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CCM | IACUC | IRB | ORD | ORI | ORIS | ORPFC | ORS | OSR | TTP |
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A 'human subject' is a living individual about whom an investigator obtains either data through intervention or interaction with the individual or identifiable private information. Legal requirements to protect human subjects apply to a much broader range of research than many investigators realize including interviews with persons, observation of behavior, and medical chart review.
The use of human subjects in research include the use of bodily materials, such as cells, blood or urine, tissues, organs, hair or nail clippings, even if you did not collect these materials, residual diagnostic specimens, including specimens obtained for routine patient care that would have been discarded if not used for research , and private information, such as medical information, that can be readily identified with individuals, even if the information was not specifically collected for the study in question. Research on cell lines or DNA samples that can be associated with individual's falls into this category.
*(National Institutes of Health - Research on Human Specimens Brochure)
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Research is defined as "a systematic investigation when human beings or their environment is manipulated; when information is sought from them directly (as through interview, examination, or questionnaire) or indirectly (as through observation), and when information concerning specific, individually identifiable human beings is asked for from third parties whether through access to files, data banks, or other depositories--or through direct inquiry.
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The Institutional Review Board (IRB) is a standing university committee established under federal regulations to protect the rights and welfare of all human subjects who volunteer to participate in research studies conducted under the auspices of Northwestern University. It oversees institutional compliance with all federal, state, and University guidelines relating to research with human subjects.
The IRB is responsible for reviewing all research involving human subjects, insuring the equitable selection of research subjects, ensuring that potential research-related risks are minimized, and that there is full disclosure so that volunteers can make an informed decision to participate.
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The committees are composed of persons who are sufficiently qualified, through experience and expertise, to review the research presented to them. In addition, they should be able to ascertain the acceptability of proposed research in terms of institutional policy, applicable law and standards of professional conduct and practice. Each committee includes at least one member whose primary concerns are in nonscientific areas and one member who is not affiliated with the institution, or part of the immediate family of a person who is affiliated with the institution. The members are appointed by the president of the university. Nominations are received from the chairs of university departments. A list of our committee members can be found on our board members page.
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Authority for the IRB is granted through the federal regulations that require any institution that receives federal money for research to establish Institutional Review Boards.
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The Institutional Review Boards have the authority to:
If an investigator would like to discuss concerns with an IRB reviewer, the request should be directed to OPRS staff and they will contact the reviewer. With the permission of the reviewer, the name may be released; however, reviewer confidentiality must be protected. Sometimes reviewers will call the Principal Investigator on their own and ask questions about the study prior to the IRB meeting.
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Engaging in human subject research without IRB approval has serious ethical implications and violates university and federal policies. Students, faculty, and staff are required to submit IRB applications before embarking on any data collection. Even pilot studies must be approved by the IRB.
Any instances of non-compliance must be reported to the appropriate governing agencies. The University's policy states that non-compliance may result in, among other things, suspension or termination of the study; and/or suspension of research privileges at the University.
Ramifications for StudentsAll research involving the collection of data from human subjects must be submitted to the IRB for review. Some research activities are exempt from full IRB review but the IRB must confirm
that an exemption is appropriate.
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"I want the fastest review possible as I am leaving town to conduct my research next week."
The type of review is determined by federal guidelines that include evaluating the risks of the research project, what is involved, whether information is collected anonymously or confidentially, and other factors. Depending on the type of review, some can only be carried out at scheduled meetings of the IRB. Investigators need to plan ahead when doing research and submit to the IRB so there is adequate time for review and approval before data collection is planned.
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All research activities involving greater than minimal risk (physical, social, psychological, and financial risks) to the subjects must be considered through Full Board Review.
New Project Submissions:As defined by the Northwestern IRB a full review for a new project requires two board members serving as reviewers. They will review all of the materials in the submission and present it at a convened IRB panel meeting. They assess that subjects are not exposed to undue risks by the research; that the nature of procedures of the research are ethical; and that the prospective subject can participate voluntarily as evidenced by the consent form.
