 | Community-Based
Participatory Research and Research Ethics Institutional
Review Boards were designed to protect the interests of individuals, but what
about the interests of communities? Our Community-Based Participatory Research
(CBPR) & Research Ethics Program seeks to address this issue through training,
technical resources, and open dialogues between communities, academics, research
ethics review boards, funders and other key stakeholders. |
Partner-to-Partner:
Case Stories
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Gigi
McMillan Founder and Executive Director We Can, Pediatric Brain Tumor
Network | I wear a lot of hats. We Can - Pediatric Brain Tumor Network
is a non-profit organization based in Los Angeles. We empower families to manage
their medical situation and to become part of the "process" as their
children go through treatment. There are almost 600 families in the We Can Network
in California. I'm also on two IRBs at the University of California, Los Angeles
(UCLA)-one as a community member and one as a subject representative for the cognitively
impaired. I also sit on the National Cancer Institute's Central Institutional
Review Board (IRB) that reviews children's cancer studies and am a member of a
subcommittee for Secretary's Advisory Committee on Human Research Protections
(SACHRP). UCLA was my first experience with an IRB and it took me two years before
I finally began to feel comfortable doing my job. Two years is too long of a learning
curve. Read more about Gigi's Story |
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Otsehtokon
Alex M. McComber and the Kahnawake Schools Diabetes Prevention Project (KSDPP)
Former KSDPP Training Coordinator | As history demonstrates
in Indigenous communities: "Outside research teams swooped down from the
skies, swarmed all over town, asked nosy questions that were none of their business
and then disappeared never to be heard of again." -Louis T. Montour MD, 1987.
Kahnawake embarked upon a community-university partnership to create a program
designed to be a different approach to research-research that would give back
to the community. Read more about Alex and KSDPP's
Story | | 
Sheila
Beckham Preventive Health Services Director Waianae Coast Comprehensive
Health Center | The Waianae Coast is home to the fourth largest number
of native Hawaiians in Hawaii and has long been a focus of researchers desiring
to study native Hawaiians, collect data, and leave when funding ends. In 1990,
The Waianae Coast Comprehensive Health Center, a Federally Qualified Community
Health Center, entered into a joint research relationship with the University
of Hawaii's Cancer Research Center to implement the Waianae Cancer Research Project.
The Waianae community established and published a set of research protocols, principles
and guidelines for participatory research in 1992, and the protocol for the dissemination
and publication of data in 1995 that would guide future community-based research.
Read more about the Sheila's Story |
back to top Resources CCPH
and ENACCT Submit Comments on Human Subjects Protection Training and Education
Programs CCPH and the Education Network to Advance Cancer Clinical Trials
(ENACCT) responded to a recent request
for public comments on the Implementation of Human Subjects Protection Training
and Education Programs in response to a request for public comments from the federal
Office for Human Research Protections on the topic of human subjects protection
training and education programs. CCPH and ENACCT are spearheading a national
federally funded initiative, Communities as Partners in Cancer Clinical Trials:
Changing Research, Practice and Policy, which is exploring the potential of employing
community-based participatory research (CBPR) principles and approaches to improve
multi-site, phase III cancer clinical trials. The initiative's forthcoming report,
to be released in October 2008, makes a number of recommendations relevant to
the issue of training and education of clinical research teams and Institutional
Review Board (IRB) members. CCPH is also developing a CBPR curriculum for
members of IRBs and Research Ethics Boards. To read the comments submitted
by CCPH and ENACCT, click here. For
more information on Communities as Partners in Cancer Clinical Trials, visit http://www.enacct.org/conference/conference.php. Subscribe
to CCPH's CBPR and research ethics electronic discussion group at http://mailman.u.washington.edu/mailman/listinfo/ccph-ethics
Click
here for audio files, handouts and proceedings from
the 2007 Educational Conference Call Series on Institutional Review Boards &
Ethical Issues in Research. Additional information and resources can be
found on our weblinks
webpage. back to top Get
Involved Interested in joining the discussion
on how communities, academics, IRBs and others can work together to develop innovative
and collaborative ways to address the ethical challenges of CBPR? Do you want
to network with others, and share resources, as well as promising practices with
others? If so, please join our listserv. CBPR and Research Ethics
Listserv: This listserv was established to continue the dialogue initiated
by the Educational Conference Call Series on Institutional Review Boards (IRBs)
and Ethical Issues in Research. Participants are invited to pose questions and
share information or resources related to ethical issues that arise in CBPR and
challenges encountered in the process of research ethics review. To
join
subscribe at http://mailman.u.washington.edu/mailman/listinfo/ccph-ethics CBPR
and Research Ethics IRB/REB Workgroup and Review/Advisory Committee Starting
in January 2008, the workgroup has been meeting once a month (via conference call)
to develop training materials for IRB administrators and committee members on
how to review CBPR protocols. Review/advisory committee members will give formal
feedback to the workgroup, and help to disseminate the curriculum to local IRBs/REBs.
