The Use of Incentives in Research
Incentives, or “compensation,” include anything offered to participants, monetary or otherwise, to encourage participation in research. This is distinct from reimbursing participants for minor incidental expenses they incur by participating in the research (for instance transportation costs or parking) which is not problematic from an ethics perspective. It should not be assumed that people must be compensated in order to participate in research studies; however, compensation can improve participation rates.
The TCPS 2 specifies that the “onus is on the researcher to justify to the REB the use of a particular model and the level of incentives.” Research Ethics Boards are instructed to weigh the benefits and risks of a procedure, which means that marginal ethical considerations can be outweighed by larger benefits.
When offered, incentives should be appropriate in type and amount. That is, the incentive must not be so attractive as to be seen as an inducement to participate. The element of voluntariness must always be considered; incentives should not be so large or attractive as to encourage reckless disregard of the risks associated with participation. Researchers and REBs should be sensitive to issues such as the economic circumstances of those in the pool of prospective participants, the age and capacity of participants, the customs and practices of the community, and the magnitude and probability of harms.
Incentives should be provided fairly to all participants, with equal compensation for equal participation being the norm; however, unequal compensation can arise in at least the following ways:
Use of Lotteries
Some researchers may wish to compensate participants using a draw or lottery (defined as a chance to win a substantial prize) instead of or in addition to giving every participant a smaller prize. As there are legal issues pertaining to lotteries which must be taken into account, it is recommended that researchers refer to the Guidelines on Compensation of Human Research Participants for further details.
A lottery must not require subjects to pay money or other valuable consideration in order to participate. The probability of winning the prize should be given when recruiting participants as part of informed consent. In addition, winning the lottery must be based on skill as well as chance. Thus, many lotteries require the participants to answer a skill-testing question in order to qualify for a chance to win the prize.
Investigators must provide the odds of winning in both the information letter and within their ethics application (section 4.6 in the Research Ethics & Management Online system).
If you are considering compensation for patients participating in a biomedical study, consult with REO staff or the Chair of the Health Research Ethics Board.
Guidelines on Compensation of Human Research Participants (PDF