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Differences in preferences for models of consent for biobanks between Black and White women

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Abstract

Biobanks are essential resources, and participation by individuals from diverse groups is needed. Various models of consent have been proposed for secondary research use of biospecimens, differing in level of donor control and information received. Data are needed regarding participant preferences for models of consent, particularly among minorities. We conducted qualitative semi-structured interviews with 60 women to examine their attitudes about different models of consent. Recruitment was stratified by race (Black/White) and prior biobank participation (yes/no). Two coders independently coded interview transcripts. Qualitative thematic analysis was conducted using NVivo 10. The majority of Black and White participants preferred “broad” consent (i.e., blanket permission for secondary research use of biospecimens), and the second most preferred model for both groups was “study-specific” consent (i.e., consent for each future research study). The qualitative analysis showed that participants selected their most preferred model for 3 major reasons: having enough information, having control over their sample, and being asked for permission. Least preferred was notice model (i.e., participants notified that biospecimens may be used in future research). Attitudes toward models of consent differed somewhat by race and prior biobank participation. Participants preferred models of consent for secondary research use of biospecimens that provided them with both specific and general information, control over their biospecimens, and asked them to give permission for use. Our findings suggest that it will be important for researchers to provide information about future uses of biospecimens to the extent possible and have an explicit permission step for secondary research use.

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References

  • Beskow LM et al (2001) Informed consent for population-based research involving genetics. J Am Med Assoc 286:2315–2321

    Article  CAS  Google Scholar 

  • Brothers KB, Morrison DR, Clayton EW (2011) Two large‐scale surveys on community attitudes toward an opt‐out biobank American. Am J Med Genet A 155:2982–2990

    Article  PubMed Central  Google Scholar 

  • Chen DT, Rosenstein DL, Muthappan P, Hilsenbeck SG, Miller FG, Emanuel EJ, Wendler D (2005) Research with stored biological samples: what do research participants want? Arch Intern Med 165:652–655

    Article  PubMed  Google Scholar 

  • Davey Smith G, Ebrahim S, Lewis S, Hansell A, Palmer L, Burton P (2005) Genetic epidemiology and public health: hope, hype, and future prospects. Lancet 366:1484–1498

  • Greely HT (2007) The uneasy ethical and legal underpinnings of large-scale genomic biobanks. Annual Rev Genomics Hum Genet 8:343–364

    Article  CAS  Google Scholar 

  • Hansson MG, Dillner J, Bartram CR, Carlson JA, Helgesson G (2006) Should donors be allowed to give broad consent to future biobank research? Lancet Oncol 7:266–269

    Article  PubMed  Google Scholar 

  • Helft PR, Champion VL, Eckles R, Johnson CS, Meslin EM (2007) Cancer patients’ attitudes toward future research uses of stored human biological materials. J Empir Res Hum Res Ethics 2:15–22

    Article  PubMed  Google Scholar 

  • Hoeyer K, Olofsson BO, Mjorndal T, Lynoe N (2004) Informed consent and biobanks: a population-based study of attitudes towards tissue donation for genetic research Scandinavian. J Public Health 32:224–229

    Google Scholar 

  • Hsieh H-F, Shannon SE (2005) Three approaches to qualitative content analysis. Qualitative Health Res 15:1277–1288

    Article  Google Scholar 

  • Huber J, Herpel E, Jakobi H, Hadaschik BA, Pahernik S, Hohenfellner M (2013) Two decades’ experience with a prospective biobank for urologic oncology: research, clinical care, and the patients’ view. Urol Oncol 31:990–996

    Article  PubMed  Google Scholar 

  • Jeffers BR (2001) Human biological materials in research: ethical issues and the role of stewardship in minimizing research risks. Adv Nurs Sci 24:32–46

    Article  CAS  Google Scholar 

  • Kaufman D, Bollinger J, Dvoskin R, Scott J (2012) Preferences for opt-in and opt-out enrollment and consent models in biobank research: a national survey of Veterans Administration patients. Genet Med 14:787–794

