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Scientific Concept of the National Cohort (status ... - Nationale Kohorte

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A.7 Ethical aspects<br />

191<br />

A.7 Ethical aspects<br />

The questions <strong>of</strong> ethics and data protection in <strong>the</strong> <strong>National</strong> <strong>Cohort</strong> have been discussed with<br />

<strong>the</strong> working group <strong>of</strong> data protection <strong>of</strong>ficers (“Arbeitskreis Wissenschaft der Datenschutzbeauftragten<br />

des Bundes und der Länder”) to develop a concept which is acceptable for<br />

all federal states. The following section describes <strong>the</strong> current <strong>status</strong>. Consensus has been<br />

reached for most points; however, some questions are still open and some changes may be<br />

necessary in <strong>the</strong> final version.<br />

The study protocol for feasibility studies within <strong>the</strong> framework <strong>of</strong> <strong>the</strong> <strong>National</strong> <strong>Cohort</strong> has<br />

a similar structure but is simpler. It was first submitted to one ethics committee, which approved<br />

it. This approved protocol has been sent to <strong>the</strong> o<strong>the</strong>r ethics committees involved and<br />

we expect to also receive <strong>the</strong>ir approval in January 2011.<br />

A.7.1 Invitation letters and informed consent<br />

A.7.1.1 Information for potential participants<br />

Potential participants will receive, by postal mail, an invitation letter as well as general information<br />

about <strong>the</strong> <strong>National</strong> <strong>Cohort</strong>. The invitation strategy is described in detail in Sect.<br />

A.3.1.4.<br />

The invitation letter will be an <strong>of</strong>ficial letter signed by <strong>the</strong> principal investigators and <strong>the</strong> coordinators<br />

<strong>of</strong> <strong>the</strong> clusters. It will contain a brief description <strong>of</strong> <strong>the</strong> purpose <strong>of</strong> <strong>the</strong> study and<br />

involved institutions and funders and outline <strong>the</strong> intended research program, including <strong>the</strong><br />

time frame. A general information flyer will be sent along with <strong>the</strong> invitation and will contain<br />

general information about <strong>the</strong> project and <strong>the</strong> aim <strong>of</strong> <strong>the</strong> study. Fur<strong>the</strong>rmore, <strong>the</strong> invitation<br />

will contain a prepaid postal reply for <strong>the</strong> participants to make an appointment at <strong>the</strong> study<br />

center and advice on how to contact <strong>the</strong> <strong>National</strong> <strong>Cohort</strong> team and how to take part in <strong>the</strong><br />

study. Letters <strong>of</strong> support from <strong>the</strong> Federal Ministry <strong>of</strong> Research and Education, <strong>the</strong> Federal<br />

Ministry <strong>of</strong> Health and local stakeholders are also attached.<br />

Fur<strong>the</strong>rmore, participants will receive a detailed study information leaflet. This leaflet contains<br />

detailed information about <strong>the</strong> project, <strong>the</strong> aim <strong>of</strong> <strong>the</strong> study, funders, organization,<br />

conditions for participation, research program (personal interview, questionnaire, physical<br />

examination, and collection <strong>of</strong> blood and o<strong>the</strong>r biomaterials), risks due to participation (e.g.,<br />

due to collection <strong>of</strong> blood samples, etc.), voluntariness, right to withdraw, recontact, currently<br />

intended and possible fur<strong>the</strong>r analyses (including genetic analyses), storage <strong>of</strong> samples,<br />

communication <strong>of</strong> personal results, and confidentiality and data protection. We will confirm<br />

that <strong>the</strong> highest level <strong>of</strong> data protection will be ensured in accordance with all relevant legislations.<br />

Potential participants for MRI will receive detailed specific information describing<br />

<strong>the</strong> procedure <strong>of</strong> feedback in case <strong>of</strong> incidental findings.<br />

Both documents, <strong>the</strong> invitation letter and <strong>the</strong> information leaflet, will be designed with <strong>the</strong><br />

greatest possible care since <strong>the</strong>y will be <strong>of</strong> particular importance for providing <strong>the</strong> participants<br />

with information and for developing positive attitudes and motivation to participate.<br />

For fur<strong>the</strong>r information or concerns, a telephone service and a website are provided. Fur<strong>the</strong>r<br />

questions will be answered personally at <strong>the</strong> study center.<br />

A.7.1.2 Informed consent<br />

Since it will be impossible to foresee all future research projects, consent will be sought for<br />

<strong>the</strong> broadest possible range <strong>of</strong> future medical research proposals, including <strong>the</strong> use <strong>of</strong> bio-<br />

A.7

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