewiththeIRB’srequirementsorthathasbeenassociatedwithunexpectedseriousharmto participants.Anysuspensionorterminationofapprovalshallincludeastatementofthereasonsforthe IRB’sactionandshallbereportedwithintwobusinessdaystotheinvestigator,facultysupervisor(ifa studentisinvolved),DepartmentChairandDean,Provost,andanypertinentgoverninginstitution(such asafundingagencyortheOfficeofHumanResearchProtection).Asaresponsetocomplaints,pressing concerns,orevidenceofharmtosubjects,theRIOorIRBChairmaysuspendastudy.Ifnecessary,the RIOmay,withoneormoreIRBmembers,initiateaninvestigation.Everyinvestigatorwillbegiventhe opportunitytorespondtotheconcerns.TheconvenedIRBmustvoteonanyactionofsuspensionor terminationuponcompletionofaninvestigation. 23 Researcher’sContinuingResponsibilities OnceaprojecthasbeenapprovedbytheIRB,researchersmustadheretotheapprovedprotocoland followanyadditionalIRBinstructions.Thecontinuingresponsibilitiesinclude: • enrollingonlythosesubjectsthatmeetIRBapprovedinclusionandexclusioncriteria; • properlyobtaininganddocumentinginformedconsent; • obtainingpriorapprovalforanydeviationfromtheapprovedprotocol; • keepingaccuraterecords; • promptlyreportingtotheIRBanyunanticipatedproblemsinvolvingriskstosubjectsor others,includingadverseevents,noncompliance,andprotocoldeviations; ResearchapprovedbytheIRBmaybemonitoredforcompliance. PrincipalInvestigator’sResponsibilitiesforReportingUnanticipatedProblemsandProtocolDeviations PrincipalInvestigatorsarerequiredtoreporttotheIRBallunanticipatedproblemsandadverseevents, aswellasprotocolchangesanddeviations.ItistheexpectationoftheIRBthatallapprovedprotocol proceduresarebeingfollowedwithoutalterationunlesstheIRBhasbeeninformedofaprotocolchange ordeviationeitherbyreportinganunanticipatedproblemoradverseeventbyseekingaprotocol revision. Unanticipatedproblemsinvolvingriskstosubjectsorothersreferstoaproblem,event,orinformation thatisnotexpected,giventhenatureoftheresearchproceduresandthesubjectpopulationbeing studied,andwhichsuggeststhattheresearchplacessubjectsorothersatagreaterriskofharmor discomfortrelatedtotheresearchthanwasanticipatedatthetimeIRBapprovalwasconferred. Specifically,“unanticipatedproblems”arethosethatmeetallthreeofthefollowingcriteria: 1. Unexpected(intermsofnature,specificity,severity,orfrequency)giventheresearch proceduresdescribedintheprotocol-relateddocumentsandthecharacteristicsofthesubject populationbeingstudied. 2. Relatedorpossiblyrelatedtoparticipationintheresearch(possiblyrelatedmeansthereisa reasonablepossibilitythattheincident,experience,oroutcomemayhavebeencausedbythe proceduresinvolvedintheresearch). 3. Suggeststhattheresearchplacessubjectsorothersatagreaterriskofharm(including physical,psychological,economic,legal,orsocialharm)thanwasanticipatedatthetimeIRB approvalwasconferred. Anadverseeventisdefinedasanuntowardorunfavorableoccurrenceinahumansubjectwhichmay ormaynotberelatedtothesubject’sparticipationintheresearch.Aseriousadverseeventisone whichresultsindeath,islife-threatening,requireshospitalization,resultsinasignificant disability/incapacity,oranyotheradverseeventthat,baseduponappropriatemedicaljudgment,may jeopardizethesubject’shealthandmayrequiremedicalorsurgicalinterventiontopreventoneofthe otheroutcomeslisted. TimeframeforReporting: 1. SeriousadverseeventsmustbereportedtotheIRBortotheRIOwithin24hoursofthe occurrenceoftheevent. 2. Otherunanticipatedproblemsorprotocolchangesanddeviationsthatmeetthethreecriteria abovemustbereportedtotheIRBwithin5daysoftheoccurrenceoftheevent. 