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Some Human Studies Considerations for Potential Data Contributors to the EMGlab Website

 

Human Studies Considerations with Publicly Archived Data:

There are several human studies (a.k.a., Institutional Review Board — IRB) issues related to contribution of EMG data to a public archive such as the EMGlab website. Our advice in this note is derived from practices of the U.S. National Institutes of Health (NIH), but should be relevant to most other domestic and foreign institutions and funding agencies. In all cases, data contributed to the site must satisfy the IRB practices of the EMGlab web site and your local IRB — both in word and deed.

Donation of your data to a public archive is always subject to the practices and permissions of your local IRB. The Informed Consent document signed (typically) by each subject should ideally inform each subject that their data will be archived on a public web site. [See reference (1) below for some points to consider when designing your Informed Consent document.] If your Informed Consent strictly limits use of your data for your original study, then both IRB approval and (likely) re-consenting of all subjects would be required in order to contribute your data. (Thus, we would argue against including such restrictions in your Informed Consent document, if permitted by your local IRB.) If your Informed Consent document is neutral as to use of the data beyond the initial study, then it is recommended that you seek the approval of your local IRB prior to donating the data — donation of these data may be entirely appropriate.

NIH rules (and most IRBs) make utilization of archived data by other U.S. investigators much simpler/easier if strict anonymity of subject identities is maintained. In fact, if the data in a public archive can NEVER be linked back to a subject (termed by NIH as “unlinked” data), then U.S. users of the data base may NOT even need IRB approval or even IRB exemption to perform studies using these data.  [See reference (4) below.]  Basically, since the information would not be considered identifiable data, it is not regulated by the U.S. human studies rules.  This set-up is VERY convenient for researchers who download data from an archive. In addition, this option is simplest for those who maintain the data archive — if all data in the archive are “unlinked,” then IRB supervision of the archive may not be required.

The easiest way to eliminate links to subject identities is to destroy subject identity information before contributing data to a public archive. (Again, do so with the agreement of your local IRB.) This method permanently eliminates all links, which is the most complete and definitive manner to preserve subject anonymity. Note that unlinking your own data may also make it easier for you to re-use the data within your own lab! Once unlinked, you may no longer require IRB supervision to utilize the data in future studies. Alternative forms of identity control exist. Contributing researchers can request a Certificate of Confidentiality from NIH (see http://www.hhs.gov/ohrp/humansubjects/guidance/certconf.htm). This certificate can help to prevent disclosure of subject identities in any Federal, State, or local civil, criminal, administrative, legislative, or other proceedings. Alternatively, database users can request a letter or agreement from the database contributor stating that the database contributor will not reveal subject identities to the user under any circumstances.

Finally, it is always best to communicate with your local IRB about any contribution of data. U.S. rules provide a fair amount of flexibility and local interpretation to many human studies questions. Thus, it is common for different IRBs to set different guidelines and exhibit different levels of supervision over human studies. It is always a requirement that you satisfy the rules, regulations and practices of your local IRB.

Advice Relative to IRB Applications and Informed Consent Documents:

Note that there are two developing trends in U.S. policy towards use of human studies data. Locally, most IRBs are becoming increasingly strict that the use of data be clearly and precisely specified in IRB applications and subject Informed Consent documents. There is growing scrutiny and restrictions related to data use and mechanisms to preserve subject anonymity. More globally, funding agencies and the general public are recognizing the value of sharing data beyond the use of the original study. The costs and risks incurred acquiring and processing data best contribute to the public good if the broadest use possible is made from the collected data. For example, NIH grants requesting more than $500,000 in direct costs in any funding year are expected to include a plan for sharing of the collected research data (or justification for not doing so).

At first, these two trends may seem at odds with each other. However, new research studies can resolve these requirements by explicitly acknowledging (in the IRB application and in the Informed Consent document) that the collected data will be contributed to a public archive. We do not yet have experience in gaining approval of this arrangement from an IRB, however available NIH guidance (see the Reference section of this note) suggest appropriate mechanisms for doing so.

Please note that there are several different ways in which to protect the identity of subjects, which is often the prime concern in a public archive that stores recorded EMG (and associated) data. Below, we suggest IRB application and Informed Consent document wording for two of the most common cases. These are only recommended wordings. We’d enjoy receiving feedback as to how this wording is received by local IRBs.

 

 

 
If the Contributed Data are to be “Unlinked”
(Data are collected with identifying information, but this identifying information will be destroyed prior to contribution to the public archive):

Paragraph to include with IRB application:

Contribution of Research Data to Public Archive(s): In addition to the study methods described in our primary research, we intend to contribute all non-identifying data and certain processed data to a publicly-accessible data archive. In recent years, many funding agencies and the general public have recognized the value of sharing research data beyond the use of the original study. The costs and risks incurred acquiring data best contribute to the public good if the broadest use possible is made from these data. For example, NIH grants requesting more than $500,000 in direct costs in any funding year are expected to include a plan for sharing of the collected research data (or justification for not doing so).

