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Case: Participant Rights

As a Principal Investigator of a major longitudinal observational study of the biological changes anteceding menopause, you are assigned the task of determining what information from the multitude of tests run to tell the individual about and how to go about the process. You have two principles to consider:
  1. Will revealing information change behavior and thus alter the results of the study?
  2. Do the participants, deserving of respect, have a right to know about any information learned about them so they can use it to better their lives?
The study will collect among other things:

StudyClinical Relevance
Body-mass index (BMI)Obesity
Metabolic Syndrome
TSHHyper or hypothyroidism
Fasting blood sugarGlucose intolerance or diabetes
Depression rating scaleDepression
Blood pressureHypertension
MRI of brainTumors
Anomalies
Atrophy
Multiple sclerosis
DEXA scan of spine and hipOsteoporosis
Serum Lipids (APO E4 )Hypercholesterolemia
Risk for Alzheimer's
Coeliad disease
Carotid artery ultrasoundDegree of atherosclerosis
GenotypeMany risks over time


Many of these studies will be analyzed and reported long after the encounter with the participant.

How should the study deal with abnormalities in these results and how should the issue be presented to the participants? A significant number of the participants have no personal physician. How should that situation be handled?
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Chapter 3
Quick Links


Ethics and Study Design

Introductory

Ethics Design

Appropriate Risk to Benefit Ratio

Selection of Subject Populations

Cases

Bibliography


Chapter 3 Download (PDF)