    Article  PubMed  Google Scholar 

  • Kerath SM et al (2013) Beliefs and attitudes towards participating in genetic research - a population based cross-sectional study. BMC Public Health 13:114

    Article  PubMed  PubMed Central  Google Scholar 

  • Khoury MJ, Millikan R, Little J, Gwinn M (2004) The emergence of epidemiology in the genomics age International. J Epidemiol 33:936–944

    Google Scholar 

  • Luque JS et al (2012) Formative research on perceptions of biobanking: what community members think. J Cancer Educ 27:91–99

    Article  PubMed  PubMed Central  Google Scholar 

  • Master Z, Claudio JO, Rachul C, Wang JC, Minden MD, Caulfield T (2013) Cancer patient perceptions on the ethical and legal issues related to biobanking. BMC Med Genet 6:8

    Google Scholar 

  • McDonald JA et al (2013) Intentions to donate to a biobank in a national sample of African. Am Public Health Genomics 17:173–182

    Article  Google Scholar 

  • McQuillan GM, Pan Q, Porter KS (2006) Consent for genetic research in a general population: an update on the National Health and Nutrition Examination Survey experience. Genet Med 8:354–360

    Article  PubMed  Google Scholar 

  • Mello MM, Wolf LE (2010) The Havasupai Indian tribe case-lessons for research involving stored biologic samples. N Engl J Med 363:204–207

  • Meslin EM, Quaid KA (2004) Ethical issues in the collection, storage, and research use of human biological materials. J Lab Clin Med 144:229–234

    Article  PubMed  Google Scholar 

  • Miles M, Huberman A (1994) Qualitative Data Analysis. Sage Publications, Thousand Oaks, CA

    Google Scholar 

  • Moodley K, Sibanda N, February K, Rossouw T (2014) "It’s my blood": ethical complexities in the use, storage and export of biological samples: perspectives from South African research participants. BMC Med Ethics 15:4

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy J, Scott J, Kaufman D, Geller G, LeRoy L, Hudson K (2009) Public perspectives on informed consent for biobanking American. J Public Health 99:2128–2134

    Google Scholar 

  • National Institutes of Health (2014) Genomic Data Sharing Policy., http://gds.nih.gov/03policy2.html

    Google Scholar 

  • Pentz RD, Billot L, Wendler D (2006) Research on stored biological samples: views of African American and White American cancer patients American. J Med Genet Part A 140:733–739

    Article  Google Scholar 

  • Petrini C (2010) “Broad” consent, exceptions to consent and the question of using biological samples for research purposes different from the initial collection purpose. Soc Sci Med 70:217–220

    Article  PubMed  Google Scholar 

  • Platt J, Bollinger J, Dvoskin R, Kardia SL, Kaufman D (2013) Public preferences regarding informed consent models for participation in population-based genomic research Genetics in Medicine. Genet Med 16(1):11–8

    Article  PubMed  PubMed Central  Google Scholar 

  • Platt T, Platt J, Thiel DB, Fisher N, Kardia SL (2014) ‘Cool! and creepy’: engaging with college student stakeholders in Michigan’s biobank Journal of. Community Genet 5:349–362

    Article  Google Scholar 

  • Pulley J, Clayton E, Bernard GR, Roden DM, Masys DR (2010) Principles of human subjects protections applied in an Opt‐Out. De‐identified Biobank ClinTranslational Sci 3:42–48

    Google Scholar 

  • Rahm AK, Wrenn M, Carroll NM, Feigelson HS (2013) Biobanking for research: a survey of patient population attitudes and understanding. J Community Genet 4:445–450