Prior to contributing the data, all subject identifiers and information related to subject identity (e.g., name, street address, social security number) will be irreversibly stripped from all of our research records. Instead, subject data will only be associated via a non-identifying code and no key to this code will be maintained. In doing so, the de-identified data should meet the NIH definition of “unlinked” data (see NIH Office of Human Subjects Research sheet 14, “NIH Requirements for the Research Use of Stored Human Specimens and Data,” available at http://ohsr.od.nih.gov/info/sheet14.html).

Several public archives exist that would be appropriate to accept our research data. Two particular archives that have received NIH funding are EMGlab (http://emglab.stanford.edu) and PhysioNet (http://www.physionet.org). We intend to contribute the unlinked data to one or both of these archives and/or similar archives.

Wording to include within Informed Consent document:

Contribution of Your Data to a Public Data Archive: The data from this experiment will also be contributed to publicly available data bases. The purpose of these data bases is to share your data with other researchers who might make further advances in medicine, science and teaching. Your data could be used for many different purposes by users of these public data bases. Most researchers will gain access to your data over the Internet. Before contributing your data, all information that identifies you as a subject in this experiment (including your name) will be destroyed from our records. Thus, the public database will not provide any access to your identity.

 

 
If the Data are to be “Coded”
(Collected data are linked to subject identities via a non-identifying code and the contributing researcher holds the key to this code):

Paragraph to include with IRB application:

Contribution of Research Data to Public Archive(s): In addition to the study methods described in our primary research, we intend to contribute all non-identifying data and certain processed data to a publicly-accessible data archive. In recent years, many funding agencies and the general public have recognized the value of sharing research data beyond the use of the original study. The costs and risks incurred acquiring and processing data best contribute to the public good if the broadest use possible is made from these data. For example, NIH grants requesting more than $500,000 in direct costs in any funding year are expected to include a plan for sharing of the collected research data (or justification for not doing so).

Prior to contributing the data, all subject identifiers and information related to subject identity (e.g., name, street address, social security number) will be coded using a random or arbitrary alphanumeric code. The key to this code will be held by the study investigators. In doing so, the resulting data base should meet the NIH definition of “coded” data (see NIH Office of Human Subjects Research sheet 14, “NIH Requirements for the Research Use of Stored Human Specimens and Data,” available at http://ohsr.od.nih.gov/info/sheet14.html). We will maintain the confidentiality of the key, unless required by law to do otherwise.

Several public archives exist that would be appropriate to accept our research data. Two particular archives that have received NIH funding are EMGlab (http://emglab.stanford.edu) and PhysioNet (http://www.physionet.org). We intend to contribute the coded data to one or both of these archives and/or similar archives.

Wording to include within Informed Consent document:

Contribution of Your Data to a Public Data Archive: The data from this experiment will also be contributed to publicly available data bases. The purpose of these data bases is to share your data with other researchers who might make further advances in medicine, science and teaching. Your data could be used for many different purposes by users of these public data bases. Most researchers will gain access to your data over the Internet. Before contributing your data, all information that identifies you as a subject in this experiment (including your name) will be re-coded using a random code. The only way to relate the code to yourself is by a “key” that the study investigators will keep. We will never reveal your identity, unless required to do so by law. Thus, the public database will not provide any direct access to your identity.

 

 

 

References (All from NIH web sites):

1. “Points to Consider in Development of Informed Consent Documents that Include the Collection and Research Use of Human Biological Materials” (http://ohsr.od.nih.gov/info/sheet15.html): Provides information on writing Informed Consent documents when your data might be added to a database.
2. “Research Use of Stored Human Samples, Specimens or Data” (http://ohsr.od.nih.gov/info/DDIR_memo.html): Overall advice on collection and sharing data (not specific to sharing data via a public archive).
3. “NIH Requirements for the Research Use of Stored Human Specimens and Data” (http://ohsr.od.nih.gov/info/sheet14.html): Lists IRB requirements for the use of stored data, including public archives. Clear procedural distinctions are made if (a) identifying information is included within the data, (b) no identifying information is included with the data, but someone still maintains a key to the identifying information, or (c) no identifying information is included and no key exists.
4. “Guidance on Research Involving Coded Private Information or Biological Specimens” (http://www.hhs.gov/ohrp/humansubjects/guidance/cdebiol.pdf): This memo (eight pages) discusses IRB issues for databases. A key distinction is made between databases in which someone still holds the key to subject identities versus databases in which no key exists (or, all links to subjects have been destroyed).

We hope the above information is useful to you. Thank you for considering a data contribution to EMGlab.

Report prepared by: Ted Clancy, 25 July 2006

 
 
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