[LJMU Participant Information Sheet NHS TEMPLATE v1 Feb [19] Version 5.0 date: 17/06/2019 Please note, LJMU has arranged Public Liability insurance to cover the legal liability of the University as Research Sponsor in the eventuality of harm to a research participant. You may withdraw from the study at any stage. In some cases it will be appropriate to have the information sheet translated into a language other than English, or to provide an interpreter. The following issues should be addressed where relevant. Individual results will be provided via [provide details], if possible/applicable. The participant information sheet is used to explain the purpose of the research and what participants will be required to do /how participants will be involved. information from questionnaires]. Before deciding whether or not to take part, you might want to talk about it with a relative, friend or local health worker/your doctor. We are currently studying how employees respond to workplace change in organis ations that have recently undergone merger or acquisition. However the researcher cannot guarantee the confidentiality or anonymity of material transferred by email or the internet. V2: 22-9-2020. A statement informing participants how long all information collected as part of the study will be retained (for example, five years or seven years), and details of where the information will be stored and the form in which it will be stored. It is being funded by [Name of funding organisation]. Provide a description of measures which will be taken if the participant suffers adverse events as a result of participating in the research. Provide information regarding how participants withdraw and implication for them if they do so. Who is organising and funding the research? We have suggested sub-headings which you may decide are appropriate to use or not, depending on the type of study you are planning and what is involved. We cannot guarantee or promise that you will receive any benefits from this research; however, possible benefits may include [describe any likely benefits to participants or other people in the future]. _____ Dr Matthew Leach Guidance on Preparing a Participant Information SheET. Participant Information Sheet1V1. Jan 30, 2019 - Explore Templatesumo's board "Participant Information Sheet" on Pinterest. I am a doctoral student at the University of the South Africa and I am interested in the way in which you have experienced midlife. Non-Unisa researchers: Do not use the Unisa logo. Why? Provide information on how, and approximately when, participants will be provided with a summary of the results when the research project is completed. What happens when the research project ends? Please refer to guidance ‘How to prepare your information sheet’ before completing your PI Sheet. Include names of any sponsors and any financial benefits that might arise from the conduct of the research. If you decide to withdraw from the project, please notify a member of the research team before you withdraw. Attached to this Participant Information Sheet is a Consent Form. Researcher. [LJMU Participant Information Sheet NHS TEMPLATE v1 Feb [19] Version 5.0 date: 17/06/2019 Please note, LJMU has arranged Public Liability insurance to cover the legal liability of the University as Research Sponsor in the eventuality of harm to a research participant. Sub-headings have been provided. The person you may need to contact will depend on the nature of your query. Email: helen.banwell@unisa.edu.au This project has been approved by the University of South Australia’s human Research Ethics Committee. I have read (or had explained to me) and understood the study as explained in the information sheet. The tape or a certified transcript of the tape is raw data and will be securely retained for five years. Participant Information Sheet (PIS) Template This is not offered as a rigid template, but rather a flexible framework. Its purpose is to help potential participants to decide whether they want to take part and to provide relevant details, including contact details. At this time the, IRB is restricting all in-person research activities to research that has the potential to provide direct benefit to participants. A summary of project results will be available [provide date] from [provide details]. It may be suitable to adapt for use in other trials. What are the possible benefits of taking part? Participant Information Sheet . Ethics clearance reference number: Research permission reference number: ... Prof MA Antwi on 011-670-9391 or antwima@unisa.ac.za if you have any ethical concerns. The language used throughout the form should be easily understandable. Any information obtained in connection with this research project that can identify you will remain confidential. Research Project Title Research data management and libraries international survey 2. If another organisation or person has rights of access to the data collected on tape. You should remove components that are irrelevant to your project, including this text. If you choose to submit your name and contact details, the names of participants will be stored in a restricted key-card access facility in the School of Pharmacy and Medical Sciences, UniSA for five years. If you agree to participate in this research study, the following will occur: [State your process step by A Participant Information Sheet is standard for research undertaken at Australian Universities. � � ���� � � � � � � � � � � �������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� � �� 0 y7 bjbj�� = �{ �{ e/ �� �� �� � � participant#please#contact#the#Executive#Officer#of#this#Committee,#Tel:#+61#8#8302#3118;#Email:# vicki.allen@unisa.edu.au'.