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Text of the page (random words):
er than ethical issues there was a general consensus that the whole practice of conducting research studies was more focused on the business aspects like funding and enrolling participants in the study in time a physician commented that industry relationships are very important because of cash flow 18 typical ethical issues that arise in this type of research trials include participant enrollment the question of coercion if a physician refers their own patients and any misunderstandings regarding treatment benefits patients are more likely to enroll in a trial if their primary care physician or a provider that they trust recommends the study most respondents to the survey agreed that patients consent to participate because they believe that through this study they would be receiving more attention than my regular patients 18 and that there are an awful lot of additional opportunities for interaction 18 one respondent commented the way that we re required to actually recruit patients which is to have their providers be the point of contact some ways is i mean i don t want to use the word coercion but it s kind of leaning in that direction because basically here s this person that they entrust themselves to who they re very dependent on for you know getting their healthcare 18 there was a large amount of respondents who thought that research participants did not read or understand the documents provided for informed consent 18 however those respondents did not believe that was an ethical or moral concern citation needed willingness to join a research study edit this section relies on a single source please help improve this section by adding citations to reliable sources unsourced material may be challenged and removed july 2025 learn how and when to remove this message most of the coordinators and researchers showed some hesitation when they were asked if they would enroll as a subject in a clinical trial not necessarily their own but any study when asked to elaborate on their hesitation many said that they would be concerned about the motivations behind the study its purpose its funding as well as expectations of what participation might entail 18 ultimately only 24 of the respondents said they would be willing to participate with a majority of them stating they would need full transparency and an indication that there would be some personal benefit in order for them to even consider participating some had a list of criteria that had to be met eleven percent indicated that they would not at all be willing to enroll in a research study one respondent commented if it involved taking a medication no never i would be in a clinical trial if there was something like track your mammogram something i am already subjecting myself to 18 cook and hoas stated that these answers were particularly puzzling because these respondents still reported that their patient participants received optimal care from clinical trials 18 clinical trials edit main article clinical trial clinical trials are experiments done in clinical research such prospective biomedical or behavioral research studies on human participants are designed to answer specific questions about biomedical or behavioral interventions including new treatments such as novel vaccines drugs dietary choices dietary supplements and medical devices and known interventions that warrant further study and comparison clinical trials generate data on safety and efficacy 20 they are conducted only after they have received health authority ethics committee approval in the country where approval of the therapy is sought these authorities are responsible for vetting the risk benefit ratio of the trial their approval does not mean that the therapy is safe or effective only that the trial may be conducted 21 depending on product type and development stage investigators initially enroll volunteers or patients into small pilot studies and subsequently conduct progressively larger scale comparative studies clinical trials can vary in size and cost and they can involve a single research center or multiple centers in one country or in multiple countries clinical study design aims to ensure the scientific validity and reproducibility of the results citation needed trials can be quite costly depending on a number of factors the sponsor may be a governmental organization or a pharmaceutical biotechnology or medical device company certain functions necessary to the trial such as monitoring and lab work may be managed by an outsourced partner such as a contract research organization or a central laboratory for example a clinical drug trial case at the university of minnesota that was under investigation in 2015 22 for the death of dan markingson was funded by astrazeneca a pharmaceutical company headquartered in the united kingdom human subjects in psychology and sociology edit stanford prison experiment edit main article stanford prison experiment a study conducted by philip zimbardo in 1971 examined the effect of social roles on college students at stanford university twenty four male students were assigned to a random role of a prisoner or guard to simulate a mock prison in one of stanford s basements after only six days the abusive behavior of the guards and the psychological suffering of prisoners proved significant enough to halt the two week long experiment 23 the goal of the experiment was to determine whether dispositional factors the behavior of guards and prisoners or positional factors the social environment of prisons are the major cause of conflict within such facilities the results of this experiment showed that people will readily conform to the specific social roles they are supposed to play the prison environment played a part in making the guards behavior more brutal due to the fact that none of the participants showed this type of behavior beforehand most of the guards had a hard time believing they had been acting in such a way the evidence concludes this to be positional behavior meaning the behavior was due to the hostile environment of the prison 24 milgram experiment edit main article milgram experiment in 1961 yale university psychologist stanley milgram led a series of experiments to determine to what extent an individual would obey instructions given by an experimenter placed in a room with the experimenter subjects played the role of a teacher to a learner situated in a separate room the subjects were instructed to administer an electric shock to the learner when the learner answered incorrectly to a set of questions the intensity of this electric shock was to be increased for every incorrect answer the learner was a confederate i e actor and the shocks were faked but the subjects were led to believe otherwise both prerecorded sounds of electric shocks and the confederate s pleas for the punishment to stop were audible to the teacher throughout the experiment when the subject raised questions or paused the experimenter insisted that the experiment should continue despite widespread speculation that most participants would not continue to shock the learner 65 percent of participants in milgram s initial trial complied until the end of the experiment continuing to administer shocks to the confederate with purported intensities of up to 450 volts 25 26 although many participants questioned the experimenter and displayed various signs of discomfort when the experiment was