TABLE 6-3Recommendations by Stakeholdera

STAKEHOLDERRECOMMENDED ACTION
HHSRECOMMENDATION 12G Chapter 6
Refer to research volunteers as participants, not subjects in all regulations relevant to human research
CMSRECOMMENDATIONS 12C and D Chapter 6
Revise CLIA regulations to allow for the return of individual research results from non-CLIA-certified laboratories when results are requested under the HIPAA access right and when the quality of results has been established and they are not intended for use in clinical decision making
RECOMMENDATION 12E Chapter 6
Work with OCR to harmonize definitions of key terms relevant to the return of individual research results in the federal regulations
FDARECOMMENDATION 12H Chapter 6
Clarify and provide additional guidance regarding how the return of individual research results affects IDE requirements for research studies
NIHRECOMMENDATION 2 Chapter 3
Lead an interagency effort with nongovernmental stakeholders to develop standards for a quality management system for research laboratories testing human biospecimens
RECOMMENDATION 12F Chapter 6
Work with OCR and OHRP to harmonize the definitions of key terms relevant to the return of individual research results in the federal regulations
OCRRECOMMENDATION 12A Chapter 6
Revise the definition of the designated record set (DRS)
RECOMMENDATION 12B Chapter 6
Require HIPAA-covered entities that conduct research on human biospecimens to develop a plan for the release of individual research results in the DRS when requested under HIPAA
RECOMMENDATIONS 12E and F Chapter 6
Work with CMS, OHRP, and NIH to harmonize definitions of key terms relevant to the return of individual research results in the federal regulations
OHRPRECOMMENDATION 12F Chapter 6
Work with OCR and NIH to harmonize definitions of key terms relevant to the return of individual research results in the federal regulations
Research sponsors and funding agenciesRECOMMENDATION 4 Chapter 3
Ensure adequate resources and infrastructure to generate high-quality individual research results
RECOMMENDATION 5 Chapter 4
Engage community and participant representatives in the development of policy and guidance related to the return of individual research results
RECOMMENDATION 7 Chapter 4
Ensure planning for the return of individual research results in applications for funding
RECOMMENDATION 11 Chapter 5
Support research to expand the empirical evidence base relevant to the return of individual research results
Research institutionsRECOMMENDATION 1 Chapter 2
Consider whether and how to return individual research results on a study-specific basis
RECOMMENDATION 3 Chapter 3
Ensure the high quality of individual research results that are returned to participants
RECOMMENDATION 4 Chapter 3
Ensure adequate resources and infrastructure to generate high-quality research results
RECOMMENDATION 5 Chapter 4
Enable and facilitate investigator access to relevant community and participant networks, resources, and training
RECOMMENDATION 8 Chapter 4
Develop policies and procedures that support the assessment of plans for the return of individual research results, and ensure that IRBs and research teams have or have access to the necessary expertise and resources to assess plans
Research institutionsRECOMMENDATION 10 Chapter 5
Enable the understanding of individual research results by research participants
IRBsRECOMMENDATION 3 Chapter 3
Ensure the high quality of individual research results that are returned to participants
RECOMMENDATION 7 Chapter 4
Review the return-of-results plan and ensure the consent process aligns with it
InvestigatorsRECOMMENDATION 1 Chapter 2
Consider whether and how to return individual research results on a study-specific basis
RECOMMENDATION 5 Chapter 4
Seek information on participant needs, preferences, and values related to return of individual research results
RECOMMENDATION 6 Chapter 4
Include plans for return of individual research results in research protocols
RECOMMENDATION 9 Chapter 5
Ensure transparency regarding return of individual research results in the consent process
RECOMMENDATION 10 Chapter 5
Enable the understanding of individual research results by research participants
ParticipantsRECOMMENDATION 5 Chapter 4
Engage researchers to ensure that participant needs, preferences, and values are incorporated in decision making about the return of individual research results
a

An interactive version of this table can be found at http://resources​.nationalacademies​.org/ReturnofResults​/index.html (accessed August 13, 2018).

From: 6, Reshaping the Legal and Regulatory Landscape to Support Return of Individual Research Results

Cover of Returning Individual Research Results to Participants
Returning Individual Research Results to Participants: Guidance for a New Research Paradigm.
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Sciences Policy; Committee on the Return of Individual-Specific Research Results Generated in Research Laboratories; Downey AS, Busta ER, Mancher M, et al., editors.
Washington (DC): National Academies Press (US); 2018 Jul 10.
Copyright 2018 by the National Academy of Sciences. All rights reserved.

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