Ethical Approval – where to start! October 2015 – February 2016 Lois Neal FMS Research &...

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Ethical Approval – where to start! October 2015 – February 2016 Lois Neal FMS Research & Innovation Office

Transcript of Ethical Approval – where to start! October 2015 – February 2016 Lois Neal FMS Research &...

Page 1: Ethical Approval – where to start! October 2015 – February 2016 Lois Neal FMS Research & Innovation Office.

Ethical Approval – where to start!

October 2015 – February 2016

Lois Neal

FMS Research & Innovation Office

Page 2: Ethical Approval – where to start! October 2015 – February 2016 Lois Neal FMS Research & Innovation Office.

Do I need ethical approval to do this?

?

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You already have:

… a clearly defined research questionand a route to getting an answer

You know what you’re actually going to do

(a) an activity that will yield data(b) analyses that fit the data

Altogether you have a project outline (or proposal)

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Need anything else?

The answer to…

Will my proposed project actually work?

You’ll get stopped in your tracks without an answer!

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Will my proposed project actually work?

Of course it will!Hopefully, it will It’ll be trial and error, I guessI’ve no idea, really!

I’ll get it “peer reviewed”I’ll ask those with expertise and experience

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Who does this “peer review”?

• Your peers!• Project supervisor• Programme Director• Principal Investigator• Head /staff of academic unit• Experts from other HEIs

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Now……….ethics!Give your proposal a preliminary ethical review(a preliminary assessment of the risks involved)

Who is responsible?Who carries out this review?Who needs to know about it?Who is in a position to check it?Who keeps the record of it?

You are in charge here!

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Gate questions……………………Answer “yes” or “no”

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If “no”, skip to the next gate question……If “yes”, stay and answer the sub-questions……

If these are ALL “no” nothing has been triggeredGo on to the next gate question……

If ALL the gate questions are answered “no”…..Or if ALL the sub-questions are answered “no”…..

You do not need any further ethical reviewYou have ethical approval to proceed

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Examples

• Further analysis of existing anonymous data• Review of experiments carried out and

reported by others • Student feedback of teaching• Market research• Internal review of a process to improve it• Randomised public opinion poll

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If “no”, skip to the next gate question……If “yes”, stay and answer the sub-questions……

If one or more is “yes”, then a risk has been triggered

Watch out for the “gate keeper” question…..

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When is there a “gate keeper”?When you need access via someone with undue influence

Pupils in a class

Employees in a companyStudents in your module group

Members of a charity

Owners of Council allotments

Users of a service

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If “no”, skip to the next gate question……If “yes”, stay and answer the sub-questions……

If one or more of these is “yes”, then a risk has been triggered

You will need to give further details(further questions will pop up)

for further reviewand approval

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Examples

• A survey of children or vulnerable adults• One-to-one interviews about sensitive topics• Reaction-time tests of people with Alzheimer's

Disease• Collecting diet or exercise diaries and

determining BMIs• Measuring TV watching in adolescents• Targeted questionnaires delivered over the

web

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Further ethical review

Where from?The appropriate “recognised authority”

What are these “recognised authorities”?How do I ask for ethical review and approval?

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NU - Animal Welfare Ethical Review Board

Contact the CBC/Faculty Office

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National Research Ethics Service (NRES)

Social Care Research Ethics Committee (SCREC)

2015 - The submission and approval processes are moving to the Health Research Authority (HRA)

NHS Research Ethics Committees (RECs)

Social Care Research Ethics Committees (SCRECs)

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http://www.hra.nhs.uk/

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HRA provides:

a new process comprises a review by a NHS RECANDassessment of regulatory compliance

Introduction is phased!

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From 10 August 2015

Studies that fit: (1) Health services research studies involving only NHS staff as

participants. These must be studies that are identifying participants by virtue of their NHS employment and that do not require review by a NHS Research Ethics Committee (REC)

(2) Studies that are taking place only in a primary care independent contractor setting in the NHS in England. This includes NHS GP practices, dental practices and community pharmacies. This would not include studies that are taking place in a secondary care or mental health setting in the NHS.

And satisfy:Be taking place in England only. Not be solely undertaken for educational purposes. Be multi-site or single site (except where the single site is also sponsor)

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Notes for NHS REC Approval

Best advice:

Use the Web!

and

talk to someone with experience of the process

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Newcastle focussed information

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Our NJRO

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“R&D Approval”

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“R&D Approval” Check-list

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National information (from NIHR)

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Getting Ethical Review and Approval

Submit documentation…..• -NRES – the Committee will meet and consider, if invited please

attend! (Proportionate Review also offered now)

• -AWERB/Home Office – Newcastle Committee will meet and consider• -FMS Ethics – selected Reviewers comment (Virtual Committee)

• Almost always there will be issues or comments to address and respond to!

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Once ALL issues are resolved:

• Letter to confirm ethical opinion, if favourable, then you have ethical approval

• Letter is for a specific project and period

Subsequent changes/issues• amendments MUST be notified• adverse incidents MUST be reported

And finally……..

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For further guidance ask:

Lois Neal, FMS Research & Innovation Office

[email protected]

University applications forms send to:

[email protected]

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Stage 2 – Full Ethical Review

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Stage 2 Form

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Putting an application together……

Hints and tips………

Perfect preparation prevents poor performance

Give yourself enough time

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More Hints and Tips

Full explanationsEasy to readGood standard of EnglishCorrect spellingsJargon free

Reviewers are new to your proposal……

be kind to themlead them through what you want to do

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What do I include?

Aim of my studySummary of what I’m going to doWho I want to participateNumber of participants I needHow I’m going to invite them to participate

How I’ve minimised the risks

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What do I include?

How I’m going to ensure informed consent

• Information sheet(s)

How I’m going to ensure confidentialityHow I’m going to ensure anonymity

• Consent form

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When is opting out acceptable?

I’m going for the easy option………..

Everyone’s included unless they say “No, thank you”

Never ever for Newcastle research proposals

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Giving information

Would a picture help?

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Does it look like a “clinical” procedure?

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Is it on-line or face-to-face?

Is it to be a focus group discussion?

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How’s it be measured?

A sample of what? How?

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What do I include?

How I’m going to store the data

How I’m going to say “thank you”

• Debriefing sheet(s)

How I’m going to sign post onward support

• Support contact details

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Stage 2 Form

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Information

Consent

Thank you

Risk mitigation – 1 of 2

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Risk mitigation – 2 of 2

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Participant facing documents

Check-list:

Newcastle University logo/headed note-paperName/logo of research funderName & contact details of researcherName & contact details of PI/Supervisor

whether on paper or electronic

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What else do I include?

• Questionnairesplus confirmation of viability or publication

• Pictures of equipment • Advertisements• Web- interface

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One More Hint/Tip

Allow enough time to put the application togetherto get it checked by supervisorto get it “sense checked”

BEFORE it is submitted!!

Be aware, once submitted– the review process will be iterative

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Once ALL issues are resolved:

• Letter to confirm ethical opinion, if favourable, then you have ethical approval

• Letter is for a specific project and period

Subsequent changes/issues• amendments MUST be notified• adverse incidents MUST be reported

And finally……..

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Help and advice?

• The web• Project supervisor• Research team• Fellow students

• Faculty Research & Innovation Office (3rd floor Leech)

• Joint Research Office (Governance Manager for clinical research)

(Leazes Wing RVI by CRF)

Page 59: Ethical Approval – where to start! October 2015 – February 2016 Lois Neal FMS Research & Innovation Office.

For further guidance ask:

Lois Neal, FMS Research & Innovation Office

[email protected]

University applications forms send to:

[email protected]