Institutional Review Board Policies and Procedures for Human Subjects Research

Articles (23)

SOP #01 CSS IRB Registration, Administration, and Federalwide Assurance (FWA)

The purpose of this policy is to describe the agreement with the Department of Health and Human Services Office of Human Research Protection (OHRP) through the FWA.

SOP #02 IRB Charter, Appointments, and Administrative Structure

The purpose of this policy is to describe the IRB charter, appointments, and administrative structure.

SOP #03 IRB Records

The College of St. Scholastica IRB prepares and maintains documentation of its activities as required by federal regulation and in accordance with the IRB’s record retention policy. Required documents must be submitted to the appropriate funding entity as required. This policy applies to all controlled documents used in research reviewed by the IRB.

SOP #04 CSS IRB Meeting Management, Function and Operations

Except when an expedited review procedure is used, the CSS IRB will review proposed research at convened meetings at which a quorum is present. The IRB will meet monthly or at some other frequency determined by the IRB Chair and the IRB Administrator. These policies and procedures apply to all research submitted to the CSS IRB.

SOP #05 IRB Membership

The CSS Institutional Review Board (IRB) functions independently. Attempts to coerce or otherwise unduly influence the actions of the IRB are forbidden by policy and are to be reported. Likewise, the CSS IRB must remain free from the influence of financial and other organizational interests. No individual with responsibility for the business and financial interests of the organization may serve on the IRB.

SOP #06 Defining Research v. Quality Improvement

This information is intended as guidance in making a preliminary determination regarding the need for IRB oversight. Whenever there is uncertainty as to whether a project is considered Research or QI, the investigator should request guidance from The College of St. Scholastica (CSS) IRB.

SOP #07 Determination of Human Subjects Research and Guide

All The College of St. Scholastica (CSS) faculty, students, and staff involved in activities that fall under the federal definitions of Human Subjects Research are required to comply with federal and state laws as well as CSS IRB policies and procedures for the protection of human research subjects. This policy outlines the process to follow if an investigator is unsure if the research is human subjects research as defined by the regulations and CSS IRB policy.

SOP #08 CSS Students as Research Subjects and School Age Children as Research Subjects - Coercion and Undue Influence

It is the policy of this institution that when students are used as research participants, the researchers should carefully review and understand the concepts of coercion and undue influence.

SOP #09 Student Class Assignments vs. Research

The purpose of this policy is to help clarify when student research falls under the purview of the CSS IRB and when it most probably does not. Classroom research assignments do not require IRB review beyond faculty supervision if the goal of the classroom research assignment is educational and not intended for generalizable knowledge.

SOP #10 Exempt Determination Review - Process and Checklist

Exempt research projects present risks so benign to the human subjects who participate in them, that the federal regulations, (45 CFR 46.104), say such projects are exempt from full Institutional Review Board (IRB) review. However, these categories of research are not exempt from expedited review by The College of St. Scholastica IRB. The purpose of this document is to describe research activities involving human subjects that meet exemption criteria under 45 CFR 46.104.

SOP #11 Expedited Review Procedure and Checklist

The Secretary of the Department of Health and Human Services and the Food and Drug Administration have established and published in the Federal Register a list of categories of research that may be reviewed by the IRB through an expedited review procedure (45 CFR §46.110). This policy describes the categories and IRB procedure for expedited review.

SOP #12 APPROVAL OF RESEARCH

All research proposals that intend to enroll human subjects must meet certain criteria before study related procedures can be initiated. Three core principles: respect for persons, beneficence and justice, as discussed in the Belmont Report are the basis of the criteria for IRB approval. All regulatory criteria must be met, and any applicable state or local laws apply. In addition, certain other criteria that are unique to The College of St. Scholastica may apply and must be met as well.

SOP #13 IRB Determination of 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 examination or tests (45 CFR 46.102(i). The regulatory definition of minimal risk is problematic and imperfect. This SOP is a guide in making minimal risk determinations.

SOP #14 Deception in Research w/ Sample Debriefing Scripts

It is the policy of The College of St. Scholastica to allow the use of deception or incomplete disclosure of information in research with human participants when the deception or incomplete disclosure is of scientific value and does not place the research participant in significant financial, physical, legal, psychological, or social risk. The Human Subject Regulations do not address research involving deception.

SOP #15 Waiver or Alteration of Consent (Waiver Request Form Reviewer Checklist)

Common Rule regulations (45 CFR 46.116) allow the IRB to waive the requirement for obtaining informed consent or parental permission or to approve a consent procedure that leaves out or alters some or all of the elements of informed consent otherwise required under the regulations. The purpose of this Standard Operating Procedure (SOP) is to provide guidance on obtaining and approving requests for a waiver of informed consent at The College of St. Scholastica (CSS).

SOP #16 Informed Consent w/ Checklist and Templates

The College of St. Scholastica (CSS) requires that legally effective informed consent of the subject or of the subject’s parents or guardian before an investigator can involve the person in research. Consent must be documented in writing in accordance with applicable federal regulations unless the IRB finds that the conditions for a waiver of consent (CSS IRB SOP #15 Waiver or Alteration of Consent (Waiver Request Form Reviewer Checklist) or a waiver of documentation of consent (CSS IRB SOP #18

SOP #17 IRB Meeting Minutes (Expedited/Exempt Approval Form)

Both the HHS regulations at 45 CFR 46.115(a)(2) and the FDA regulations at 21 CFR 56.115(a)(2) specifically require that an institution, or when appropriate, an IRB, prepare and maintain adequate documentation of IRB activities.

SOP #18 Waiver of Documentation of Consent

The default in the US regulations is that the consent document is signed by the research participant. However, the regulations also contain flexibility to approve a waiver of the documentation of consent, in essence, while there is a consent process and information is communicated to the potential subject, the person does not have to sign a consent document. Note that a waiver of documentation of consent is different than a waiver or alteration of consent.

SOP #19 Cooperative Research Authorization/Reliance Agreements and Sample Agreements

When participating in a cooperative project with another institution, the CSS IRB may enter into a joint review arrangement, rely upon the review of another qualified IRB, or make similar arrangements for avoiding duplication of effort (45 CFR § 46.114 (c)).
The CSS IRB may agree to delegate the responsibility for initial and continuing review to another institution's IRB. In turn, that institution’s IRB agrees to assume responsibility for initial and continuing review.

SOP #20 Continuing Review of Approved Research

The CSS IRB requires that human subject research activities be reviewed in accordance with federal regulations (CFR 45 §46.109 (e) (f)) and at intervals appropriate to the degree of risk.

SOP #21 Limited IRB Review

The new provision for limited IRB review (45 CFR §46.104 d(2)(3), §46.111 (a)(7)). review allows certain research to be categorized as exempt, even when the identifiable information might be sensitive or potentially harmful if disclosed. In order to qualify for exemption, the study must meet the standards of the limited IRB review.

SOP #22 Modifications to Previously Approved or Exempt Research

The CSS IRB must follow written procedures for ensuring prompt reporting to the IRB of proposed modifications in a research activity, and ensuring that changes in approved research, during the period for which IRB approval has already been given, may not be initiated without IRB review and approval except where necessary to eliminate apparent immediate hazards to the human subjects.

SOP #23 Vulnerable Subjects/Populations

The CSS IRB will assure that additional protections are implemented, as necessary, to protect vulnerable research subjects (such as those with impaired decision-making capacity, neurological, developmental or psychiatric disorders; educational disadvantages; medical, social, or economic conditions; or other circumstances that might restrict the individual’s capacity to provide inform). The extent of additional protection afforded should depend upon the risk of harm and the likelihood of benefit.