Community perspectives on public health biobanking: an analysis of community meetings on the Michigan BioTrust for Health
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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 engagementNotes
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
References
- 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
- Caplan A (2009) The ethics of research biobanking. Dordrecht; London, SpringerGoogle Scholar
- 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
- Couzin-Frankel J (2009) Science gold mine, ethical minefield. Science 324(5924):166–168PubMedCrossRefGoogle Scholar
- Freelon D (2010) ReCal/Intercoder reliability calculation as a web service. Int J Internet Sci 5(1):20–33Google Scholar
- Friedman CP, Wong AK, Blumenthal D (2010) Achieving a nationwide learning health system. Sci Transl Med 2(57):7CrossRefGoogle Scholar
- 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
- HHS.gov (2013) "Regulatory Changes in ANPRM." http://www.hhs.gov/ohrp/humansubjects/anprmchangetable.html accessed 3 April 2013
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- State of the State Survey-60 (2011) Retrieved from MSU Institute for Public Policy and Social Research: http://www.ippsr.msu.edu/SOSS
- State of the State Survey-63 (2012) Retrieved from MSU Institute for Public Policy and Social Research: http://www.ippsr.msu.edu/SOSS
- 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
- 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
- Terry SF, Terry PF, (2011) Power to the people: Participant ownership of clinical trial data. Sci Transl Med 3(69):69cm3 Google Scholar
- 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
- 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