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When IRBs Say No to Participating in Research about Single IRBs
Robert Klitzman1, Paul S Appelbaum2, Alexandra Murray3
1Professor of psychiatry and the director of the Masters of Science in Bioethics Program at Columbia University.
Ethics & Human Research
|January 23, 2020
Summary
Single Institutional Review Boards (IRBs) aim for efficient multisite research review. However, participation in studies examining their function is low, especially among commercial IRBs, hindering policy refinement.
Area of Science:
- Health Services Research
- Regulatory Science
- Clinical Trial Management
Background:
- Federal policies mandate single Institutional Review Board (IRB) review for multisite studies.
- The objective is to enhance review efficiency while maintaining participant protections.
- The effectiveness and functioning of this single IRB model require empirical evaluation.
Purpose of the Study:
- To investigate the operational aspects and participation rates of single IRBs in research examining their function.
- To identify barriers to participation in studies evaluating single IRB performance.
- To inform policy development and refinement for single IRB implementation.
Main Methods:
- Recruitment of academic, government, and commercial single IRBs (N=49) for observational and/or interview-based study.
- Data collection through observation of protocol review meetings and interviews with IRB members, chairs, and administrators.
- Analysis of participation rates across different types of single IRBs.
Main Results:
- Overall participation rate was 40.8% (20/49).
- Academic (81.8%) and government (50%) single IRBs showed higher participation than commercial single IRBs (23.3%).
- Major commercial single IRBs declined participation, limiting comprehensive evaluation.
Conclusions:
- Encouraging participation from all types of single IRBs is crucial for robust evaluation.
- Low participation, particularly from commercial entities, impedes understanding and refinement of single IRB policies.
- Future research and policy efforts should address barriers to single IRB engagement in performance studies.
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