Evidence map›Paper›PMID 27580832›Full record

ArticleBMJ open2016

Can an ethics officer role reduce delays in research ethics approval? A mixed-method evaluation of an improvement project.

Mary Dixon-Woods, Chris Foy, Charlotte Hayden, Rustam Al-Shahi Salman, Stephen Tebbutt, Sara Schroter

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
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  4. Article
  5. Review
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  7. Article
  8. Effects of Regulatory Support Services on Institutional Review Board Turnaround Times.Journal of empirical research on human research ethics : JERHRE · 2017
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mary Dixon-WoodsInstitute of Public Health, Forvie Site, University of Cambridge School of Clinical Medicine, Cambridge, UK.
Chris FoyR&D, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
Charlotte HaydenNorth Bristol NHS Trust, Southmead Hospital, Bristol, UK.
Rustam Al-Shahi SalmanCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
Stephen TebbuttHealth Research Authority, London, UK.
Sara SchroterBMJ, BMA House, London, UK.

Funding

Medical Research Council G1002605Wellcome Trust 097899
6 · The paper itself

Abstract

objectiveFrustration continues to be directed at delays in gaining approvals for undertaking health research in the UK. We aimed to evaluate the impact of an ethics officer intervention on rates of favourable opinions (approval) and provisional opinions (requiring revision and resubmission) and on the time taken to reach a final opinion by research ethics committees (RECs), to characterise how the role operated in practice, and to investigate applicants' views.

designMixed-method study involving (i) a 2-group, non-randomised before-and-after intervention study of RECs assigned an ethics officer and a matched comparator group; (ii) a process evaluation involving a survey of applicants and documentary analysis.

participants6 RECs and 3 associated ethics officers; 18 comparator RECs; REC applicants.

resultsRates of provisional and favourable opinions between ethics officer and comparator RECs did not show a statistically significant effect of the intervention (logistic regression, p=0.26 for favourable opinions and p=0.31 for provisional opinions). Mean time to reach a decision showed a non-significant reduction (ANOVA, p=0.22) from 33.3 to 32.0 days in the ethics officer RECs compared with the comparator RECs (32.6 to 32.9 days). The survey (30% response rate) indicated applicant satisfaction and also suggested that ethics officer support might be more useful before submission. Ethics officers were successful in identifying many issues with applications, but the intervention did not function exactly as designed: in 31% of applicants, no contact between the applicants and the ethics officer took place before REC review. LIMITATIONS: This study was a non-randomised comparison cohort study. Some data were missing.

conclusionsAn ethics officer intervention, as designed and implemented in this study, did not increase the proportion of applications to RECs that were approved on first review and did not reduce the time to a committee decision.

Indexed as

Decision MakingBiomedical ResearchCohort StudiesEthics Committees, ResearchHumansSurveys and QuestionnairesTime FactorsUnited Kingdomcontrolled studyprocess evaluationquality improvementresearch ethics

Identifiers

PMID27580832
PMCPMC5013460

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Registered trials

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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.