Workgroup and review/advisory committee membership is now closed, but updates
on workgroup activities will be posted to this website as they become available. The
Workgroup has gotten off to a running start since their first meeting in January.
In addition to defining the curriculum's goals and intended outcomes, the Workgroup
has formed several subcommittees to work on several sections and components of
the curriculum. Goals and Intended Outcomes The overall
goals of the curriculum are to educate IRB/REB administrators, chairs and
members about: - The definitions, principles and practices
of CBPR
- The benefits of CBPR and its rationale
- CBPR undertaken
in unique contexts, settings, and communities (e.g. community health centers;
partnerships between community groups and institutions such as universities, hospitals
and health departments; Native American/Alaska Native and aboriginal tribes/nations;
international)
- Specific ethical issues that arise in the conduct of CBPR
(e.g. informed consent, data ownership and management, coordinating protocol reviews
with community-based mechanisms for research ethics review such as community-based
or tribal IRBs/REBs)
The intended outcomes for the curriculum
include the following: 1) IRB/REB administrators, chairs and members are
able to: - Understand what CBPR is and is not
- Articulate
the ethical issues that arise in the conduct of CBPR
- Conduct informed
ethics reviews of CBPR proposals
2) A diverse cadre of trainers will
be developed (reflecting the stakeholders mentioned above) to deliver the curriculum
to IRBs/REBs. The curriculum will include unique training materials and
features on CBPR designed specifically for IRB/REBs, including case stories highlighting
promising and innovative practices developed by CBPR projects (in regards to ethical
issues and challenges) along with lessons learned; resources for IRBs/REBs on
how to further educate administrators, chairs, and members about CBPR; and actual
examples of CBPR protocols that have undergone IRB/REB review. Subcommittees/Needs
Assessment Subcommittees have been formed to work on specific aspects
of the curriculum, including training components focused on CBPR conducted in
unique contexts, settings and communities. A subcommittee has also been
formed to determine how the curriculum might best be delivered and administered
to IRBs/REBs, and has developed a needs assessment for IRB/REB chairs and administrators
that will help elicit this information. By asking about IRB/REBs' understanding
of CBPR, the extent to which they are already reviewing CBPR protocols, and what
IRB/REBs' needs are with regards to a CBPR-focused training curriculum, the Working
Group will be able to design a curriculum that is responsive to the needs of IRBs/REBs
and delivered in convenient formats and settings. Contact CCPH at ccphuw@u.washington.edu
or (206) 666-3406 for more information on Workgroup and Review/Advisory Committee
activities. Workgroup Members Patricia Alt Professor
Towson University Towson, MD Vivian Carter (Workgroup Co-Facilitator)
Assistant Director for Community Partnerships Tuskegee Bioethics Center, Tuskegee
University Tuskegee, AL Sherry Ann Chapman Research Associate and
Manager Community-University Partnership for the Study of Children, Youth,
and Families (CUP) Edmonton, Alberta, Canada Amy Davis Program Director
Public Responsibility in Medicine and Research (PRIM&R) Boston, MA Linda
Delaney Evaluator, University of Arkansas at Pine Bluff and the Arkansas
Department of Health Marion, AR Milton "Mickey" Eder Access
Community Health Network Chicago, IL Ramona Fillman Research Coordinator
Shriners Hospital for Children Honolulu, HI Anthony Fleg Medical
Student University of North Carolina Chapel Hill, NC Laurie Hassell
Regional Manager Northwest Association for Biomedical Research (NWABR)
Seattle, WA Loretta Heuer Professor University of North Dakota,
College of Nursing Grand Forks, ND Pattie King Cancer Advocate/Program