# Participants#or#third#parties#who#wish#to#lodgeacomplaint#about#either#thestudy#or#theway#it#is# Briefly describe the following aspects of your project in simple terms and in only a couple of sentences for each point: Include information and clear explanation of the following: Explain any other relevant information including: If you will use email or the internet to distribute questionnaires and receive responses, you should include the following statement in the information provided to participants: The researcher will take every care to remove any identifying material from the responses you provide as early as possible. University of South Australia School of Art, Architecture and Design I understand and agree to take part. a statement that the participant may withdraw from the trial at any time without prejudice to his or her future treatment (a statement detailing pro-rata payment for subjects who withdraw should be included on the information sheet). Your information will only be used for the purpose of this research project [and for the future research described]. Participant Information Sheet Version 3 1st Oct 2019 You have a number of rights under data protection law regarding your personal information. A statement that all records containing personal information will remain confidential and no information which could lead to identification of any individual will be released, unless required by law OR if individuals will be able to be identified, a statement should be included making them aware of this. Student │ University of South Australia │ Email: chaky224@mymail.unisa.edu.au or Phone: +61 426 276 338 Participant Consent • I have read the Participant Information Sheet and the nature and purpose of the research project has been explained to me. Robert Hans Please read this information carefully. The Participant Information Sheet is the document that is given to potential participants with written information about the study. Participant information sheet ... UniSA for five years. Food for thought: Diet and cognitive function in adult cancer survivors. possible participant in this study because [state why the subject was selected]. concerns about the project or questions about your rights as a participant please contact the Executive Officer of this Committee, Tel: +618 8302 6330; Email: humanethics@unisa.edu.au. An example participant information sheet for use in pragmatic trials is provided below. No personal information about you or your students is collected. Contact the research ethics chairperson of the School of Computing Ethics Committee at socethics@unisa.ac.za if you have any ethical concerns. I, _____ (participant name), confirm that the person asking my consent to take part in this research has told me about the nature, procedure, potential benefits and anticipated inconvenience of participation. Division of Health Sciences. What is the project about? Reviewing HREC approving this research. This could be, but does not have to be, in a question-answer format. Dr. Amanda Hutchinson (Chief Investigator; Amanda.Hutchinson@unisa.edu.au, 08-83024468), In addition to the usual information, participant information sheets for protocols involving drug therapy must include: In addition to the usual information, participant information sheets for protocols involving radiation must include the following statement. The participant information sheet is used to explain the purpose of the research and what participants will be required to do /how participants will be involved. I have read the Information Sheet, and the nature and the purpose of the research project is clear to me. Participant information sheet Study title: The experience of spiritual healing in women with breast cancer who are receiving long term hormonal therapy Invitation to participate in the study: You are invited to participate in a research study. Dear Parent, You are invited to participate in a research project being conducted by the University of South Australia. It is a key mechanism for ensuring that consent is active, informed and voluntary. The investigator will provide you with a full explanation of the study procedures and the purpose of the study. The purpose of this study is to explore Australian Occupational Therapists (OTs) experiences and perceptions of Assistance Dogs as this is a new and expanding field. Participation in this research is voluntary. The information that the research team collect and use is [types of information, e.g. Both Unisa and Non-Unisa researchers: Align the template to the specific requirements of your research . Participant Information Sheet. University of South Australia School of Art, Architecture and Design Researcher details. If you have any ethical concerns about the project, or questions about your rights as a participant, please contact the Executive Officer of this Committee, Tel: + 61 8 8302 3118; Email: vicki.allen@unisa.edu.au. Behaviour-Brain-Body (BBB) Research Centre. On this page you will find the Participant Information Sheet which provides… Researchers: This project is being undertaken as an Honours project in the Bachelor of Health Science Participant Information Sheet 1. Note that it is provided here in a traditional text format, but another format may be better suited for your particular research. • Post each assignment in an individual Unisa. ��ࡱ� > �� See more ideas about print templates, sheet, downloadable templates. Although the PIS and Consent form templates are in one file here, please make them separate documents when you develop yours. Researcher details. Please contact me via email tepdy001@mymail.unisa.edu.au or telephone (0405 614 858) to let me know you wish to participate. and HREC Executive Officer details. If the significant benefits from the research project are to accrue to members of society in the future and NOT to the individuals taking part in the research, this should be made clear. Health/Social Science Research. UniSA respects the Kaurna, Boandik and Bangarla peoples spiritual relationship with their country. We thank-you in advance for your interest and support. immediately themselves from participation in the clinical trial. You should adjust and populate the template to suit your project and intended audience. Thank you for taking time to read this information sheet and for participating in this study. For more information about eligibility requirements, please visit www.sagaftraplans.org. Repetition of information throughout the participant information sheet is not necessary; it may be useful to cross-reference to other section(s) to avoid repetition. Participant Information Sheet as a participant please contact the Executive Officer of this Committee, tel: +61 8 8302 3118; email: vicki.allen@unisa.edu.au. Likewise individuals' responses will be kept confidential by the researcher and will (or participants will) not be identified in the reporting of the research. If you decide you want to take part in the research project, … Guidance on Preparing a Participant Information SheET. Remember the aim of a PIS is to provide sufficient information, in an Author: acoo0107 Created Date: 11/06/2019 22:13:00 Title: Participant Information Sheet and Consent Form Guidance Document for an Interventional Study Last modified by: Marguerite Kolar Thank you for taking time to read this information sheet and for participating in this study. Dear Participant My name is Barbara Lester. PARTICIPANT INFORMATION SHEET . Use of time in people with a life-limiting