Biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents: The ABCD experience

Observational neuroimaging studies with children and adolescents may identify neurological anomalies and other clinically relevant findings. Planning for the management of this information involves ethical considerations that may influence informed consent, confidentiality, and communication with pa...

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Main Authors: Duncan B. Clark, Celia B. Fisher, Susan Bookheimer, Sandra A. Brown, John H. Evans, Christian Hopfer, James Hudziak, Ivan Montoya, Margaret Murray, Adolf Pfefferbaum, Deborah Yurgelun-Todd
Format: Article
Language:English
Published: Elsevier 2018-08-01
Series:Developmental Cognitive Neuroscience
Online Access:http://www.sciencedirect.com/science/article/pii/S1878929317300622
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author Duncan B. Clark
Celia B. Fisher
Susan Bookheimer
Sandra A. Brown
John H. Evans
Christian Hopfer
James Hudziak
Ivan Montoya
Margaret Murray
Adolf Pfefferbaum
Deborah Yurgelun-Todd
author_facet Duncan B. Clark
Celia B. Fisher
Susan Bookheimer
Sandra A. Brown
John H. Evans
Christian Hopfer
James Hudziak
Ivan Montoya
Margaret Murray
Adolf Pfefferbaum
Deborah Yurgelun-Todd
author_sort Duncan B. Clark
collection DOAJ
description Observational neuroimaging studies with children and adolescents may identify neurological anomalies and other clinically relevant findings. Planning for the management of this information involves ethical considerations that may influence informed consent, confidentiality, and communication with participants about assessment results. Biomedical ethics principles include respect for autonomy, beneficence, non-maleficence, and justice. Each project presents unique challenges. The Adolescent Brain and Cognitive Development study (ABCD) collaborators have systematically developed recommendations with written guidelines for identifying and responding to potential risks that adhere to biomedical ethics principles. To illustrate, we will review the ABCD approach to three areas: (1) hazardous substance use; (2) neurological anomalies; and (3) imminent potential for self-harm or harm to others. Each ABCD site is responsible for implementing procedures consistent with these guidelines in accordance with their Institutional Review Board approved protocols, state regulations, and local resources. To assure that each site has related plans and resources in place, site emergency procedures manuals have been developed, documented and reviewed for adherence to ABCD guidelines. This article will describe the principles and process used to develop these ABCD bioethics and medical oversight guidelines, the concerns and options considered, and the resulting approaches advised to sites. Keywords: Ethics, Adolescence, Magnetic resonance imaging, Clinical oversight, Substance use
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spelling doaj.art-2e836158776741a383749c2f2b2cce2d2022-12-21T18:18:46ZengElsevierDevelopmental Cognitive Neuroscience1878-92932018-08-0132143154Biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents: The ABCD experienceDuncan B. Clark0Celia B. Fisher1Susan Bookheimer2Sandra A. Brown3John H. Evans4Christian Hopfer5James Hudziak6Ivan Montoya7Margaret Murray8Adolf Pfefferbaum9Deborah Yurgelun-Todd103811 O’Hara Street, Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15215, United States; Corresponding author.441 East Fordham Road, Dealy Hall, Fordham University, Bronx, NY 10458, United StatesDepartment of Psychiatry and Biobehavioral Sciences, UCLA School of Medicine, Los Angeles, CA 90095, United StatesDepartment of Psychology and Psychiatry, UC San Diego, 9500 Gilman Drive (MC 0043), La Jolla, CA 92093, United StatesDepartment of Sociology, UC San Diego, 9500 Gilman Drive (0533), La Jolla, CA 92093, United StatesDepartment of Psychiatry, University of Colorado, Denver School of Medicine, 12469 E 17th Place (Bldg 400), Mail Stop F478, Aurora CO 80045, United StatesUHC Campus, St. Joe’s Room 3213, Box 364SJ 3, 1 South Prospect, Burlington, VT 05401, United StatesOffice of the DTMC Director, National Institute on Drug Abuse, 6001 Executive Boulevard, Bethesda, MD, United StatesOffice of the Director, National Institute on Alcohol Abuse and Alcoholism, 5635 Fishers Lane, Rockville, MD, United StatesNeuroscience Program, SRI International, 333 Ravenswood Ave., Menlo Park, CA 94025, United StatesDepartment of Psychiatry, University of Utah School of Medicine, 501 Chipeta Way, Salt Lake City, UT 84108, United StatesObservational neuroimaging studies with children and adolescents may identify neurological anomalies and other clinically relevant findings. Planning for the management of this information involves ethical considerations that may influence informed consent, confidentiality, and communication with participants about assessment results. Biomedical ethics principles include respect for autonomy, beneficence, non-maleficence, and justice. Each project presents unique challenges. The Adolescent Brain and Cognitive Development study (ABCD) collaborators have systematically developed recommendations with written guidelines for identifying and responding to potential risks that adhere to biomedical ethics principles. To illustrate, we will review the ABCD approach to three areas: (1) hazardous substance use; (2) neurological anomalies; and (3) imminent potential for self-harm or harm to others. Each ABCD site is responsible for implementing procedures consistent with these guidelines in accordance with their Institutional Review Board approved protocols, state regulations, and local resources. To assure that each site has related plans and resources in place, site emergency procedures manuals have been developed, documented and reviewed for adherence to ABCD guidelines. This article will describe the principles and process used to develop these ABCD bioethics and medical oversight guidelines, the concerns and options considered, and the resulting approaches advised to sites. Keywords: Ethics, Adolescence, Magnetic resonance imaging, Clinical oversight, Substance usehttp://www.sciencedirect.com/science/article/pii/S1878929317300622
spellingShingle Duncan B. Clark
Celia B. Fisher
Susan Bookheimer
Sandra A. Brown
John H. Evans
Christian Hopfer
James Hudziak
Ivan Montoya
Margaret Murray
Adolf Pfefferbaum
Deborah Yurgelun-Todd
Biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents: The ABCD experience
Developmental Cognitive Neuroscience
title Biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents: The ABCD experience
title_full Biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents: The ABCD experience
title_fullStr Biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents: The ABCD experience
title_full_unstemmed Biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents: The ABCD experience
title_short Biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents: The ABCD experience
title_sort biomedical ethics and clinical oversight in multisite observational neuroimaging studies with children and adolescents the abcd experience
url http://www.sciencedirect.com/science/article/pii/S1878929317300622
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