Coordinator Licensed Practical Nurse Cancer Support Services Hu Hu
Kam Memorial Hospital Gila River Indian Community, Arizona Pam Kohal
Program Coordinator II Medical College of Wisconsin Milwaukee, WI Lucie
Lévesque Assistant Professor Queen's University Kingston, Ontario,
Canada Mary Anne McDonald Assistant Professor Division of Community
and Family Medicine Director of Faculty Training Duke Center for Community
Research Duke University Medical Center Durham, NC Patrick McShane
Director of Special Projects Beaufort-Jasper-Hampton Comprehensive Health
Services, Inc. (BJHCHS) Ridgeland, South Carolina Marjie Mogul Director
of Research The Maternity Care Coalition Philadelphia, PA Maghboeba
Mosavel Faculty Member Case Western University Center for Reducing
Health Disparities Cleveland, OH Lisa Moy Graduate Research Assistant
Community-Campus Partnerships for Health Seattle, WA Dianne Quigley
Adjunct Instructor Project Director Syracuse University Research Ethics
and Environmental Health Syracuse, NY Menraj Sachdev Program Development
and Quality Manager Child Family Health International (CFHI) San Francisco,
CA Roy Sahali National Network of Libraries of Medicine Pacific
Northwest Region(NNLM/PNR) University of Washington Seattle, WA Carolina
Gonzalez-Schlenker Consultant Milwaukee, WI Beatrice Clark Shelby
Executive Director Boys, Girls, Adults Community Development Center (BGACDC)
Marvell, AR Peggy Shepard Executive Director West Harlem Environmental
Action, Inc. (WE ACT) New York City, NY Nancy Shore Assistant Professor
School of Social Work University of New England Portland, Maine CCPH
Senior Consultant Stephen Sodeke Director Tuskegee Bioethics Center
University of Tuskegee Tuskegee, AL Bessa Whitmore Professor (Retired)
School of Social Work Carleton University Ottawa, Ontario, Canada Kristine
Wong (Workgroup Co-Facilitator) Program Director Community-Campus Partnerships
for Health Seattle, WA Bernard Young PhD Student, Department of
Education University of Cincinnati Cincinnati, OH Review/Advisory
Committee Members Amoké Alakoyé RTI International
Rockville, MD Emily Anderson Univ. of Illinois - Chicago Chicago,
IL Judith Anderson Environmental Justice Action Group of WNY Buffalo,
NY Kelly Bannister University of Victoria Victoria, BC, Canada Michelle
Berlin Oregon Health & Science University Portland, OR Margaret
Butler University of Texas Health Science Center, Houston Houston, TX Diana
Chingos University of California/Kenneth T. Norris Comprehensive Cancer Center
Los Angeles, CA Michele Curtis University of Texas Humble, TX Ken
Fornataro AIDS Treatment Data Network New York, NY Dwana Green
Louisiana Department of Health and Hospitals Marrero, LA Patricia Holkup
Montana State University Missoula, MT Layne Humphrey Johns Hopkins
Bloomberg School of Public Health Baltimore, MD Carmen Julious
Palmetto AIDS Life Support Services Columbia, SC Robin Gaines Lanzi
Georgetown University Center on Health and Education Washington, DC Danielle
LaBorde HERMES, LLC/Office for Research and Empowerment Wilmington, NC Debra
Long Area L AHEC-Heath Departments in NC Rocky Mount, NC Shannon
Marsh FORCE Seattle, WA Drew McCormick Loyola University of
Chicago Guilford, CT Melva Lisa McDonald McGee Meharry Medical College
HBCU Wellness Project Nashville, TN Beverly Pigman Navajo Nation
Human Research Review Board, Navajo Community College Kayenta, AZ Robert
Reinhard Morrison & Foerster San Francisco, CA Renee Royak-Schaler
Department of Epidemiology & Preventative Medicine, University of Maryland
School of Medicine Baltimore, MD Desi Sims University of Arkansas
Medical School Fayetteville, AK Lisa Rey Thomas Alcohol and Drug
Abuse Institute, University of Washington Seattle, WA Marlene M. von
Friederichs-Fitzwater University of California, Davis, School of Medicine
UC Davis Cancer Center Outreach Research and Education Program; Sacramento,
CA Catherine Woodstock Striley Washington University School of Medicine
St. Louis, MO back to top
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