Dealing with the long-term social implications of research

Alan Fleischman, Carol Levine, Lisa Eckenwiler, Christine Grady, Dale E. Hammerschmidt, Jeremy Sugarman

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


Biomedical and behavioral research may affect strongly held social values and thereby create significant controversy over whether such research should be permitted in the first place. Institutional review boards (IRBs) responsible for protecting the rights and welfare of participants in research are sometimes faced with review of protocols that have significant implications for social policy and the potential for negative social consequences. Although IRB members often raise concerns about potential long-term social implications in protocol review, federal regulations strongly discourage IRBs from considering them in their decisions. Yet IRBs often do consider the social implications of research protocols and sometimes create significant delays in initiating or even prevent such research. The social implications of research are important topics for public scrutiny and professional discussion. This article examines the reasons that the federal regulations preclude IRBs from assessing the social risks of research, and examines alternative approaches that have been used with varying success by national advisory groups to provide such guidance. The article concludes with recommendations for characteristics of a national advisory group that could successfully fulfill this need, including sustainability, independence, diverse and relevant expertise, and public transparency.

Original languageEnglish (US)
Pages (from-to)5-9
Number of pages5
JournalAmerican Journal of Bioethics
Issue number5
StatePublished - May 2011


  • Human subjects research
  • IRB (institutional review board)
  • Research ethics

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Health Policy


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