Full Board Review for Other types of SubmissionsFull Board review for other types of submissions only requires one reviewer.
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A research project eligible for an expedited review is any research project in which the involvement of human subjects is considered low risk. An expedited review requires only one reviewer. Normally expedited reviews of New Projects go to the IRB panels meetings and may be discussed.
A list of procedures in certain categories helps to guide what type of review should be chosen and therefore what type of submission should be prepared. The activities listed on the expedited review form should not be deemed to be of minimal risk simply because they are included on this list. Inclusion on this list merely means that the activity is eligible for review through the expedited review procedure when the specific circumstances of the proposed research involve no more than minimal risk to human subjects.
The expedited review form has the categories as described by federal regulations. www.research.northwestern.edu/oprs/irb/templates/
This list includes the following types of studies and methodologies:
According to Federal Guidelines (45 CFR 46), research that presents little or no risk to human subjects (non-vulnerable subjects) does not require review by a convened Institutional Review Board. Although the project does not require full board approval, OPRS staff, in consultation with an IRB chair, must certify the exemption before the research study may commence. If the risks to human subjects appear questionable or the project does not fit into the federally defined categories for exemption, OPRS will notify the investigator that he/she must submit the study as a new project, for either full or expedited review. If you have doubts about the type of review, discuss your study with an OPRS staff member prior to submission.
After the IRB meeting, the OPRS staff prepares letters advising investigators about the status of their projects. Investigators with projects receiving full approval at the meeting receive approval letters within a week following the meeting. Investigators with projects requiring additional work receive letters outlining what needs to be done to prepare an approvable submission. Sometimes projects are tabled because there was insufficient information or inappropriate information so that the IRB could not make a decision on approval. When a project is tabled, it must be re-considered by the IRB panel that tabled it.
Submit your question to irb@northwestern.edu including PI name, IRB Project # (if you know what it is) and project title, plus a description of what information you are looking for. Status requests are usually processed within 24 hours.
Forms are available on the OPRS website at www.research.northwestern.edu/oprs/irb/forms/
They should be filled out using a computer, printed and the appropriate number of photocopies made. Investigators should always keep a copy of whatever submissions are made to the IRB.
Generally speaking it takes four to six weeks for an IRB project to be approved. Though this may seem like a long time, the materials must be processed by the OPRS staff, distributed to the IRB panels a week before the meeting, and then they are considered at an IRB meeting. Most projects require revisions. Sometimes they are minor. An application that is complete, with all attachments, and proofread with no typos can be reviewed more quickly than a project submission that is incomplete or poorly prepared.
All changes to an approved study must be submitted for review and receive IRB approval before the changes can be implemented. A revision form found at: www.research.northwestern.edu/oprs/irb/templates/ should be completed and signed by the principal investigator.
If you are revising your consent form(s), attach the new form(s) and answer 'yes' to the revised consent form question. Also attach any other revised documents (i.e. new questionnaires, recruitment materials) for IRB review.
The protocol may be changed without prior IRB approval only when there is an apparent immediate hazard to a patient, however, the IRB must be notified by letter as soon as possible of such a change and review is required immediately. The submission of a revision does not change the expiration date of a project. The expiration date is always one year from the time of the initial review or periodic review.
Submit a revision form noting any changes in study personnel. This requested change must be reviewed and approved by the IRB before new personnel begin their participation in the study.
Revisions to personnel on a study may affect HIPAA documentation. Be sure to check your Authorization Form if you are adding or deleting personnel.
Submit the flyers, advertisements, radio scripts, brochures, etc. on an OPRS form found at: www.research.northwestern.edu/oprs/irb/templates/
Flyers that are posted should have the IRB approval stamp on them. Do not post flyers until they are reviewed and approved by the IRB.
