Podcast
Questions and Answers
What significant event occurred in 1979 related to the ethical foundation of research involving human subjects?
What significant event occurred in 1979 related to the ethical foundation of research involving human subjects?
- The establishment of the IRB
- The introduction of informed consent regulations
- The release of the Belmont Report (correct)
- The first US Federal Policy for human subject protection
Which principle is NOT part of the ethical foundation outlined in the Belmont Report?
Which principle is NOT part of the ethical foundation outlined in the Belmont Report?
- Beneficence
- Confidentiality (correct)
- Respect for persons
- Justice
What does the principle of 'respect for persons' emphasize in the context of research ethics?
What does the principle of 'respect for persons' emphasize in the context of research ethics?
- All participants must receive equal treatment
- Individuals must be protected regardless of their autonomy
- Individuals are autonomous agents entitled to protection (correct)
- Participants should have limited information about the study
In what year was the first US Federal Policy for the protection of human subjects established?
In what year was the first US Federal Policy for the protection of human subjects established?
Which aspect is included in the informed consent process according to the outlined criteria?
Which aspect is included in the informed consent process according to the outlined criteria?
What is required for the electronic submission of all projects?
What is required for the electronic submission of all projects?
Which statement is true regarding non-research projects?
Which statement is true regarding non-research projects?
Who is primarily responsible for ensuring all study team members complete the CITI training?
Who is primarily responsible for ensuring all study team members complete the CITI training?
What must be completed for research projects in Cayuse?
What must be completed for research projects in Cayuse?
What does the Cayuse Submission Smart Form require from the user?
What does the Cayuse Submission Smart Form require from the user?
What does the submission process involve after the PI certifies the project?
What does the submission process involve after the PI certifies the project?
What is necessary to set up before initiating a project in Cayuse?
What is necessary to set up before initiating a project in Cayuse?
Which of the following is NOT required for non-research projects?
Which of the following is NOT required for non-research projects?
What is one key reason for the existence of Institutional Review Boards (IRBs)?
What is one key reason for the existence of Institutional Review Boards (IRBs)?
What principle requires that participants in research understand the information presented to them?
What principle requires that participants in research understand the information presented to them?
Which of the following best describes the principle of beneficence in research ethics?
Which of the following best describes the principle of beneficence in research ethics?
Why are vulnerable populations given extra protection in research studies?
Why are vulnerable populations given extra protection in research studies?
What is a significant ethical concern that led to the formation of IRBs?
What is a significant ethical concern that led to the formation of IRBs?
What best characterizes the comprehension of participants in research studies?
What best characterizes the comprehension of participants in research studies?
Which statement is true regarding voluntary participation in research?
Which statement is true regarding voluntary participation in research?
What aspect of research is highlighted by the necessity of IRBs in regards to vulnerable populations?
What aspect of research is highlighted by the necessity of IRBs in regards to vulnerable populations?
What is required for a Waiver of HIPAA Authorization to be granted?
What is required for a Waiver of HIPAA Authorization to be granted?
Which of the following can be classified as test articles in human subject research?
Which of the following can be classified as test articles in human subject research?
What aspect of consent is NOT typically addressed in informed consent documentation?
What aspect of consent is NOT typically addressed in informed consent documentation?
What type of data set requires a signed Data Use & Transfer Agreement?
What type of data set requires a signed Data Use & Transfer Agreement?
Which form of risk is associated with questions that require participants to 're-live' traumatic events?
Which form of risk is associated with questions that require participants to 're-live' traumatic events?
What is the main concern when personal information could damage a participant's reputation or status in the community?
What is the main concern when personal information could damage a participant's reputation or status in the community?
Which of the following is a crucial component of the informed consent process?
Which of the following is a crucial component of the informed consent process?
In the context of research, what does a de-identified data set specifically refer to?
In the context of research, what does a de-identified data set specifically refer to?
What is a potential outcome of using sensitive survey questions that touch on traumatic experiences?
What is a potential outcome of using sensitive survey questions that touch on traumatic experiences?
