the ethics of human participant research office for research protections the pennsylvania state...
TRANSCRIPT
![Page 1: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/1.jpg)
THE ETHICS OF HUMAN PARTICIPANT RESEARCHOffice for Research Protections
The Pennsylvania State University
![Page 2: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/2.jpg)
Learning Objectives
• Recognize ethical violations in research
• Understand legal regulations governing research with human participants
• Describe the ethical principles governing research with human participants
• Identify federal protections for research involving human participants
![Page 3: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/3.jpg)
Nazi War Crimes• Sterilization experiments
• Typhus fever
• Vaccine experiments
• Nuremberg Trials
![Page 4: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/4.jpg)
Nuremberg code (1947)• Informed consent is essential
• Research should be based on prior animal work
• The risks should be justified by the anticipated results
• Only qualified scientists must conduct research
• Physical and mental suffering must be avoided
• Research in which death or disabling injury is expected should not be conducted
![Page 5: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/5.jpg)
The Tuskegee Syphilis Study
• 400 African-American men afflicted with Syphilis enrolled
• Intentionally misinformed about medical condition and research
• Treatment never administered
![Page 6: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/6.jpg)
The Willowbrook Study
• Infectious hepatitis study conducted at a New York mental institution
• Children deliberately infected with hepatitis
• Admission to the hospital contingent upon participation in the study
![Page 7: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/7.jpg)
Declaration of Helsinki (1964)
• Minimize risks and maximize benefits
• Obtain informed consent, preferably in writing
• Safeguard personal integrity of participants
• Participants free to withdraw from study
• Research considered to be harmful should be discontinued
![Page 8: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/8.jpg)
The Belmont Principles (1979)• Respect for persons
• Obtain informed consent• Respect the privacy of research subjects
• Beneficence• Use the best possible research design to maximize benefits and
minimize harms• Ensure researchers are able to perform the procedures and handle the
risks• Research without a favorable risk-benefit analysis may not be conducted
• Justice• Select subjects equitably• Avoid exploitation of vulnerable population or a population of
convenience
![Page 9: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/9.jpg)
Jesse Gelsinger Case
• Gene therapy replacement trial for rare enzyme disorder
• Jesse not adequately informed of potential risks
• Investigator found to have substantial stock holdings in sponsoring company
![Page 10: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/10.jpg)
Federal Protections of Human Participants in Research
• Institutional Review Board (IRB)
• Informed consent process
• Institutional assurances
![Page 11: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/11.jpg)
Respect for Persons
• Does the consent process maximize autonomy?
• Does the protocol maximize autonomy?
• What additional protections have been put in place for vulnerable populations?
• Does this study maximally protect subject privacy?
![Page 12: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/12.jpg)
Beneficence
• Is the research design adequate? • Can it be improved?
• What are the risks?• Have they been minimized?
• What are the benefits?• Have they been maximized?
![Page 13: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/13.jpg)
Justice
• Does recruitment for the study target the population that will benefit from the research?
• Does the recruitment unfairly target a population?
• Are the inclusion/exclusion criteria fair?
![Page 14: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/14.jpg)
Risk-Benefit Analysis
• Biomedical Study• PI interested in the effects of exercise on cardiovascular
health and hormone levels
• Jogging on a treadmill for 20 minutes
• Blood samples taken
• Participants connected to cardiovascular equipment to monitor heart rate and other indicators
![Page 15: THE ETHICS OF HUMAN PARTICIPANT RESEARCH Office for Research Protections The Pennsylvania State University](https://reader036.vdocuments.us/reader036/viewer/2022082816/56649d0f5503460f949e5769/html5/thumbnails/15.jpg)
Risk-Benefit Analysis
• Social Science Study• PI interested in the effects of past experiences on
students’ emotional health
• Asked to complete a series of mood questionnaires (pre/post test)
• Induce depression
• Debrief and return students to balanced state