This is the second installation of the previous blog post, Institutional Review Board (IRB) Reviewer Insights that builds on Mazur and Goldfarb's (2015) article, Sixteen Red Flags for the IRB.
Mazur and Goldfarb’s (2015) ask “is this the right team for the study?”
Question # | Mazur and Goldfarb's (2015) Questions to Researchers | TC IRB Administrator's Elaboration on Questions to Researchers |
9 | “Is the study proposal so poorly written that proper conduct of the study is questionable?” Mazur and Goldfarb’s (2015) |
Too often, an IRB protocol is difficult to read, convoluted, inconsistent, or has too many grammatical or spelling errors. When an IRB protocol is poorly written, research compliance administrators may not understand what is happening in study, much less the potential risks. A common conversation uttered in the IRB office is, “the study is likely low risk, but I cannot understand what the researcher is asking of the study participant to make a confident assessment of the risk.” Researchers should utilize TC IRB resources on how to write for the IRB. For student researchers, they can visit the Writing Center and consult with a Research Writing & Ethics intern on how to write an IRB protocol. |
10 | “Has the investigator demonstrated the qualifications and experience necessary to conduct the study, given its risks and complexities?” Mazur and Goldfarb’s (2015) |
A master’s student expressed interest in topics involving suicide ideation among youth. In assessing the student researcher qualifications for this study, the research compliance administrator discovered that the student had no prior mental health training and had never conducted a study of this type before. The student referenced on multiple occasions, that if a potential adverse event occurred or if the study participant exhibited discomfort or distress she would contact her faculty sponsor, who did have expertise in this study area. But it was uncertain how the student would handle the situation in the moment, how readily the faculty sponsor would respond to a call, and whether it was best that the student have direct supervision when engaging with a study participant, given her lack of qualifications on this topic. |
11 | “Are the other personnel on the research team qualified?” Mazur and Goldfarb’s (2015) |
A faculty researcher mentored a large research team and delivered the same training materials during convened meetings. However, one recently added research team member was unable to attend a training meeting but verbally affirmed he had the necessary skills to do the study tasks. The faculty member later discovered that this new staff member had inadvertently mislabeled participant data making it difficult to relabel the data to match the study participant. The faculty researcher reported the incident to the IRB office, as it was a data management concern, and in conversation with a research compliance administrator agreed to restrict research staff members from accessing data until they all went through the same training, even if they expressed previous knowledge of the task. Data is more secure when there is consistency of training, dependability on research staff to adhere to training procedures, and individuals engage in quality assessment. |
12 | “Are support personnel and departments qualified?” Mazur and Goldfarb’s (2015) |
Research compliance is a joint effort. The IRB will review investigator qualifications and must be assured that:
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13 | “Will everyone involved give the study adequate attention?” Mazur and Goldfarb’s (2015) |
The prospective subject population must be appropriate with respect to the nature and goals of the research. In addition, the investigator should be guided by the principles which lead to an equitable selection of subjects about the potential risks and benefits of the research. The IRB, therefore, will carefully examine the characteristics of the subject population. IRB reviewers will consider factors such as the required number of subjects, age range, sex, ethnic background, and health status. The utilization of any vulnerable classes of subjects such as sick persons, fetuses, prisoners, children, elderly persons, mentally disabled persons, and persons who are educationally or economically disadvantaged must be clearly justified. A research compliance administrator will also assess that a researcher can balance study activity administrator with participant protection expectations--in other words, can a researcher give due attention to the tasks proposed? A Lens into Working with Vulnerable and Marginalized Populations Blog Series Fostering Ethical Research in Contexts with Nuanced Vulnerability |
14 | “How will the study team hold up in the face of problems like serious adverse events or the loss of a team member?” Mazur and Goldfarb’s (2015) |
The IRB will review the study design to be assured that the potential risks to the subjects are minimized and the potential benefits maximized by using procedures consistent with sound research design. In a math study where activities were administered through an iPad two students fought and in the tussle one youth released the device and struck the other youth in the face resulting in a bloody nose. No one could have predicted a math study might involve a bloody nose, but the researcher’s quick action prevented further injury and the proper school officials were notified to settle the situation. Researchers cannot predict every incident that may occur during the course of their study, but they should have a clear safety plan, easily accessible contact numbers, and emergency response resources, as applicable. In a major grant funded project two researchers had a falling out. Despite their better judgment, a disgruntled researcher reorganized the data filing and reset several digital passwords. While this is a serious ethical matter, it happened and the ramifications were detrimental and long-term. Staff turnover happens and while unfortunate events can occur, researchers can safeguard data during peaceful times, and manage data to keep it secure. |
15 | “How is the situation likely to change over the course of the study?” Mazur and Goldfarb’s (2015) |
Emergencies (human-made or natural) can disrupt study activities. Researchers should have a research ramp-down and ramp-up plan. |
16 | “Can any weaknesses be addressed with supervision or assistance from more qualified people?” Mazur and Goldfarb’s (2015) |
A risk is a potential harm (injury) associated with the research that a reasonable person would be likely to consider significant in deciding whether to participate in the research. The concept of risk includes, but is not limited to, discomfort, burden, or inconvenience a subject may experience because of the research procedures. Underlying the consideration of risk is the implicit moral guideline that all investigators have a duty not to harm their subjects and must minimize potential risk to the greatest extent possible. A primary researcher may need assistance or supervision to mitigate risk factors. For example, when working with individuals at risk for falling due to a physical disability, the primary research may include a research assistant as a monitor to intervene if a study subject appears unbalanced. |
Human beings are considered autonomous, and the requirement of informed consent is designed to uphold the ethical principle of “respect for persons.” The use of human subjects is a privilege—a favor— granted to the researcher, rather than a right. Research compliance administrators review each IRB protocol on a case-by-case basis and weigh several factors in making their determinations. Mazur and Goldfarb’s (2015), Sixteen Red Flags for the IRB, is just one of many considerations for research involving human subjects.
References
Aspire to Submit a Human Subject Research Protocol
What Teachers College IRB Reviewers Typically Look for In a Protocol
What is Human Subjects Research?Mazur, Dennis & Goldfarb, Norman. (2015). Sixteen red flags for the IRB. Journal of Clinical Research Best Practices. 11(9).