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International Ethical Guidelines for Health-related Research Involving Humans

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GUIDELINE 9:<br />

INDIVIDUALS CAPABLE OF GIVING<br />

INFORMED CONSENT<br />

<strong>Research</strong>ers have a duty to provide potential research participants with the in<strong>for</strong>mation<br />

and the opportunity to give their free and in<strong>for</strong>med consent to participate in research, or to<br />

decline to do so, unless a research ethics committee has approved a waiver or modification<br />

of in<strong>for</strong>med consent (see Guideline 10 – Modifications and waivers of in<strong>for</strong>med consent).<br />

In<strong>for</strong>med consent should be understood as a process, and participants have a right to<br />

withdraw at any point in the study without retribution.<br />

<strong>Research</strong>ers have a duty to:<br />

ff<br />

seek and obtain consent, but only after providing relevant in<strong>for</strong>mation about the<br />

research and ascertaining that the potential participant has adequate understanding<br />

of the material facts;<br />

ff<br />

refrain from unjustified deception or withholding of relevant in<strong>for</strong>mation, undue influence,<br />

or coercion (see Guideline 10 – Modifications and waivers of in<strong>for</strong>med consent);<br />

ff<br />

ensure that the potential participant has been given sufficient opportunity and time to<br />

consider whether to participate; and<br />

ff<br />

as a general rule, obtain from each potential participant a signed <strong>for</strong>m as evidence<br />

of in<strong>for</strong>med consent. <strong>Research</strong>ers must justify any exceptions to this general rule and<br />

seek the approval of the research ethics committee.<br />

Guideline 9: Individuals capable of giving in<strong>for</strong>med consent<br />

With the approval of the research ethics committee, researchers must renew the in<strong>for</strong>med<br />

consent of each participant if there is a substantive change in the conditions or procedures<br />

of the research, or if new in<strong>for</strong>mation becomes available that could affect the willingness of<br />

participants to continue. In long-term studies, researchers should ensure at pre-determined<br />

intervals that each participant is willing to stay in the study, even if there are no changes<br />

in the design or objectives of the research.<br />

It is the principal investigator’s responsibility to ensure that all personnel obtaining in<strong>for</strong>med<br />

consent <strong>for</strong> a study comply with this Guideline.<br />

Commentary on Guideline 9<br />

General considerations. In<strong>for</strong>med consent is a process. The start of this process requires providing<br />

relevant in<strong>for</strong>mation to a potential participant, ensuring that the person has adequately understood<br />

the material facts and has decided or refused to participate without having been subjected to<br />

coercion, undue influence, or deception.<br />

INTERNATIONAL ETHICAL GUIDELINES FOR HEALTH-RELATED RESEARCH INVOLVING HUMANS<br />

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