A Continuing Review is a reevaluation of an approved project conducted at least once a year, as mandated by federal regulations. This review allows the IRB to monitor the progress of the project. If you plan to continue conducting research beyond your current expiration date, you must complete a Periodic Review Form and submit it to OPRS between 30-45 days prior to the expiration date of last year's approval.
If you are still in the stage of data analysis the study should remain open. Research protocols must have continuing approval until all data analysis has been completed and termination reports are submitted. After the project has expired, no further research can be done. It is very important if you don't want your project closed that you remain in compliance by submitting your application for renewal in adequate time for review. If your project is not reviewed and approved prior to the expiration date, no further research can be done. All research must stop.
If you are uncertain about the expiration date of your project, consult the initial approval letter. The expiration date does not change despite other submissions about the project during the year.
CONTINUING REVIEW - Submit one copy Continuing Review for Research Form
OPRS staff attempts to send an electronic (e-mail) Periodic Review reminder to the principal investigator eight weeks prior to the deadline for submission. Investigators should also track their periodic review due dates themselves. The periodic review should be submitted 30-45 days before it is scheduled to expire.
Within a week following the meeting, investigators should receive either a pending letter explaining what more needs to be done or an approval letter. If after 5-7 business days you have not received a response, call OPRS for assistance.
Informed consent is the process by which a fully informed research subject can determine whether they wish to enroll in a research study. It is based on the legal and ethical rights of humans to make voluntary and autonomous decisions about whether they wish to be a research subject.
Informed consent is required for all research studies unless specifically waived by the IRB. In order to participate in a research study, human subjects must understand that they are part of a research project, that participation is voluntary, and that they may withdraw at any time without penalty. They must also understand the procedures involved, time commitment, benefits and risks, and the extent to which confidentiality is maintained. This information is presented to prospective subjects in consent forms.
Federal regulations prescribe the basic elements required in a consent form.
Since Institutional Review Boards are organized locally, the Northwestern IRB has a consent form template that provides standard language and is approved for use at Northwestern University and its affiliates. www.research.northwestern.edu/oprs/irb/templates/
The template makes it easier for investigators to prepare consent forms and for IRB panels to review submissions. Because the board members know the template and the required elements of consent are included, the review process can go faster. Furthermore, OPRS staff can help with the review by pre-review and editing to point out to Board members where the template is not followed.
Sample consent forms are on the web and available for review. If investigators have a particular problem that needs to be considered in a consent form, they may contact OPRS staff for assistance in writing a consent form that will address the unique problem.
Assent is basically the same as consent yet involves minor children (under age 18) who are not authorized to give legally valid informed consent because of their age. Assent is written in child friendly language and describes the research participation, risks, benefits, and other elements of consent.
The decision to waive some part of consent (written and/or verbal) is a decision made by the IRB when your project is considered. Investigators should consult the guidelines for waiver of consent and prepare the appropriate materials. Guidelines are available at: www.research.northwestern.edu/oprs/irb/templates/
If you will be enrolling only one non-English speaking subject into your study, you may consider using the Short Form. Please see a list of Short Forms on the Forms page of our web-site for instructions.
Currently, we require a certification statement to be submitted with all foreign-language translations of consent forms, recruiting materials and other study materials. This statement should attest to the validity of the translation and include a statement of the English and foreign-language qualifications of the the translator.
Investigators may contact any of the translation services listed below for assistance in translating consent forms.
AD-Ex Worldwide
www.ad-ex.net
Quotes: translations@ad-ex.net
1-800-223-7753
Burg Translations, Inc.
http://www.burgtranslations.com/
312-263-3379
Corporate Translations
www.corporatetranslations.com/overview.htm
netinfo@corporatetranslations.com
(310) 376-1304 or (310) 376-1394
Northwest Translations Incorporated
www.nwtranslations.com
sales@nwtranslations.com
1-800-270-5620
Multilingual Planet
www.multilingualplanet.com/index.html
E-Mail Contact: info@multilingualplanet.com
1-617-566-7050
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