24 3. Allothereventsoradverseeventsthatdonotmeetthesereportingcriteria,including unanticipatedprotocolchangesanddeviations,mustbesubmittedwithinoneweekofthe investigatorbecomingawareoftheproblem. Ifunanticipatedproblemsoccurduringresearch,thePrincipalInvestigatormustreportthefollowingto theChairoftheAPUInstitutionalReviewBoard: • ResearchnumberasassignedbytheIRB,titleofapprovedresearchproject • Adetaileddescriptionoftheadverseevent,incident,experience,oroutcome • Anexplanationofthebasisfordeterminingthattheadverseevent,incident,experience,or outcomerepresentsanunanticipatedproblem,and • Adescriptionofanyrecommendedchangestotheprotocolorothercorrectiveactionsthathave beentakenorareproposedinresponsetotheunanticipatedproblem. ThereportmustbesubmittedinwritingtotheIRBChair,whowillpromptlypresentthereporttothe IRB.IftheIRBChairisthePrincipalInvestigatormakingthereportunderthispolicy,thereportshallbe presenteddirectlytotheResearchIntegrityOfficerwhowillpresentthereporttotheIRB. TheIRB,theChairordesigneewillreviewthereporttoconsiderwhethertheeventimpactsthe risk/benefitratioandwhetherthatwarrantsareconsiderationoftheapprovalofthestudy, modificationstothestudy,revisionstothecontinuingreviewtimetable,suspensionofthestudy,or otheractionrequiredduetosafetyconcerns.TheIRBhastheauthoritytorequire,asaconditionof continuedapprovalbytheIRB,submissionofmoredetailedinformationbytheinvestigator,the sponsor,oraDSMBaboutanyadverseeventorunanticipatedproblemoccurringinaresearchprotocol. TheChairwillbrieftheExecutiveDirectoroftheOfficeofResearchandGrantsaswellastheResearch IntegrityOfficerconcerningallreports. Forseriousadverseevents,theChairordesigneehastheauthorityandresponsibilitytomake immediatechangestothestudy,asnotedabove,andwillrefertheissuetothefullIRBassoonasis feasibleforadditionalconsideration.OnlyafullIRBcanmakeadeterminationtotakenoactionona seriousadverseevent. AzusaPacificUniversity’sResearchIntegrityOfficermustpromptlyreporttotheOfficeforHuman ResearchProtectionsanyofthefollowingoccurrenceswhenrequiredbylaw: • Unanticipatedproblemsinvolvingriskstosubjectsandothers • SeriousorcontinuingnoncompliancewithrequirementsordeterminationsoftheIRB • SuspensionorterminationofIRBapprovalofnon-exempthumansubjectresearch. Forfurtherguidance,thePrincipalInvestigatorisencouragedtoreviewtheDepartmentofHealthand HumanServicesGuidanceonReviewingandReportingUnanticipatedProblemsInvolvingRisktoSubject orOthersandAdverseEventsathttp://www.hhs.gov/ohrp/policy/advevntguid.html. PrivacyandConfidentiality Privacyisdefinedashavingcontroloverextent,timingandcircumstancesofsharingoneselfwith others.Pleasebeattentivetothreatstoparticipants’privacy.Anacceptablepracticeistodistribute invitationstoabroadpopulationandaskforpersonstoself-identifyasmeetingmorenarrowcriteria. Anoptionforsomesensitiveinterviewresearchistooffertheparticipanttheopportunitytoreview publicationdraftsforunintendedmarkersofidentity. 25 Confidentialitypertainstothetreatmentofinformationanindividualhasdisclosedinarelationshipof trustandwiththeexpectationthatitwillnot,withoutpermission,bedivulgedtoothersinwaysthatare inconsistentwiththeunderstandingoftheoriginaldisclosure.Researchersordinarilyuseinformation participantshavedisclosedorprovidedvoluntarily(i.e.,withtheirinformedconsent)forresearch purposes.Inmostresearch,ensuringconfidentialitycanoccurbyfollowingtheseroutinepractices: • Substitutingcodesforidentifiersorencryptingidentifiabledata • Informedconsentdocumentsandde-identifiedresearchdataarestoredinseparatesecure locations • Userandomnumberstoidentifyresearchrecords(SocialSecurityandstudentIDnumbersare notacceptable) • Removingfacesheets(containingidentifierssuchasnamesandaddresses)fromsurvey instrumentscontainingdata • Properlydisposingofcomputersheetsandotherpapers • Limitingaccesstoidentifiabledata • Educatingtheresearchstaffontheimportanceofconfidentiality • Storingpaperrecordsinlockedcabinetsorassigningsecuritycodestocomputerizedrecords RecordingData Inrecordingdata,keeptwosimplerulesinmindtoavoidproblemslater,shouldsomeoneaskaboutor questionyourwork: • Hard-copyevidenceshouldbeenteredintoanumbered,boundnotebooksothatthereisno questionlateraboutthedatetheexperimentwasrun,theorderinwhichthedatawere collected,ortheresultsachieved.Donotuseloose-leafnotebooksorsimplycollectpagesof evidenceinafile.Donotchangerecordsinaboundnotebookwithoutnotingthedateand reasonsforthechange. • Electronicevidenceshouldbevalidatedinsomewaytoassurethatitwasactuallyrecordedona particulardateandnotchangedatsomelaterdate.Itiseasytochangedatesoncomputersand therebyalterthedateaparticularfileseemstohavebeencreated.Ifyoucollectyourdata electronically,youmustbeabletodemonstratethattheyarevalidandhavenotbeenchanged. Asyourecordyourdata,itmaybehelpfultothinkaboutthemasthelegaltenderofresearch–the currencyresearcher'scashinwhentheyapplyforgrants,publish,areconsideredforpromotion,and enterintobusinessventures.Tohaveandholdtheirvalue,researchdatamustbeproperlyrecorded. (Steneck,2004,pp.92-93) RetentionandStorageofData Responsiblehandlingofdatabeginswithproperstorageandprotectionfromaccidentaldamage,lossor theft: • Labnotebooksshouldbestoredinasafeplace. • Computerfilesshouldbebackedupandthebackupdatasavedinasecureplacethatis physicallyremovedfromtheoriginaldata. • Samplesshouldbeappropriatelysavedsothattheywillnotdegradeovertime. Datashouldberetainedforareasonableperiodoftimetoallowotherresearcherstocheckresultsorto usethedataforotherpurposes.Thereis,however,nocommondefinitionofareasonableperiodof 26 time.NIHgenerallyrequiresthatdataberetainedfor3yearsfollowingthesubmissionoftheclosure report.Somegovernmentprogramsrequireretentionforupto7years.APUrequiresthatdatabekept for3yearsaftertheclosurereportunlessalongerretentionisrequiredbyaspecificagency.Before discardingnotebooksorfiles,orerasingyourcomputermemory,giveconsiderationtowhomight benefitfromorasktoseeyourdatainthefuture. RequestforRevisionorAdditiontoApprovedResearch Researcherswhowillinanywaymodifytheirresearchprotocolorpersonnelwhichhasbeenpreviously submittedtoandapprovedbytheIRBmustsubmitaRequestforRevisionsorAdditionsReviewform. WhenaRequestforRevisionorAdditiontoanapprovedprotocolisreceivedwheretheonlyaddition requestedistoaddAPUstudentresearchassistantstotheresearch,thepolicyforapprovalisasfollows: TheIRBCoordinatorwillverifytherequiredCITIcoursehasbeencompletedandthePotentialConflictof InterestDisclosureformhasbeenincludedwhennecessary.TheCoordinatorthecanapprovethe RequestforRevisionsorAdditions.ApprovalmustbereceivedfromtheIRBpriortocommencingwith therequestedchange.Deviationsfromtheapprovedprotocolmaypromptaninvestigationbythe ResearchIntegrityOfficerandmayresultinterminationofapprovalbytheIRB.Theformcanbefound athttps://apu.my.irbmanager.com RenewalsforContinuingResearch Aftertheinitialapproval,allstudiesmustundergocontinuingreviewbytheIRBtoensurethattheriskbenefitrelationshipoftheresearchremainsacceptable,theinformedconsentprocessanddocuments arestillappropriate,andtheenrollmentofsubjectshasbeenequitable.Byfederalregulation,the