t he i nformed c onsent z one patricia s. kerby, mpa office of research compliance september 10,...

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THE INFORMED CONSENT ZONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

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P RINCIPLES CONT. All participants in patient oriented clinical research must participate in an informed consent process. This process must include: A statement that they are participating in a research study. Purpose- disclosure of aims, procedures, risks and benefits. It should explain randomization and placebo.

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Page 1: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

THE INFORMED CONSENT ZONE

Patricia S. Kerby, MPAOffice of Research ComplianceSeptember 10, 2008

Page 2: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

PRINCIPLES OF INFORMED CONSENT Researchers must make sure patients understand the

difference between clinical research and standard therapy.

Page 3: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

PRINCIPLES CONT. All participants in patient oriented clinical research must

participate in an informed consent process. This process must include:

A statement that they are participating in a research study.

Purpose- disclosure of aims, procedures, risks and benefits.

It should explain randomization and placebo.

Page 4: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

PRINCIPLES CONT. Study participation is voluntary. Potential subjects must

be informed that there are alternatives to participation.

Page 5: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

To increase patient comprehension, clinical researchers and their staff should use lay language at about the 8th grade reading level.

Page 6: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

The investigator must present the cost-benefit ratio for the patient and for society. This includes:

Benefits Risks Costs Compensation The patient must be able to explain the difference

between the clinical study and standard therapy.

Page 7: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

Disclose the consequences of early termination by the patient, investigator, or sponsor.

Page 8: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

Clinical investigators and their staff protect the confidentiality of the study participants.

Page 9: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

Test the comprehension for the patient thru verbal and written questions.

Repeating information helps patients understand

Page 10: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

Follow institutional requirements- Patient must receive a signed and dated copy of the consent form.

Page 11: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

Give the patient time to talk with significant others about being in the study.

Give the patient time to read and reflect upon the consent form

Introduce a waiting period between reading and signing the consent form

Encourage questions Indicate that the study is only one of several treatment

alternatives

Page 12: T HE I NFORMED C ONSENT Z ONE Patricia S. Kerby, MPA Office of Research Compliance September 10, 2008

Clinical investigators assume responsibility for the human subject’s welfare during and after informed consent.

The informed consent process is only one part of the investigator /research staff and patient relationship.