repeated 65 percent of subjects were willing to obey instructions to administer the shocks through the final one 27 asch conformity experiments edit main article asch conformity experiments psychologist solomon asch s classic conformity experiment in 1951 involved one subject participant and multiple confederates they were asked to provide answers to a variety of different low difficulty questions 28 in every scenario the multiple confederates gave their answers in turn and the participant subject was allowed to answer last in a control group of participants the percentage of error was less than one percent however when the confederates unanimously chose an incorrect answer 75 percent of the subject participants agreed with the majority at least once the study has been regarded as significant evidence for the power of social influence and conformity 29 robber s cave study edit a classic advocate of realistic conflict theory muzafer sherif s robber s cave experiment shed light on how group competition can foster hostility and prejudice 30 in the 1961 study two groups of ten boys each who were not naturally hostile were grouped together without knowledge of one another in robber s cave state park oklahoma 31 the twelve year old boys bonded with their own groups for a week before the groups were set in competition with each other in games such as tug of war and football when competing the groups resorted to name calling and other displays of resentment such as burning the other group s team flag the hostility continued and worsened until the end of the three week study when the groups were forced to work together to solve problems 31 bystander effect edit main article bystander effect the bystander effect is demonstrated in a series of famous experiments by bibb latane and john darley 31 in each of these experiments participants were confronted with a type of emergency such as the witnessing of a seizure or smoke entering through air vents a common phenomenon was observed that as the number of witnesses or bystanders increases so does the time it takes for individuals to respond to the emergency this effect has been shown to promote the diffusion of responsibility by concluding that when surrounded by others the individual expects someone else to take action 31 cognitive dissonance edit main article cognitive dissonance human subjects have been commonly used in experiments testing the theory of cognitive dissonance after the landmark study by leon festinger and merrill carlsmith 32 in 1959 festinger and carlsmith devised a situation in which participants would undergo excessively tedious and monotonous tasks after the completion of these tasks the subjects were instructed to help the experiment continue in exchange for a variable amount of money all the subjects had to do was simply inform the next student waiting outside the testing area who was secretly a confederate that the tasks involved in the experiment were interesting and enjoyable it was expected that the participants would not fully agree with the information they were imparting to the student and after complying half of the participants were awarded 1 roughly the same as 11 now and the others were awarded 20 like 221 now a subsequent survey showed that by a large margin those who received less money for essentially lying to the student came to believe that the tasks were far more enjoyable than their highly paid counterparts 32 vehicle safety edit this section relies on a single source please help improve this section by adding citations to reliable sources unsourced material may be challenged and removed december 2020 learn how and when to remove this message in the automotive industry research has shown that civilian volunteers decided to participate in vehicle safety research to help automobile designers improve upon safety restraints for vehicles this research allows designers to gather more data on the tolerance of the human body in the event of an automobile accident in order to better improve safety features in automobiles some of the tests conducted ranged from sled runs evaluating head neck injuries airbag tests and tests involving military vehicles and their restraint systems from thousands of tests involving human subjects results indicate no serious injuries were persistent this is largely due to the preparation efforts of researchers to ensure all ethical guidelines are followed and to ensure the safety and well being of their subjects although this research provides positive contributions there are some drawbacks and resistance to human subjects research for crash testing due to the liability of injury and the lack of facilities that have appropriate machinery to perform such experiments research with live persons provides additional data which might be unobtainable when testing with cadavers or crash test dummies 33 social media edit the increased use of social media as a data source for researchers has led to new uncertainties regarding the definition of human subjects research privacy confidentiality and informed consent are key concerns yet it is unclear when social media users qualify as human subjects moreno et al conclude that if access to the social media content is public information is identifiable but not private and information gathering requires no interaction with the person who posted it online then the research is unlikely to qualify as human subjects research 34 defining features of human subjects research according to federal regulations are that the researchers interact directly with the subject or obtain identifiable private information about the subject 2 social media research may or may not meet this definition a research institution s institutional review board irb is often responsible for reviewing potential research on human subjects but irb protocols regarding social media research may be vague or outdated 34 concerns regarding privacy and informed consent have surfaced regarding multiple social media studies a research project by harvard sociologists known as tastes ties and time utilized data from facebook profiles of students at an anonymous northeastern american university that was quickly identified as harvard potentially placing the privacy of the human subjects at risk 35 the data set was removed from public access shortly after the issue was identified 36 the issue was complicated by the fact that the research project was partially funded by the national science foundation which mandates the projects it funds to engage in data sharing 36 a study by facebook and researchers at cornell university published in the proceedings of the national academy of sciences in 2014 collected data from hundreds of thousands of facebook users after temporarily removing certain types of emotional content from their news feed 37 many considered this a violation of the requirement for informed consent in human subjects research 38 39 because the data was collected by facebook a private company in a manner that was consistent with its data use policy and user terms and agreements the cornell irb board determined that the study did not fall under its jurisdiction 37 it has been argued that this study broke the law nonetheless by violating state laws regarding informed consent 39 others have noted that speaking out against these research methods may be counterproductive as private companies will likely continue to experiment on users but will be dis incentivized from 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