Which of the following best describes the primary purpose of informed consent?
Which of the following best describes the primary purpose of informed consent?
What is a potential consequence of revealing a participant's information in research?
What is a potential consequence of revealing a participant's information in research?
In the context of quality improvement, which element is primarily focused on measuring outcomes before and after implementation?
In the context of quality improvement, which element is primarily focused on measuring outcomes before and after implementation?
Which of the following does NOT characterize evidence-based practice projects?
Which of the following does NOT characterize evidence-based practice projects?
What defines human subjects research according to the OHRP or FDA?
What defines human subjects research according to the OHRP or FDA?
What method is NOT typically included in quality improvement strategies?
What method is NOT typically included in quality improvement strategies?
What is the main focus of synthesis of findings in literature?
What is the main focus of synthesis of findings in literature?
Which factor is NOT a concern regarding the legal implications of research?
Which factor is NOT a concern regarding the legal implications of research?
What is a characteristic of studies designed to be generalizable?
What is a characteristic of studies designed to be generalizable?
Which statement about research involving control subjects is incorrect?
Which statement about research involving control subjects is incorrect?
What is likely to be a priority in a quality improvement project?
What is likely to be a priority in a quality improvement project?
Which of the following is a common strategy in the assessment of qualitative interventions?
Which of the following is a common strategy in the assessment of qualitative interventions?
What is a critical ethical consideration when conducting research with human subjects?
What is a critical ethical consideration when conducting research with human subjects?
Which aspect is often emphasized in practices and strategies for improving quality outcomes?
Which aspect is often emphasized in practices and strategies for improving quality outcomes?
In research design, what factor distinguishes quality projects from traditional studies?
In research design, what factor distinguishes quality projects from traditional studies?
What is the primary function of an Institutional Review Board (IRB)?
What is the primary function of an Institutional Review Board (IRB)?
Which of the following is a requirement for risks in research as outlined by regulatory criteria?
Which of the following is a requirement for risks in research as outlined by regulatory criteria?
What characterizes 'minimal risk' according to the guidelines?
What characterizes 'minimal risk' according to the guidelines?
What does HIPAA primarily seek to protect?
What does HIPAA primarily seek to protect?
Informed consent must be obtained in what manner?
Informed consent must be obtained in what manner?
What constitutes a conflict of interest in research settings?
What constitutes a conflict of interest in research settings?
The concept of distributive justice in research indicates what?
The concept of distributive justice in research indicates what?
What is a responsibility of the HHS Office for Civil Rights in relation to HIPAA?
What is a responsibility of the HHS Office for Civil Rights in relation to HIPAA?
What types of subjects require additional protections during research studies?
What types of subjects require additional protections during research studies?
What is a key aspect of data monitoring in research?
What is a key aspect of data monitoring in research?
What must researchers do if they wish to use Protected Health Information (PHI)?
What must researchers do if they wish to use Protected Health Information (PHI)?
Which scenario could be deemed a breach of confidentiality in research?
Which scenario could be deemed a breach of confidentiality in research?
Why is it essential to minimize coercion or undue influence in obtaining consent from research participants?
Why is it essential to minimize coercion or undue influence in obtaining consent from research participants?
What is the role of conflict of interest management in research?
What is the role of conflict of interest management in research?
Flashcards
1979 Belmont Report
1979 Belmont Report
Ethical framework for research involving human subjects, establishing key principles like respect for persons, beneficence, and justice.
Respect for persons
Respect for persons
Principle in research ethics emphasizing autonomy and protection of vulnerable populations.
Informed Consent
Informed Consent
A participant's voluntary agreement to take part in research after understanding the procedures, risks, and benefits.
1953 Federal Policy
1953 Federal Policy
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Beneficence
Beneficence
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IRB
IRB
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Human rights research
Human rights research
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Vulnerable populations
Vulnerable populations
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Why are IRBs important?
Why are IRBs important?
