|
IRBs must determine that risks to the subjects
are justified in relationship to the anticipated benefits. They must also
determine that risks are managed to the extent possible consistent with
sound research design.
The federal regulations offer the following definition of risk:
"The probability of harm or injury (physical, psychological, social,
or economic) occurring as the result of participation in a research study."
The regulations also define minimal risk:
"Minimal risk means that the probability and magnitude of harm or
discomfort anticipated in the research are not greater in and of themselves
than those ordinarily encountered in daily life or during the performance
of routine physical or psychological examinations or tests."
Behavioral research does not usually involve risks to a person's health
or physical well being, but there are, nevertheless, risks which must
be considered by the researcher and the IRB.
A breach of confidentiality is often the greatest risk to participants
in behavioral and social sciences research. Reputations may be damaged,
or employment or insurance coverage may be jeopardized if confidentiality
is not maintained.
Information about subjects' activities may place them at risk of legal
action. For example, if a researcher asks parents how they discipline
their children, information about child abuse may be obtained and must
be reported. Similarly, if subjects divulge information about illegal
activities or stigmatized activities, any disclosure of that information
could place the subjects at risk of significant harm.
The kind and level of risk is determined by context. For example, research
regarding political activism in some countries may put subjects in serious
jeopardy, while it would not in other countries.
Another category of risk that might occur in research in the social and
behavioral sciences is psychological stress caused by the research questions
or procedures. Perhaps questions raise painful memories or unresolved
issues.
Interviews of survivors of personal or state violence, for example, may
be very stressful. Questions about at-risk behaviors may cause embarrassment
or feelings of guilt when that behavior is generally stigmatized
Most psychological risks are minimal and transitory, but investigators
must be aware of the potential for
serious psychological harm.
In many cases risk can be eliminated or reduced by careful procedures
for ensuring confidentiality. Psychological support and referrals can
be built
into studies when emotional distress may be an outcome. Consent forms
describing the kinds of questions the researcher will ask allow participants
to choose whether they wish to divulge certain types of information or
explore certain issues.
Potential benefits for individual subjects may be easy to define in studies
offering interventions for behavioral or psychological problems. However,
research is often conducted as part of a faculty member or graduate student
investigation into a specialized field of study. The research may provide
no direct benefit to the subjects.
Furthermore, it may be many years before the results of the research
are promulgated and made useful to society or to groups of people.
Vague promises to benefit science or society are not adequate descriptions
of benefit. When there is no direct
benefit to subjects, they must be told what the researcher is trying to
learn and why. (The only exception would be a study in which deception
is a necessary element of the design.)
Compensation to subjects is not considered a benefit in the risk/benefit
analysis, nor is the fact that participants may find it rewarding to be
helpful.
|