maximumperiodbetweentheseIRBreviewsisoneyear.Theinvestigatorisresponsibleforapplyingfor continuingreviewinatimelymannertoensureIRBapprovaliscontinuous. Therefore,researchersmustsubmitanannualrenewalrequestfortheircontinuingresearchthree weekspriortotheanniversarydateoftheoriginalapproval.Youwillreceiveareminderfrom IRBManagerpriortotheexpirationofyourapproval.Dependingonthedegreeofriskinvolved,more frequentreportingmayberequestedbytheIRB(§46.109.e).Forresearchthatinitiallyrequiredafull IRBreview,theRequestforRenewalofContinuingResearchformmaybesubmittedtoandapprovedby thefullIRB.Iftheinitialapprovalwasanexpeditedreviewprocedure,theIRBChairordesigneereceives therequestform.Ifastudyisnotre-approvedbeforethestudy’sexpirationdate,theresearchstudyis automaticallysuspended. Theformforrequestingarenewalofyourapprovedresearchcanbefoundat https://apu.my.irbmanager.com ClosureReportofResearchStudy TheClosureReportmustbesubmittedafteralldatacollectionandde-identificationiscomplete,and PRIORtotheone-yearanniversarydateofyourapproval.IRBapplicationsfromresearcherswhoare delinquentonclosurereportsfrompreviousresearchwillbedelayeduntilclosurereportsarefiled. TheClosureReportformcanbefoundathttps://apu.my.irbmanager.com 27 LeavingAzusaPacificUniversity ResearchersmustcontacttheIRBassoonastheyareawareofanimpendingdeparturefromAPU.They musttheneitherfileaclosurereportbeforetheirdepartureormakearrangementstonameanother appropriatelyqualifiedindividualcurrentlyattheinstitutiontoserveasthePI. TheAPUIRBwillnolongercoveraninvestigatoronceheorsheleavestheinstitutionevenifthatperson remainsamemberoftheresearchteam.Inthatsituation,astudyrevisionwouldberequiredindicating theresearcher’snewroleand,if“engagedinresearch,”theresearchermustobtainIRBapprovalfrom his/hernewinstitution. TheInstitutionalReviewBoard(IRB) Membership APUfollowstheguidelinesoftheCommonRulethatrequirestheIRBtohaveatleastfivememberswho areofvaryingbackgroundsandexperience,includingadiversityofraceandgender.TheIRBwillalsobe comprisedofatleast: • onescientist, • onenon-scientist,and • “onememberwhoisnototherwiseaffiliatedwiththeinstitutionandwhoisnotpartofthe immediatefamilyofapersonwhoisaffiliatedwiththeinstitution”(45CFR46.107[d]). Inaddition,atleasttwoalternatefacultymemberswillbeappointedtoassureadequaterepresentation atscheduledmonthlymeetings.MembersareappointedtooneyeartermsbytheResearchIntegrity Officerincollaborationwiththedeanofthefaculty’sSchoolorCollege.Allmembersandalternate membersmusthavecompletedtheCITIinstructionfortheprotectionofhumansubjectsandreceived theCompletionReportinordertobeappointedtotheIRB.CompletionReportswillbeplacedonfile withtheInstitutionalReviewBoardCoordinator. FunctionsandOperationsoftheIRB TheIRBwillreviewproposedresearchrequiringFullBoardReviewatconvenedmeetings(atleast monthly)atwhichamajorityofthemembersarepresent,includingatleastonememberwhoseprimary concernsareinnon-scientificareas.Inorderfortheresearchtobeapproved,itwillreceiveapprovalof amajorityofthosememberspresentatthemeeting(§45CFR46.108).IRBapplications,meetings, documents,andminutesareconfidential. Aboardmemberwhohasaconflictofinterestwithaproposalthatisbeingreviewedmustrecuse himselforherselffromtheBoard’sdiscussionandthesubsequentvotebytheBoard.Therecusedboard member,however,mayanswerclarifyingquestionsifrequestedbytheIRB. 