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Informed consent in research
Informed consent in research
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Beneficence in research
Beneficence in research
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Characteristics of human rights research
Characteristics of human rights research
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Thoroughness vs. comprehension
Thoroughness vs. comprehension
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Prospective Review
Prospective Review
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Continuing Review
Continuing Review
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HIPAA Privacy Rule
HIPAA Privacy Rule
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Vulnerable Subjects
Vulnerable Subjects
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Minimal Risk
Minimal Risk
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Risk Assessment
Risk Assessment
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Equitable Selection
Equitable Selection
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Distributive Justice
Distributive Justice
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Confidentiality
Confidentiality
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Safety Monitoring
Safety Monitoring
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Data Collection
Data Collection
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Research Design
Research Design
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Human Subjects Research
Human Subjects Research
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Waiver of HIPAA Authorization
Waiver of HIPAA Authorization
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Limited Data Set
Limited Data Set
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De-identified Data Set
De-identified Data Set
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Test Article
Test Article
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Intervention
Intervention
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Needlesticks
Needlesticks
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Risk in Research
Risk in Research
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Safety in Research
Safety in Research
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Privacy in Research
Privacy in Research
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Informed Consent: What does it mean?
Informed Consent: What does it mean?
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Research Risks
Research Risks
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What are the steps to start a research project?
What are the steps to start a research project?
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Cayuse Account
Cayuse Account
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HIPAA Identifiers
HIPAA Identifiers
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CITI Training
CITI Training
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Quality Improvement Project
Quality Improvement Project
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Evidence-Based Practice Project
Evidence-Based Practice Project
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Conflict of Interest (COI)
Conflict of Interest (COI)
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SMART Form
SMART Form
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Research
Research
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Generalizability
Generalizability
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IRB Review
IRB Review
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PI (Principal Investigator)
PI (Principal Investigator)
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Control Group
Control Group
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What happens after the IRB review?
What happens after the IRB review?
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Randomization
Randomization
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IRB Submission
IRB Submission
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Pre-Submission Tasks
Pre-Submission Tasks
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Study Notes
Human Subjects Research and Ethical Considerations
- Historical Context: Early research lacked ethical oversight, leading to abuses like the Tuskegee Syphilis Study, the Nazi Medical War Crimes, and other unethical experiments.
- Ethical Principles (Belmont Report): Developed in 1979, this report outlines three key ethical principles for research involving human subjects:
- Respect for Persons: Individuals are autonomous agents; those with diminished autonomy deserve additional protection. Informed consent is crucial, ensuring participants fully understand the study.
- Beneficence: Maximize benefits and minimize risks; research benefits must outweigh any potential harm.
- Justice: Fair and equitable distribution of research burdens and benefits; vulnerable populations must not bear a disproportionate burden of risk.
- Institutional Review Boards (IRBs): IRBs are established to protect research subjects; they conduct prospective reviews of research proposals, ensuring ethical conduct.
- Types of Research:
- Quality Improvement (QI) or Evidence-Based Practice (EBP) projects: Not designed to be generalizable; often focused on internal processes and quality outcomes at a specific site. May not qualify as human subjects research.
- Research projects: Designed to be generalizable and involve methods like pre/post measures, comparison groups, or randomization. These projects adhere to rigorous research methodologies.
- Federal Regulations & HIPAA: U.S. regulations aim to protect research subjects. HIPAA (Health Insurance Portability and Accountability Act) safeguards protected health information (PHI) used in research when applicable. Additional steps are required when using PHI for research, often requiring specific IRB/privacy board approval. De-identified data, or data with all identifying information removed, falls outside human research protection.
Institutional Review Board (IRB) Process
- Pre-submission tasks: Project categorization (QI/EBP or research); creating CITI accounts and Cayuse accounts; completing CITI modules and COI disclosures.
- Submission process: Using Cayuse submission forms to address project-relevant questions.
- Approval and study/project conduct: IRBs review and approve or request changes. Following approved protocols and using approved forms during project execution.
- Changes and closure: Reporting any project changes to the IRB, submitting closure reports (for research projects only) once the project is completed.
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