Journal of Community Genetics

, Volume 5, Issue 2, pp 125–138 | Cite as

Community perspectives on public health biobanking: an analysis of community meetings on the Michigan BioTrust for Health

  • Daniel B. Thiel
  • Tevah Platt
  • Jodyn Platt
  • Susan B. King
  • Sharon L. R. Kardia
Original Article

Abstract

Biobanks raise challenges for developing ethically sound and practicable consent policies. Biobanks comprised of dried bloodspots (DBS) left over from newborn screening, maintained for long-term storage, and potential secondary research applications are no exception. Michigan has been a leader in transforming its DBS collection, marketing its biobank of de-identified samples for health research use. The Michigan BioTrust for Health includes approximately 4 million unconsented retrospective samples collected as early as 1984 and prospective samples added since the fall of 2010 with blanket parental consent. We engaged Michigan citizens to ascertain public attitudes, knowledge, and beliefs about the BioTrust and informed consent. A convenience sampling of 393 participants from communities around the state of Michigan (oversampling for minority populations) participated in meetings addressing newborn screening, the BioTrust and informed consent, yielding quantitative and qualitative survey and discussion data. Participants affirmed the principle of voluntary informed participation in research and advocated for greater public awareness of the existence of the BioTrust. Most expressed support for the use of DBS for research and a desire for greater involvement in granting permission for research use. Opinions varied as to which specific research uses were acceptable. Participants indicated a desire for greater engagement, public awareness, and more active decision making on the part of biobank participants and parents. Diversity of opinion over which research areas were deemed acceptable problematizes the blanket consent model that currently applies to the BioTrust’s prospective DBS collection and that could become the new norm for research using de-identified data under proposed changes to the Common Rule.

Keywords

Biobank Public health Informed consent Newborn screening Community engagement 

Notes

Acknowledgments

This work was funded by an ARRA challenge grant issued through the National Human Genome Research Institute (5RC1HG005439-02). The authors gratefully acknowledge the community partner organizations, without whom this work would not have been possible, as follows: Community-based organization partners (Flint), The Asian Center (Grand Rapids), Arab Community Center for Economic and Social Services (Dearborn), Friends of Parkside (Detroit), Alliance Health (Jackson), InterTribal Council of Michigan, and Latino Family Services (Detroit). We would like to thank the participants who came to the community meetings for their time and input on this issue. We acknowledge the contributions of Nicole Fisher and Jamie Liebert who provided outstanding research assistance throughout the project. We also thank our colleagues at Michigan State University, Ann Mongoven, Meta Kreiner, and Andrea Sexton, with whom we developed the qualitative codebook used in this analysis. In addition, the authors acknowledge the work of Joan Scott, who served in an advisory capacity during the development and implementation of the community meetings. Additional support for this work was provided by a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (1R01HD067264).

Compliance with ethics

This study was conducted with oversight by the University of Michigan IRB and in compliance with current laws in the United States of America. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all participants for being included in the study.

Supplementary material

12687_2013_162_MOESM1_ESM.pdf (108 kb)
ESM 1 (PDF 108 kb)
12687_2013_162_MOESM2_ESM.pdf (399 kb)
ESM 2 (PDF 398 kb)

