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《知情同意书通用规则变更的实施:研究人员与机构审查委员会的合作》

Implementation of Common Rule Changes to the Informed Consent Form: A Research Staff and Institutional Review Board Collaboration.

作者信息

Gartel Grace, Scuderi Heather, Servay Christine

机构信息

Kayentis, Boston, MA.

Ochsner Clinic Foundation Institutional Review Board and Clinical Trials Coordinator, Ochsner Clinic Foundation, New Orleans, LA.

出版信息

Ochsner J. 2020 Spring;20(1):76-80. doi: 10.31486/toj.19.0080.

Abstract

The Common Rule, which governs federally funded clinical research involving human subjects, formally defines the requirements for institutional review board (IRB) membership, functions and operations, and review of research, as well as the requirements for obtaining informed consent from research participants. The revisions to the Common Rule effective in January 2019 changed some content requirements for informed consent forms. This article summarizes the history of informed consent requirements, the changes made to the requirements by the revision to the Common Rule, and the ways in which IRBs and research staff work together to develop informed consent forms that comply with the regulations and provide all the information potential research subjects need to decide whether to participate in a study. Clinical research coordinators, under their investigators' supervision, are responsible for ensuring that research consent forms comply with the requirements of the federal regulations and the institution. Many IRBs have provided education regarding these new requirements, as well as consent templates that contain all the required elements. To ensure that the Common Rule's requirements are met, the IRB reviews each study submission, including the consent form. The IRB panel makes revisions to the consent forms as needed and returns the approved consent form to the investigator and clinical research coordinator. Research coordinators play an essential role in developing consent forms and providing the required review information to the IRB. In turn, through optimizing and standardizing consent forms and ensuring that all requirements of the Common Rule are followed, IRBs ensure that the rights of participants are protected and upheld.

摘要

《通用准则》管辖涉及人类受试者的联邦资助临床研究,正式规定了机构审查委员会(IRB)成员、职能与运作、研究审查的要求,以及从研究参与者处获得知情同意的要求。2019年1月生效的《通用准则》修订案改变了知情同意书的一些内容要求。本文总结了知情同意要求的历史、《通用准则》修订案对要求所做的更改,以及IRB和研究人员共同努力制定符合规定且能提供潜在研究对象决定是否参与研究所需全部信息的知情同意书的方式。临床研究协调员在其研究者的监督下,负责确保研究同意书符合联邦法规和机构的要求。许多IRB提供了关于这些新要求的培训,以及包含所有必需要素的同意书模板。为确保符合《通用准则》的要求,IRB会审查每份研究提交材料,包括同意书。IRB小组会根据需要对同意书进行修订,然后将批准后的同意书返还给研究者和临床研究协调员。研究协调员在制定同意书并向IRB提供所需审查信息方面发挥着重要作用。反过来,通过优化和规范同意书并确保遵循《通用准则》的所有要求,IRB确保参与者的权利得到保护和维护。

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本文引用的文献

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Where Did Informed Consent for Research Come From?研究的知情同意源自何处?
J Law Med Ethics. 2018 Mar;46(1):12-29. doi: 10.1177/1073110518766004. Epub 2018 Mar 27.
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AJOB Empir Bioeth. 2017 Jul-Sep;8(3):178-188. doi: 10.1080/23294515.2017.1362488. Epub 2017 Aug 2.
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