Challenges faced by ethics committee members in India during COVID-19 pandemic: A mixed-methods exploration

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Date
2022-06
Journal Title
Journal ISSN
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Publisher
Wolters Kluwer – Medknow
Abstract
Background & objectives: The COVID-19 pandemic had a distinct impact on scientific research and Ethics Committees (ECs). We conducted a mixed-methods investigation to understand the issues faced and solutions identified by ECs during this pandemic in India. Methods: A quantitative online survey form (30 members) and qualitative in-depth interviews (10 members) from various ECs were conducted. Thematic content analysis for qualitative and proportion analysis for quantitative data was carried out. Results: During the online survey, an average difficulty score, which was measured using the Visual Analogue Scale, was 5.3 (SD 2.1). Pressure for expedited approvals was felt by EC members with a drastic increase in the number of submission of research projects. The scarcity of information on investigational products (IPs) and requisite consent process posed major hurdles. Ongoing non-COVID studies and post-graduate dissertations were badly hit due to the shift in attention towards COVID-related research. Non-familiarity with virtual technology and lack of face-to-face interactions were highlighted as demerits. However, a few of the EC members welcomed newer methods, being time-saving, convenient and reducing travel hassles. Site monitoring and severe adverse event-related analyses were also negatively impacted upon. Solutions included the alternate methods of consenting (virtual, abbreviated), a detailed explanation of the protocol and IPs and benefits versus risk assessment. Interpretation & conclusions: Despite various challenges posed by the COVID-19 pandemic, the ECs in India steered well through the hurdles. Moreover, adapting a hybrid mode, technical training and updating guidelines were perceived as urgent by EC members
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Keywords
Challenges, COVID-19, Ethics Committee, functioning, research, solutions
Citation
Kadam Abhijit Vasantrao, Patil Sandip, Sane Suvarna, Shahabuddin S.M., Panda Samiran. Challenges faced by ethics committee members in India during COVID-19 pandemic: A mixed-methods exploration. Indian Journal of Medical Research. 2022 Jun; 155(5-6): 461–471