Evidence map›Paper›PMID 22622206›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2012

Institutional review board community members: who are they, what do they do, and whom do they represent?

Robert Klitzman

Abstract read
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Supporting public involvement in interview and other panels: a systematic review.Health expectations : an international journal of public participation in health care and health policy · 2017
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Protocol and Researcher's Relationship with Institutional Review Board.African journal of biomedical research : AJBR · 2020
    Article
  12. Disability, Ethics, and Health Care in the COVID-19 Pandemic.American journal of public health · 2020
    Article
  13. Article
  14. How Single Institutional Review Boards Manage Their Own Conflicts of Interest: Findings From a National Interview Study.Academic medicine : journal of the Association of American Medical Colleges · 2019
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. The Precision Medicine Nation.The Hastings Center report · 2017
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Robert KlitzmanDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA. rlk2@columbia.edu

Funding

Views and Approaches Toward Research Integrity Among IRBsR01HG004214 · NHGRI · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI KLITZMAN, ROBERT L · 2006 to 2007
$567k
IRBs: Ethics, Context and InterpretationsG13LM009996 · NLM · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI KLITZMAN, ROBERT L · 2009 to 2011
$240k
NHGRI NIH HHS R01 HG004214NLM NIH HHS 5-G13-LM009996-02NLM NIH HHS G13 LM009996PHS HHS R01-NG04214
6 · The paper itself

Abstract

purposeThe roles of nonaffiliated and nonscientific institutional review board (IRB) members at academic medical centers have received some attention, but questions remain-Who are they, what do they do, and whom, if anyone, do they represent?

methodThe author interviewed 46 IRB chairs, directors, administrators, and members in 2007-2009. He contacted the leadership of 60 IRBs (every fourth one in the list of the top 240 institutions by National Institutes of Health funding), interviewed IRB leaders from 34 of these institutions, then recruited 7 additional members from these IRBs to interview.

resultsRegular IRB members often called these individuals community members and were confused as to who these members were, or should be, and whether they did, or should, represent anyone and, if so, whom. IRBs encountered challenges in finding, training, and retaining these community members. Tensions emerged because nonscientific members, by definition, have no scientific training, so they have difficulty understanding key aspects of protocols, making them feel unempowered to contribute to reviews. IRBs varied in how much they encouraged these members to participate, in what ways, and with what success.

conclusionsAt academic medical centers, IRBs struggled with how to view, choose, employ, and retain nonaffiliated and nonscientific members, and they varied widely in these regards. Some IRBs had these members review entire protocols, others only limited parts (particularly reading consent forms for comprehension), pro forma. Yet, at times, these members' input proved very important. These findings have critical implications for policy, practice, and research.

Indexed as

Committee MembershipCommunity ParticipationAcademic Medical CentersDecision Making, OrganizationalEthics Committees, ResearchFemaleHumansInterviews as TopicMaleRoleUnited States

Identifiers

PMID22622206
PMCPMC3549463

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.