    Article  PubMed  PubMed Central  Google Scholar 

  • Salvaterra E et al (2008) Banking together. EMBO Rep 9:307–313

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Scott EA, Schlumpf KS, Mathew SM, Mast AE, Busch MP, Gottschall JL (2010) Biospecimen repositories: are blood donors willing to participate? Transfusion 50:1943–1950

    Article  PubMed  PubMed Central  Google Scholar 

  • Secko DM, Preto N, Niemeyer S, Burgess MM (2009) Informed consent in biobank research: a deliberative approach to the debate. Soc Sci Med 68:781–789

    Article  PubMed  Google Scholar 

  • Simon CM et al (2011) Active choice but not too active: public perspectives on biobank consent models. Genet Med 13:821–831

    Article  PubMed  PubMed Central  Google Scholar 

  • Stephenson J (1996) Pathologists enter debate on consent for genetic research on stored tissue. J Am Med Assoc 275:503–504

    Article  CAS  Google Scholar 

  • Stjernschantz Forsberg J, Hansson MG, Eriksson S (2011) Biobank research: who benefits from individual consent? BMJ 343

  • Thiel DB, Platt T, Platt J, King SB, Kardia SL (2014) Community perspectives on public health biobanking: an analysis of community meetings on the Michigan BioTrust for Health. J Community Genet 5:125–138

    Article  PubMed  PubMed Central  Google Scholar 

  • Trinidad S, Fullerton S, Ludman E, Jarvik G, Larson E, Burke W (2011) Research practice and participant preferences: the growing gulf. Science 331:287–8

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • U.S. Census Bureau (2012) 2010 Census Demographic Profile Summary File - Technical Document. http://quickfacts.census.gov/qfd/states/29/29510.html. Accessed 1 July 2015

  • U.S. Department of Health and Human Services (2009) Code of Federal Regulations - Title 45 Public Welfare CFR 46

    Google Scholar 

  • U.S. Department of Health and Human Services (2011) Human Subjects Research Protection: Enhancing Protections for Research Subjects and Reducing Burden, Delay and Ambiguity for Investigators vol 76. https://www.federalregister.gov/articles/2011/07/26/2011-18792/human-subjects-research-protections-enhancing-protections-for-research-subjects-and-reducing-burden. Accessed 1 July 2015

  • Vermeulen E et al (2009) Obtaining ‘fresh’ consent for genetic research with biological samples archived 10 years ago. Eur J Cancer 45(7):1168–1174 

  • Wendler D (2012) Consent for research with biological samples: one-time general consent versus a gift model. Ann Intern Med 156:596–598

    Article  PubMed  Google Scholar 

  • Wendler D, Emanuel E (2002) The debate over research on stored biological samples: what do sources think? Arch Intern Med 162:1457–1462

    Article  PubMed  Google Scholar 

  • Williams BA, Wolf LE (2013) Biobanking, consent, and certificates of confidentiality: does the ANPRM muddy the water? J Law Med Ethics 41:440–453

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

This project was supported by grant number U54CA153460-03S1, a supplement to the Program for the Elimination of Cancer Disparities grant from the National Cancer Institute. We thank all of our community partners, The Breakfast Club, Inc., Siteman Cancer Center and Women’s Health Repository. We thank the 60 women who participated in the study and shared their opinions. We also thank Melissa Lovell, MPH. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute.

Conflict of interest

Katherine M. Brown, Bettina F. Drake, Sarah Gehlert, Leslie E. Wolf, James DuBois, Joann Seo, Krista Woodward, Hannah Perkins, Melody S. Goodman, and Kimberly A. Kaphingst declare they have no conflicts of interest.

Compliance with ethics guidelines

Human subject research

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Correspondence to Katherine M. Brown.

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Brown, K.M., Drake, B.F., Gehlert, S. et al. Differences in preferences for models of consent for biobanks between Black and White women. J Community Genet 7, 41–49 (2016). https://doi.org/10.1007/s12687-015-0248-y

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  • DOI: https://doi.org/10.1007/s12687-015-0248-y

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