A research participant, also called a human subject or an experiment, trial, or study participant or subject, is a person who voluntarily participates in
human subject research
Human subject research is systematic, scientific investigation that can be either interventional (a "trial") or observational (no "test article") and involves human beings as research subjects, commonly known as test subjects. Human subject r ...
after giving
informed consent
Informed consent is an applied ethics principle that a person must have sufficient information and understanding before making decisions about accepting risk. Pertinent information may include risks and benefits of treatments, alternative treatme ...
to be the subject of the research. A research participant is different from individuals who are not able to give informed consent, such as children, infants, and animals. Such individuals are preferentially referred to as subjects.
Rights
In accordance with modern norms of
research ethics
Research ethics is a discipline within the study of Ethics, applied ethics. Its scope ranges from general scientific integrity and scientific misconduct, misconduct to the treatment of human and animal subjects. The social responsibilities of sc ...
and with the
Declaration of Helsinki
The Declaration of Helsinki (DoH, ) is a set of ethical principles regarding human experimentation developed originally in 1964 for the medical community by the World Medical Association (WMA). It is widely regarded as the cornerstone document o ...
, researchers who conduct human subject research should afford certain rights to research participants. Research participants should expect the following:
*to be the target of
beneficence
*to experience
research justice
*to get
respect for persons
*to have
privacy for research participants Privacy for research participants is a concept in research ethics which states that a person in human subject research has a right to privacy when participating in research. Some typical scenarios this would apply to include, or example, a surveyor ...
*to be informed
*to be safe from undue danger
Terminology
There are several standard themes in the choice of words (''participant, subject, patient, control, respondent''):
* In scientific publishing, many usage commentators prefer the term ''participant'' rather than ''subject'' because the latter has a
connotation
A connotation is a commonly understood cultural or emotional association that any given word or phrase carries, in addition to its explicit or literal meaning, which is its denotation.
A connotation is frequently described as either positive or ...
to some readers of limited autonomy, as if the person were in a subservient or uninformed role. In contrast, ''participant'' connotes active consent, involvement, and awareness.
* In retrospective studies such as chart-review studies, the word ''participant'' may be a poor choice, because the persons being studied are not actively participating (and they may not even be aware of the particular study, although they have consented to the idea that their data may be included in scientific studies when sufficiently
anonymized). Therefore, replacing the word ''subject'' with ''participant'' is only conditionally (not universally) appropriate. In most such studies, the word ''patient'' may be preferable to ''subject'', as long as all of the subjects in that study were patients (see next point).
* Not all participants are patients. Some are healthy
controls. In some study designs, all the participants are patients; but in others, only some of them are. Therefore, replacing the word ''subject'' with ''patient'' is only conditionally (not universally) appropriate.
* A case is an instance of disease. A patient is a person. Patients are not cases. When writing, investigators should use the words appropriately. For example, a 55-year-old patient with melanoma is not a 55-year-old case of melanoma.
** In
case-control studies especially, many instances of this distinction may arise. Although it is accepted to refer to control-group participants as ''controls'', it is poor writing to refer to case-group participants as ''cases''. Instead, the term ''case participants'' is used; and ''control participants'' is
parallel to it.
* In
survey methodology
Survey methodology is "the study of survey methods".
As a field of applied statistics concentrating on human-research surveys, survey methodology studies the sampling of individual units from a population and associated techniques of survey d ...
, research participants are referred to as
respondent
A respondent is a person who is called upon to issue a response to a communication made by another. The term is used in legal contexts, in survey methodology, and in psychological conditioning.
Legal usage
In legal usage, this term specificall ...
.
* In qualitative research, people who form part of the study are referred to as participants, such as
focus group
A focus group is a group interview involving a small number (sometimes up to ten) of demographically predefined participants. Their reactions to specific researcher/evaluator-posed questions are studied. Focus groups are used in market researc ...
participants.
Social scientists have emphasized that word choice influences the way that researchers think of study participants and the respect that they have for them.
Issues
Payment for research participants is a controversial topic where experts have varying views.
History
In 1998 ''
The BMJ
''The BMJ'' is a fortnightly peer-reviewed medical journal, published by BMJ Publishing Group Ltd, which in turn is wholly-owned by the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world ...
'' adopted the policy of calling people "participants" rather than "subjects".
The intent for this practice was to show more respect for people.
Prior to this various other research organizations had considered making this switch.
See also
*
Patient and public involvement
Public involvement (or public and patient involvement, PPI) in medical research refers to the practice where people with health conditions (patients), carers and members of the public work together with researchers and influence what is research ...
References
Further reading
*. This is a layman guide to research participant rights.
External links
explanation of rightsfrom the United States government
from Yale University
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