From the cell to the street: personalized report-back in large cohort studies with multi-level measurements

Active Project Grant Awarded Last action

Award ID
R01ES036234
Recipient
Awarding agency
Obligated
$749,475

Award facts

Assistance listing
93.310 Trans-NIH Research Support
Completion date 65% complete
Funding agency
Office of the Director National Institutes of Health, Department of Health and Human Services
Place of performance
Newtonville, MA 02460, USA

Award details come from USAspending.gov.

Description

Abstract
A growing consensus gives researchers the responsibility to report results back to individual participants in most studies, based on the ethical principles of autonomy, respect, equity, beneficence, and trustworthiness. Yet, ethical report-back of research results (RBRR) is context-specific, requiring consideration of the people and data in a particular study. New adaptations are needed, for example, to align report-back ethics with the emerging science of the exposome, defined as the totality of social and environmental factors across the life cycle. Exposome studies generate hundreds of measurements from many techniques, including geospatial assessments of neighborhood stressors, biomonitoring for multiple classes of chemicals, and indicators of health-related effects at the cellular level. Importantly, because exposome studies evaluate the joint effects of chemical mixtures and social stressors, they are well- positioned to support participants who are grappling with exposures in a context of environmental and social injustice, underlining the value of RBRR to promote equity. To support ethical practices in exposome-focused studies, this project will address a key challenge - report-back methods have yet to be tested for large numbers of measures across multiple domains. This project will develop innovative participant-centered methods for personalized RBRR for multi-level data in large studies and evaluate these methods in two diverse cohorts recruited during pregnancy: chemicals in our bodies (ciob, at the university of california, SAN francisco and berkeley) and illinois kids development study (ikids, at the university of illinois). IT will build on the well-tested capabilities of the digital exposure report-back interface (DERBI) to generate high-quality personalized reports for smartphone, computer, and print in studies of any size. Aim 1. Use participatory methods to develop ethical guidance for personalized RBRR for multi-level data, including large chemical biomonitoring panels, geospatial socio-environmental indicators, and early effect biomarkers. This aim will bring together input from participants, researchers, and bioethicists, first to focus on ciob/ikids and then to broaden input and discussion to other studies. Aim 2. Enhance the value of RBRR for participants by developing digital tools that support participants' ability to take action and offer them scalable social support. Drawing on theories of health behavior, a new DERBI feature will offer opportunities for participants to identify sources of harmful chemicals that are relevant for them and commit to individual and social actions to reduce exposures. Participants will be invited to a social media group. Aim 3. Develop, deploy, and assess personalized RBRR for diverse types of data in ciob/ikids. New contextual information will be developed for DERBI to help participants interpret new data types, and updated design will distill results across multiple domains. We will randomize half of participants to test the new DERBI take-action feature. Outcome assessments include follow-up surveys and in-depth interviews about experiences and environmental health literacy as well as digital analytics to assess participants' engagement with their reports.

Transactions

Action Obligated Date
Amendment $187,653
Amendment $100,000
Amendment $177,250
Amendment $100,000
Original award $184,572

Subawards

Subrecipient Amount Awarded
University Of Illinois The University of Illinois will collaborate with Silent Spring Institute to adapt and improve upon an innovative smartphone tool to present complex,… $38,480
The Regents Of The University Of California UC Berkeley will contribute to developing and evaluating personal exposure reports for participants from the Chemicals In Our Bodies (CIOB) and Illinois Kids… $95,487
The Regents Of The University Of California. San Francisco UCSF will engage participants from the Chemicals In Our Bodies (CIOB) cohort in this study and contribute to all aspects of study design and implementation with… $384,314

Quick answers

Who received award R01ES036234?

R01ES036234 was awarded to Silent Spring Institute, Inc. by National Institute of Environmental Health Sciences (National Institutes of Health) on May 20, 2024.

How much is award R01ES036234 worth?

$749,475 has been obligated on R01ES036234.

Which agency awarded R01ES036234?

National Institute of Environmental Health Sciences (National Institutes of Health) awarded R01ES036234, with funding from Office of the Director (National Institutes of Health).

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