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A federally funded demographic and environmental health survey data repository has been created, stored, and maintained by Research Institution. The Research Institution’s IRB has approved the creation of the repository. The repository includes data from a survey collected under participants’ informed consent. Informed consent does not specify whether researchers will contact patients about results that may be of interest to them. The informed consent also defines circumstances under which family members may need to be notified of relevant results.
The repository includes an extensive demographic and environmental health survey, participants’ self-report of family history information that will be stored in a data repository available for other IRB-approved research. Direct identifiers are stored separately from the data available for research and identifiers may be accessed only by the data collection and management team under terms of the original IRB-approved protocol creating the repository. The informed consent and protocol for creating the repository specify that reidentification and contact are contingent upon separate approval for specific purposes, with the exception of informing participants of results that may affect their health or have clinical relevance to them or their family members.
Max Researcher receives separate IRB approval to conduct a data mining study on these data to seek correlations between variables that might lead to additional avenues for research in environmental health. He discovers that a combination of family history of alcoholism and proximity to waste treatment facilities are significantly associated with higher than expected risk of metabolic disease.
Max Researcher decides to share limited study results with the participant’s family members since the information is clinically actionable. The information shared with participant’s family members is based on the defined language in the informed consent the participant agreed to when enrolling in the study.
Questions:
Title | Response |
Description | Exploratory data study discovers association between sensitive family history items and environmental exposures. |
Primary actor/participant | Researcher (end-user) using repository, data managers |
Support actor/participant | Participants, family members |
Preconditions |
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Postconditions | Ethical best practices are observed |
Alternatives |
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Considerations |
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Data Elements Considered | Demographics, Environmental Data, outcomes (alternative: genetic markers) |
Purpose of the Data Collection | Research |
Purpose of Data Use | Exploratory Data Analysis |
Terms of Transfer to the Data Holders | Informed consent as specified in protocol. |
Terms of Transfer to Researchers | IRB approval |
[i] Health Big Data Recommendations HITPC Privacy and Security Workgroup. https://www.healthit.gov/sites/faca/files/HITPC_Health_Big_Data_Report_FINAL.pdf
[ii] Human Subjects Research Protections: Enhancing Protections for Research Subjects and Reducing Burden, Delay, and Ambiguity for Investigators. 76 Fed. Reg. 44512, 44512-53. http://www.hhs.gov/ohrp/sachrp/commsec/attachmenta:letter4/24/15.html
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