research ethics Flashcards

1
Q

—– refers to the norms and guidelines that distinguish between acceptable and unacceptable behaviour in the field of research. It encompasses the principles and standards that guide researchers in conducting their studies with integrity, respect for life, and adherence to human rights

A

research ethics

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2
Q

researcher ethics is guided by:
—- : : to the country in which research is conducted and where they collect and store data (eg Irish Health Research Regulations)
—- : established by professional bodies to guide the conduct of its members
—- : : informal rules regulating the behaviours of people within the society in which they live.
—- : : behavioural choices that individuals make of their own will.

A

legal obligation ( highest level)
professional obligation
cultural obligations
personal obligations

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3
Q

we regulate research ( the need to advance research to provide — to current n future patients vs mandate to protect potentially vulnerable participation from exploitation )
such as:

A
  • benefit
    -Past abuses necessitates ongoing oversight
    -Commercialisation, globalisation and for-profit experimentation
    -Novel ethical challenges from new biotechnologies
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4
Q

ways in which research can harm:

A
  • forcible participation
  • participants kept unaware of research
  • withholding of proven therapies
  • use of vulnerable individuals
  • limited availability of treatment
  • risk of lower standards of care in developing countries
  • exclusion from research
  • fraud and miscounduct
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5
Q

principle for ethical research:
1- —– : research must respect people’s right to make their own decisions – in accordance with their own values and beliefs.
2- —– : research should create sufficient value to outweigh any risks, inconveniences, or burdens associated with the study
3- —- : research must not cause harm. Not involving unnecessarily many participants, not subjecting participants to indefensible risks, not carrying out unnecessary experimental procedures, not wasting participants’ time,
4- —- : research must be fair. A reasonable distribution of the benefits and burdens arising from a scientific trial must be ensured, unnecessary inclusion of vulnerable populations should be avoided, and equal opportunities to participate in scientific trials should be secured.

A

autonomy
beneficence
non maleficence
justice

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6
Q

research integrity:
* —– in ensuring the quality of research, reflected in the design, methodology, analysis, and use of resources.

  • —– in developing, undertaking, reviewing, reporting, and communicating research in a transparent, fair, full, and unbiased way.
  • —– for colleagues, research participants, research subjects, society, ecosystems, cultural heritage, and the environment.
  • —- for the research from idea to publication, for its management and organisation, for training, supervision and mentoring, and for its wider societal impacts.
A

reliability
honesty
respect
accountability

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7
Q

-Failure to conduct research with integrity results in — which can have — effect on society
- examples of this is:
- doesnt include:
- Numerous potential victims: patients; policy/decision makers; research funders (taxpayer or company); the research record; reputation of research; the public

A

-misconduct
-negative
-Fabrication, falsification, or plagiarism in proposing, performing, or reviewing research or reporting the results.
- doesnt include:
-honest error/differences in interpretations or judgments of data.
-authorship or credit disputes.

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8
Q

1- —– :
-Intentionally making up results &
-Recording them as if they were real.
2- —– :
-Manipulating research processes.
-Changing or omitting data.
3- —- :
- the appropriation of others ideas and research n words
- without giving them credit

A

fabrication
falsification
plagiarism
check slide 17,18

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9
Q
  • ethical framework for biomedical research:
    1- —- : Community should collaborate in research
    2- —- : Must have social/scientific/clinical value to society
    3- —: Must be methodologically sound
    4- —–: Do not target vulnerable individuals
    5- —-: Study design minimises risk and maximises benefit
    6- —-: Review by a body not affiliated with researchers
    7- —-: individuals should be informed about the research and provide voluntary consent
    8- —- : Privacy should be protected, opportunity to withdraw
A
  1. Collaborative partnership
  2. Social value
  3. Scientific validity
  4. Fair participant selection
  5. Favourable risk-benefit ratio
  6. Independent review
  7. Informed consent
  8. Respect for participants
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10
Q

-Research to be undertaken with not on people
-Public and patient involvement in research
-Community determines whether research is acceptable
is known as:

A

collaborative partnership
( participation — > patients and public are tested as subject of a study , engagement —> researchers sharing info n knowledge ab research usually after its complete . involvement –> patients and public working in partnership with researchers to plan design manage evaluate and disseminate research

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11
Q

-Must have the potential to:
- lead to improvements in health/well-being and/or
-increase knowledge

A

social/scientific value

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12
Q

the 4 benchmarks of social value are:

A

-Who will benefit?
-What is the potential value of the research for beneficiaries?
-Mechanisms to enhance the social value?
-Impact of research on existing health infrastructure?