References

  1. Botkin JR, Rothwell E, Anderson R, Stark L, Goldenberg A, Lewis M, Wong B (2012) Public attitudes regarding the use of residual newborn screening specimens for research. Pediatrics 129(2):231–238. doi: 10.1542/peds.2011-0970 PubMedCentralPubMedCrossRefGoogle Scholar
  2. Caplan A (2009) The ethics of research biobanking. Dordrecht; London, SpringerGoogle Scholar
  3. Clayton EW (2005) Informed consent and biobanks. J Law Med Ethics 33(1):15–21. doi: 10.1111/j.1748-720X.2005.tb00206.x PubMedCrossRefGoogle Scholar
  4. Couzin-Frankel J (2009) Science gold mine, ethical minefield. Science 324(5924):166–168PubMedCrossRefGoogle Scholar
  5. Freelon D (2010) ReCal/Intercoder reliability calculation as a web service. Int J Internet Sci 5(1):20–33Google Scholar
  6. Friedman CP, Wong AK, Blumenthal D (2010) Achieving a nationwide learning health system. Sci Transl Med 2(57):7CrossRefGoogle Scholar
  7. Health Resources and Services Administration 2011 Considerations and Recommendations for National Guidance Regarding the Retention and Use of Residual Dried Blood Spot Specimens After Newborn Screening. (2011). (Briefing Paper). Retrieved from: http://www.hrsa.gov/advisorycommittees/mchbadvisory/heritabledisorders/recommendations/correspondence/briefingdriedblood.pdf
  8. HHS.gov (2013) "Regulatory Changes in ANPRM." http://www.hhs.gov/ohrp/humansubjects/anprmchangetable.html accessed 3 April 2013
  9. Kaye J, Curren L, Anderson N, Edwards K, Fullerton SM, Kanellopoulou N, Lund D et al (2012) From patients to partners: participant-centric initiatives in biomedical research. Nat Rev Genet 13(5):371–376PubMedCentralPubMedCrossRefGoogle Scholar
  10. Lewis M, Goldenberg A, Anderson R, Rothwell E, Botkin J (2011) State laws regarding the retention and use of residual newborn screening blood samples. Pediatrics 127(4):703–712. doi: 10.1542/peds.2010-1468 PubMedCentralPubMedCrossRefGoogle Scholar
  11. Lidz C, Garverich S (2013) What the ANPRM missed: additional needs for IRB reform. J Law Med Ethics 41(2):390–396. doi: 10.1111/jlme.12050 PubMedGoogle Scholar
  12. Mongoven A, McGee H (2012) IRB Review and Public Health Biobanking: A Case Study of the Michigan BioTrust for Health. IRB: Ethics & Human ResearchGoogle Scholar
  13. Murphy J, Scott J, Kaufman D, Geller G, LeRoy L, Hudson K (2009) Public perspectives on informed consent for biobanking. Am J Public Health 99(12):2128–2134PubMedCentralPubMedCrossRefGoogle Scholar
  14. Olney RS, Moore CA, Ojodu JA, Lindegren ML, Hannon WH (2006) Storage and use of residual dried blood spots from state newborn screening programs. J Pediatr 148(5):618–622PubMedCrossRefGoogle Scholar
  15. 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. doi: 10.1016/j.socscimed.2009.10.004 PubMedCrossRefGoogle Scholar
  16. Platt J, Platt T, Thiel D, Kardia SLR (2013) ‘Born in Michigan? You’re in the Biobank’: Engaging Population Biobank Participants through Facebook Advertisements. Public Health Genomics 16(4). doi: 10.1159/000351451
  17. Rothwell E, Anderson R, Botkin J (2010) Policy issues and stakeholder concerns regarding the storage and use of residual newborn dried blood samples for research. Policy Polit Nurs Pract 11(1):5–12PubMedCrossRefGoogle Scholar
  18. Rothwell E, Anderson R, Goldenberg A, Lewis MH, Stark L, Burbank M, Botkin JR (2012) Assessing public attitudes on the retention and use of residual newborn screening blood samples: a focus group study. Soc Sci Med 74(8):1305–1309. doi: 10.1016/j.socscimed.2011.12.047 PubMedCentralPubMedCrossRefGoogle Scholar
  19. Shickle D (2006) The Consent Problem within DNA Biobanks. Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 37(3): 503–519. doi: 10.1016/j.shpsc.2006.06.007
  20. Simon CM, L’Heureux J, Murray JC, Winokur P, Weiner G, Newbury E, Zimmerman B (2011) Active choice but not too active: public perspectives on biobank consent models. Genet Med 13(9):821–831. doi: 10.1097/GIM.0b013e31821d2f88 PubMedCentralPubMedCrossRefGoogle Scholar
  21. State of the State Survey-60 (2011) Retrieved from MSU Institute for Public Policy and Social Research: http://www.ippsr.msu.edu/SOSS
  22. State of the State Survey-63 (2012) Retrieved from MSU Institute for Public Policy and Social Research: http://www.ippsr.msu.edu/SOSS
  23. Tarini BA, Goldenberg A, Singer D, Clark SJ, Butchart A, Davis MM (2010) Not without my permission: parents’ willingness to permit use of newborn screening samples for research. Public Health Genomics 13(3):125–130. doi: 10.1159/000228724 PubMedCrossRefGoogle Scholar
  24. Terry SF, Shelton R, Biggers G, Baker D, Edwards K (2013) The haystack is made of needles Genetic testing and molecular biomarkers 17(3):175–177. doi: 10.1089/gtmb.2012.1542
  25. Terry SF, Terry PF, (2011) Power to the people: Participant ownership of clinical trial data. Sci Transl Med 3(69):69cm3 Google Scholar
  26. Wendler D (2006) One-time general consent for research on biological samples. BMJ 332(7540):544–547. doi: 10.1136/bmj.332.7540.544 PubMedCentralPubMedCrossRefGoogle Scholar
  27. Williams BA, Wolf LE (2013) Biobanking, consent, and certificates of confidentiality: does the ANPRM muddy the water? J Law Med Ethics 41(2):440–453. doi: 10.1111/jlme.12054 PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Daniel B. Thiel
    • 1
    • 4
  • Tevah Platt
    • 1
  • Jodyn Platt
    • 1
    • 2
  • Susan B. King
    • 1
  • Sharon L. R. Kardia
    • 1
    • 3
  1. 1.University of Michigan School of Public Health Life Sciences and Society ProgramAnn ArborUSA
  2. 2.University of Michigan School of Public Health Department of Health Management and PolicyAnn ArborUSA
  3. 3.University of Michigan School of Public Health Department of EpidemiologyAnn ArborUSA
  4. 4.Life Sciences & Society ProgramUniversity of Michigan School of Public HealthAnn ArborUSA

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