Getting Started in Human Subjects Research
An activity is considered research if it is both a systematic investigation (where data is collected and analyzed to answer a specific research question) and is also designed to contribute to generalizable knowledge (i.e., applied to populations outside of the specific study population or designed to contribute to knowledge in your field). If a project does not meet both of these criteria it is not human subjects research that requires IRB review.
If a project is research, the next step is to determine whether it involves human subjects. A human subject is a is a living individual about whom an investigator conducting research: (i) Obtains information or biospecimens through intervention or interaction with the individual, and uses, studies, or analyzes the information or biospecimens; or (ii) Obtains, uses, studies, analyzes, or generates identifiable private information or identifiable biospecimens.
- Identifiable in this case means that an individual’s identity is known or can readily be ascertained. For example, even if an individual’s identify is not known, they may still be able to be easily identified through a combination of indirect identifiers.
- Private information means “information about behavior that occurs in a context in which an individual can reasonably expect that no observation or recording is taking place, and information which has been provided for specific purposes by an individual and which the individual can reasonably expect will not be made public (for example, a medical record)” 45 CFR 46.102(f)]. information they share.
- If you have questions about whether your project is human subjects research or not, please contact the HRPP Office at (865) 974-7697 or utkirb@utk.edu.
Individuals who are not affiliated with the University of Tennessee, Knoxville and who have not previously completed CITI training can affiliate with the University of Tennessee, Knoxville on the CITI website and take our required training. Click here to learn more about CITI training.
In order to conduct international research, the IRB will expect investigators to demonstrate an understanding of the local cultural context and the research ethics guidelines of the host country. See the International Research page for more information.
Submitting a New IRB Application
- Completed IRB Application
- Recruitment and Screening materials (if applicable)
- Informed Consent and/or Assent Document(s)
- Any data collection materials (e.g. surveys, questionnaires, interview protocols)
- External funding proposals (if applicable)
Note that participant data does not have to be destroyed at the completion of the research. Participant data can be kept indefinitely if participants are informed of this in the consent and there is a plan to store the data securely.
The IRB will review study closure reports, typically by expedited review, and either approve the closure of the study or request additional information or confirmation of facts from the investigator. Click here to learn more about study closure.
If you are a student who is graduating from the university, you may not continue to work on any studies in which you have access to identifiable data after you graduate without first signing a Reliance Agreement or Individual Investigator Agreement. An amendment request must also be submitted to remove students who have graduated as University of Tennessee, Knoxville study personnel and add them as external researchers.
Consent and Recruitment in Human Subjects Research
- a statement that the study involves research, an explanation of the purposes of the research and the expected duration of the subject’s participation, a description of the procedures to be followed, and identification of any procedures which are experimental;
- a description of any reasonably foreseeable risks or discomforts to the subject;
- a description of any benefits to the subject or to others which may reasonably be expected from the research;
- a disclosure of appropriate alternative procedures or courses of treatment, if any, that might be advantageous to the subject;
- a statement describing the extent, if any, to which confidentiality of records identifying the subject will be maintained;
- for research involving more than minimal risk, an explanation as to whether any compensation and an explanation as to whether any medical treatments are available if injury occurs and, if so, what they consist of, or where further information may be obtained;
- an explanation of whom to contact for answers to pertinent questions about the research and research subjects’ rights, and whom to contact in the event of a research-related injury to the subject; and
- a statement that participation is voluntary, refusal to participate will involve no penalty or loss of benefits to which the subject is otherwise entitled, and the subject may discontinue participation at any time without penalty or loss of benefits to which the subject is otherwise entitled.
Additional elements may also be required in some instances. See https://www.hhs.gov/ohrp/regulations-and-policy/guidance/checklists/index.html for additional information.
Adults who lack or who have impaired, fluctuating, or diminishing decision-making capacity are particularly vulnerable. Investigators and IRBs must carefully consider whether inclusion of such subjects in a research study is appropriate; and when it is, must consider how best to ensure that these subjects are adequately protected. In general, the IRB will only approve research involving subjects unable to provide consent or with impaired decision-making capacity when the aims of the research cannot reasonably be achieved without inclusion of the population, and there are appropriate provisions to: (1) evaluate capacity, (2) obtain consent (and assent if possible), and (3) otherwise protect subjects.
If a minor is unable to consent due to medical incapacity, a parent or legal guardian may provide consent for research. (Note: under normal circumstances, enrollment of minors as subjects requires consent by the parent or legal guardian as well as assent by the minor.)
Please visit the U.S. Department of Health and Human Services website for additional information.
- The research involves no more than minimal risk
- The waiver of informed consent will not adversely affect the rights and welfare of the subjects
- It is not practicable to conduct the research without the waiver or alteration
- Whenever appropriate, participants will be provided with additional pertinent information after their participation.
- Click here for forms and templates.
A waiver of documentation of consent means that the investigator is not required to obtain a signed consent form from participants. Instead they may have participants verbally consent or click an “I Agree” button at the beginning of an online survey. The IRB may waive the requirement for the investigator to obtain a signed consent form for some or all subjects if it finds any of the following:
- The only record linking the subject and the research would be the informed consent form and the principal risk would be potential harm from a breach of confidentiality (e.g., domestic violence research where the primary risk is discovery by the abuser). Each subject (or LAR) will be asked whether they want documentation linking them with the research, and their wishes must govern. This option does not apply to FDA-regulated research.
- The research presents no more than minimal risk of harm to subjects and involves no procedures for which written consent is normally required outside of the research context. Procedures such as non-sensitive surveys, questionnaires and interviews generally do not require written consent when conducted by non-investigators (e.g., marketing surveys, telemarketing). This option does apply to FDA-regulated research.
- If the subjects or LARs are members of a distinct cultural group or community in which signing forms is not the norm, that the research presents no more than minimal risk of harm to subjects and provided there is an appropriate alternative mechanism for documenting that informed consent was obtained. This option does not apply to research subject to the pre-2018 Common Rule or to FDA or DOJ regulations.
- Click here for forms and templates.
After IRB Study Approval
In rare instances stopping research procedures would put research participants at harm. For example, this might be the case if a participant is receiving medication as part of a clinical trial. If you believe this applies to your study and your study approval has lapsed, please contact the IRB for guidance. Click here to learn more about continuing review.
Ensure that you submit your Continuing Review form early enough so that the IRB has time to review it prior to the study expiration. If you submit your Continuing Review a few days or the night before your study expires, we will not have time to review it and grant a continuation before the study expired. The IRB recommends submitting your Continuing review 30 days before the study expiration date.
What if…
- Actions taken without prior IRB review and approval to eliminate an apparent immediate hazard to a research subject(s);
- Sponsor or lead investigator/coordinating center-imposed suspension or termination of some or all research activities
- An unanticipated event related to the research that exposes subjects to potential risk but that does not involve direct harm to subjects;
- A breach of confidentiality or loss of research data (e.g., a laptop or thumb drive is lost or stolen);
- Incarceration of a research subject
- A subject complaint;
- An unanticipated event related to the research that results in actual harm or exposes individuals other than the research subjects (e.g., investigators, research assistants, students, the public, etc.) to potential risk
- New information that indicates increased risk, new risk(s), or decrease to potential benefit from what was previously understood.
- Is unexpected; and
- Is at least possibly related to participation in the research; and
- Indicates that subjects or others are at a greater risk of harm (including physical, psychological, economic, legal, or social harm) than was previously known or recognized
If you are unsure whether the event represents a UAP that needs to be reported, go ahead and submit a report or contact the HRPP Director or IRB Chair for further information.
For further questions please contact our office at utkirb@utk.edu or (865) 974-7697