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13
Q

Study must be carried out in a methodologically rigorous manner
- soundly designed
- feasible ( easy n convenient) and unbiased
- clear aims & objectives
- plausible data analysis plan

A

scientific validity

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14
Q

In clinical research which compares different therapies, there must be a genuine lack of consensus within the scientific community as to whether or not the new intervention is more effective than the standard therapy
this is in —-

A

scientific validity - equipoise ( meaning balance of sources or interest )

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15
Q

-Recruitment strategies must be based on the study goals, not convenience

-Minimise risk to participants

-Participant selection to enhance benefits to individuals, groups & social value

-Safeguards for vulnerability

A

fair participatant selection

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16
Q

recruitment strategy for fair participant selection :

A

Inclusion & exclusion criteria:

How will initial contact will be made?

How will information be conveyed?

17
Q

5- favorable risk benefit ratio :
1- risk to individuals are —
2- health-related benefits to individual participants are —
3- benefits to both individuals and to society — the risks.
- risk ad benefit assessment include:

A

minimised
maximised
outweighs
assessment:
-Existing data/scientific evidence
-REC expertise
-community consultation

18
Q

-use of placebos in RCTs is —- as long as the patients are not —- to risk of irreversible —-
- assessment of 3d of risk is:

A

justifiable
not exposed
irreversible harm (FDA)
- assessment:
- severity
- probability
- duration

19
Q

true or false the use of placebos in rct is ethical in all of these:
1-There is no proven effective treatment for the condition under study;
2-Withholding treatment poses negligible risks to participants;
3-There are compelling methodological reasons for using placebo,andwithholding treatment does not pose a risk of serious harm to participants; and,
4. There are compelling methodological reasons for using placebo,andthe research is intended to develop interventions that can be implemented in the population from which trial participants are drawn,and
the trial does not require participants to forgo treatment they would otherwise receive.

A

all true

20
Q

-One size fits all
-Any new treatment should be tested against the best current treatment globally
-Should not be influenced by political and economic circumstances
-Avoid exploitation of LIC participants
are all under —
-Low cost alternative to be considered locally
-Equal respect does not entail equal treatment
-Decision not to be taken ‘paternalistically’
-Best treatment for that disease as part of the national public health system
are all under —

A

universal standard of care
non universal standard of care ( highest sustainable standard )

21
Q

6- research ethics review helps to ensure the — of the study and rule out any potential —-
- promotes —-
- composed of:

A

quality
conflict of interest
social accountability
composed of:health care professionals, lawyers, experts in research ethics, public members

22
Q

functions of research ethics comittees:

A

protection –> advice –> education —> conciliation —> research quality

23
Q

7- informed consent :
1. — to consent
-Empowerment to make own decisions
-capacity to understand and question information
on which they base their decisions
2. Act —
3. Sufficient —- to make an informed decision.

A

capacity
voluntarily
comprehensible information ( info to be discussed as:
- purpose of study
- nature of procedure
Risks, discomforts, inconveniences & possible side effects of proposed intervention
- benefits
- Available alternative to participation, comparative risks/benefits of alternative treatments
- Possible monetary costs incurred by participants
- Any financial conflict of interest of investigator )

24
Q

-Keep participants’ personal health information confidential
-Can withdraw from study until a specified point
-Additional information about the research effects which comes to light during study
-Continuously monitor for adverse reactions/changes in clinical status
Inform about results
-Ensure there is no therapeutic misconception
are all under —-

A

respect for participant

25
Q

—– the tendency to view research as treatment, to blur the distinction between research and treatment, and/or to have unreasonably high expectations of direct benefit from receiving the experimental intervention or unreasonably to discount the risks of harm” (King, 2014)

A

therapeutic misconception