28 ResponsibilitiesoftheIRB Inordertoapproveresearch,theIRBmustensurethatthefollowingrequirementsaresatisfied: • • • • • • • • Riskstoparticipantsareminimizedbyusingproceduresconsistentwithsoundresearchdesign thatdonotunnecessarilyexposeparticipantstorisk. Riskstoparticipantsarereasonableinrelationtoanticipatedbenefits,ifany,toparticipants, andtheimportanceoftheknowledgethatmayreasonablybeexpectedtoresult.Inevaluating risksandbenefits,theIRBshouldconsideronlythosethatmayresultfromtheresearch,as distinguishedfromthoseparticipantswouldreceiveevenifnotparticipating. Selectionofparticipantsisequitable.TheIRBshouldconsiderthepurposesoftheresearchand thesettinginwhichtheresearchwillbeconductedandbeparticularlymindfulofthespecial problemsofresearchinvolvingvulnerablepopulations.Participantsshouldshareequallyin foreseeablebenefitsandrisks. Informedconsentissought,andwillbeobtained,fromeachprospectiveparticipantorthe participant'slegallyauthorizedrepresentativeinaccordancewith,andtotheextentrequiredby 45CFR46.116. Informedconsentisappropriatelydocumentedinaccordancewith,andtotheextentrequired by45CFR46.117. Whenappropriate,theresearchplanmakesadequateprovisionformonitoringthedata collectedtoensurethesafetyofparticipants. Whenappropriate,thereareadequateprovisionstoprotecttheprivacyofparticipantsandto maintaintheconfidentialityofdata. Additionally,whensomeoralloftheparticipantsarelikelytobevulnerabletocoercionor undueinfluence(e.g.,children,prisoners,pregnantwomen,ormentallydisabled,economically disadvantaged,oreducationallydisadvantagedpersons)additionalsafeguardsareincludedin thestudytoprotecttherightsandwelfareoftheseparticipants. TheIRBhastheauthoritytoapprove,requiremodifications(inordertosecureapproval),ornot approveallresearchactivities.TheIRBwillnotifytheinvestigatorsinwritingthroughIRBManagerofits decisiontoapproveornotapprovetheproposedresearch,orofmodificationsrequiredtosecureIRB approval.Iftheproposedresearchisnotapproved,theIRBwillincludeinitswrittennotificationa statementofthereasonsforitsdecisionandgivetheinvestigatoranopportunitytoreapply.Whenthe convenedIRBrequestssubstantiveclarificationsormodificationsofprotocolorinformedconsent documentsfromtheprincipalinvestigator,IRBapprovaloftheproposedresearchmustbedeferred, pendingsubsequentreviewbytheconvenedIRB. 29 References CollaborativeInstitutionalTrainingInitiative(CITI)protectionofhumansubjectsinresearch. Programmedinstructionforcertificationwww.citiprogram.org Steneck,N.H.(2004).Introductiontotheresponsibleconductofresearch.U.S.HealthandHuman ServicesDepartment.OfficeofResearchIntegrity. U.S.DepartmentofHealthandHumanServices.OfficeofHumanResearchProtections(OHRP) CategoriesofresearchthatmaybereviewedbytheInstitutionalReviewBoard(IRB)throughan expeditedreviewhttp://www.hhs.gov/ohrp/policy/expedited98.html Continuingreviewpolicy http://www.hhs.gov/ohrp/policy/continuingreview2010.html Guidanceoncertificateofconfidentiality http://www.hhs.gov/ohrp/policy/certconf.html Humansubjectsregulationdecisioncharts. http://www.hhs.gov/ohrp/policy/checklists/decisioncharts.html CodeofFederalRegulations http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html Reportingincidences http://www.hhs.gov/ohrp/policy/incidreport_ohrp.html HumanSubjects:Guidance http://www.hhs.gov/ohrp U.S.DepartmentofHealthandHumanServices.OfficeofResearchIntegrity(ORI) Policies/Regs/Statuteshttp://ori.hhs.gov MisconductRegulation,OfficeofResearchIntegrity http://ori.hhs.gov/policies/ori-policies U.S.DepartmentofHealthandHumanServices.NationalInstitutesofHealth(NIH)OfficeofHuman SubjectResearch BelmontReport:Ethicalprinciplesandguidelinesfortheprotectionofhumansubjects http://www.hhs.gov/ohrp/humansubjects/guidance/belmont.html 30
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