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

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A.7<br />

A.7 Ethical aspects<br />

logical/genetic markers measured in blood samples and o<strong>the</strong>r biomaterials, with full respect<br />

<strong>of</strong> current laws and regulations for human data protection. It will be endeavored to ensure<br />

that participants understand what <strong>the</strong>y are consenting to. This will be done by training <strong>the</strong><br />

<strong>National</strong> <strong>Cohort</strong> personnel well in communicating <strong>the</strong> information and assessing <strong>the</strong> participants’<br />

understanding and to give fur<strong>the</strong>r advice and clarification if necessary.<br />

Participants will be requested to give written consent:<br />

� That <strong>the</strong>y have read and understood <strong>the</strong> information leaflet and that <strong>the</strong>y had <strong>the</strong> possibility<br />

to ask fur<strong>the</strong>r questions and that <strong>the</strong> appropriate answers were understood.<br />

� To participate in <strong>the</strong> entire research program (personal interview, questionnaire, medical<br />

examination, and collection <strong>of</strong> blood and o<strong>the</strong>r biomaterials).<br />

� To be recontacted (via mail, telephone, or internet) and reinterviewed (and thus reidentified)<br />

at regular intervals during <strong>the</strong> follow-up period to provide information about<br />

changes in lifestyle or o<strong>the</strong>r risk factors and incident diseases and to be invited to<br />

repeated examinations.<br />

� That personal identifying data will be recorded strictly separated from study data and<br />

biosamples and will only be used for <strong>the</strong> purpose <strong>of</strong> recontacting. Home and work<br />

address will be used to generate scientific data concerning environmental exposures<br />

such as outdoor air quality, noise, etc. These data will only be analyzed in coded form.<br />

� That <strong>the</strong>ir data and biosamples will be stored in <strong>the</strong> long-term for future research, including<br />

tests <strong>of</strong> new methods or extension <strong>of</strong> <strong>the</strong> initial research proposals due to new<br />

techniques or increased knowledge/new insights that had not been defined or were<br />

unknown at <strong>the</strong> time <strong>of</strong> recruitment. A new request <strong>of</strong> consent will not be necessary in<br />

such a case.<br />

� That <strong>the</strong>ir data and biosamples can be used to analyze genetic risk factors for chronic<br />

diseases.<br />

� That for future scientific analyses <strong>the</strong>re may be collaborations with universities and<br />

research institutes (national and international). After ethical approval, coded data for<br />

medical research could also be transferred to foundations and industries, for projects<br />

that may or may not, be based on cost sharing.<br />

� That <strong>the</strong>y will communicate <strong>the</strong> name and address <strong>of</strong> <strong>the</strong>ir general practitioner or<br />

treating physician/clinic and that <strong>the</strong>y allow <strong>the</strong> <strong>National</strong> <strong>Cohort</strong> e.V. to check <strong>the</strong>ir<br />

health <strong>status</strong> from secondary data (e.g., from medical files and registries). Participants<br />

will release <strong>the</strong>ir present and future physicians from maintaining confidentiality,<br />

including <strong>the</strong> permission to get <strong>the</strong> information on cause <strong>of</strong> death and information on<br />

diseases from disease and death registries.<br />

� That information needed for <strong>the</strong> study can be transferred and scientifically used in<br />

coded form from social insurance carriers and health insurance (Institute for Employment<br />

Research, statutory health insurance). For this, participants will communicate<br />

<strong>the</strong> name <strong>of</strong> <strong>the</strong>ir health insurance, <strong>the</strong>ir health insurance number, and <strong>the</strong>ir social<br />

security number.<br />

� That participation will not serve as a substitute for an individual health check, but that<br />

<strong>the</strong>re will be communication <strong>of</strong> <strong>the</strong> most important findings (at baseline and later on)<br />

with <strong>the</strong> advice to contact a physician in case <strong>of</strong> any concern about <strong>the</strong>ir health <strong>status</strong>.<br />

Participants can choose what kind <strong>of</strong> information <strong>the</strong>y will receive. They will have <strong>the</strong><br />

right to refuse to receive any information about <strong>the</strong>ir health <strong>status</strong>.<br />

� That <strong>the</strong> <strong>National</strong> <strong>Cohort</strong> e. V. will be <strong>the</strong> legal owner <strong>of</strong> <strong>the</strong> data and samples and that<br />

participants transfer property rights on <strong>the</strong> data and samples to <strong>the</strong> <strong>National</strong> <strong>Cohort</strong> e. V.<br />

� That participation is voluntary and that <strong>the</strong>y have <strong>the</strong> right to withdraw at any time<br />

during <strong>the</strong> study with different options <strong>of</strong> withdrawal. O<strong>the</strong>rwise, <strong>the</strong> consent form will<br />

retain validity throughout <strong>the</strong> lifetime <strong>of</strong> <strong>the</strong> <strong>National</strong> <strong>Cohort</strong>.<br />

192

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