illness, and their primary caregivers: a feasibility study. Once you submit your survey, however, we are unable to remove your response as it will be impossible to identify your completed survey. It is important that you adapt this template to suit the audience and nature of the research. Potential participants need information on which to base their choice to take part in clinical research. Whether the research project involves the establishment of a databank. Participant Information Sheet. By signing it you are telling us that you: Consent to take part in the research project. concerns about the project or questions about your rights as a participant please contact the Executive Officer of this Committee, Tel: +618 8302 6330; Email: humanethics@unisa.edu.au. The plain English title of the research project, How the project is intended to fill any gap in knowledge, How it may contribute to care or education or research in the future, Any relevant background including what is already known. recommendations for improvement to the south african information technology curriculum: a case study of new higher certificate graduates’ first year of employment What does participation in this research involve? The purpose of this section is to state the reason the participant is being invited to take part in the research project and to explain the purpose of the form and the nature of informed consent. You are not required to use the outline in the template, but all information is required. involves quantitative and/or qualitative research of issues in health and society. Use a format that best meets the needs of your research participants, but the list below summarises the areas that need to be addressed to ensure participants are appropriately informed. information you collect from them will be, or how long you will keep it. PARTICIPANT INFORMATION SHEET : The title could be the same as in the protocol or a simplified version understandable to a lay person. A Participant Information Sheet template is available here. Direct Benefit- when the participant is expected to receive . The following issues should be addressed where relevant. If you do not wish to take part, you do not have to. If you choose to submit your name and contact details, the names of participants will be stored in a restricted key-card access facility in the School of Pharmacy and Medical Sciences, UniSA for five years. The ethical aspects of this research project have been approved by the Human Research Ethics Committee (HREC) of the University of South Australia as required by the Australian government research requirements, specified in the National Statement on Ethical Conduct in Human Research (2007 - updated 2018). Provide your participants with a suitable Participant Information Sheet and Agreement Form, allowing sufficient time for a participant to reflect/ask questions before they agree to take part. Participant Information Sheet - W&R Parents 180528 30/05/2018 1 UniSA, School of Education Positive Education in school communities on scale and over time. Participant Information Sheet. No publications or other public information … What happens to data already collected (whether it will be included or not), If identifiable or re-identifiable data, clarify the point up until which participants can elect to have their contributions withdrawn (for example within 2 weeks of the interview/focus group). It explains the processes involved with taking part. It explains the tests and research involved. Templates (PI Sheet and Agreement Form) A participant must be informed about the purpose, methods and intended possible uses of the research, what their participation in research entails and what risks, if any, are involved, so that they can make an informed decision about … In addition, if knowledge acquired through this research leads to discoveries that are of commercial value to [Company/University], the researchers or their institutions, there will be no financial benefit to you or your family from these discoveries. Please read this information carefully. Thank you. What makes it stick? Do not attempt to build up participant hope in this section. What are the possible risks and disadvantages of taking part? Participant Information Sheet. Instructions for Creating a Participant Information Sheet/Consent Form ( This template is a guide only. Your participation is voluntary. In recent years at least twenty businesses in Whether any part of the research project will be recorded (video/audio). Investigation into Australian art that is conceptually linked with ecology and environmentalism Welcome to the entry portal for the survey on Australian art that relates to ecology and environmentalism and thank you for taking the time to consider participation in this research study. All group participants will be asked to maintain the confidentiality of group discussions and identity of participants. PARTICIPANT INFORMATION SHEET . Participant Information Sheet Research Team: Sandra Lucas, Dr. Saravana Kumar, Dr. Matthew Leach and Dr. Anna Phillips. Participant Information Sheet/Consent Form 12th December 2017 version 3.0. It should be in plain English, using language appropriate to the target audience. Ask questions about anything that you don’t understand or want to know more about. If you decide you want to take part in the research project, you will be asked to sign the consent section. Participant Information Sheet: COVID-19 Information. In this project you will be exposed to radiation at a level considered safe for you as long as you have not also been exposed to radiation in other research projects or as a part of investigation (X-Rays) or treatment (Radiotherapy) in the past year. It should be in plain English, using language appropriate to the target audience. Participant Information Sheet [10/08/2020] Participant Information Sheet Title The National Languages Plan and Strategy Project Teacher Teacher Project Number 202799 Project Sponsor Department of Education, Skills & Employment Chief Investigators Mr Andrew Scrimgeour & Professor Anne-Marie Morgan Introduction to the National Languages Plan and Strategy Project, Participant Information Sheets and Consent Forms are important aspects to the organisation and conduct of a study. contact Prof E. Mnkandla, at 011 670 9059 or mnkane@unisa.ac.za. Details on the use of interpreters in the consent and/or data collection process, Venue details and a statement whether participants may choose the venue, How many people will be taking part in the project overall and at this site, Whether there are different groups e.g. Unisa researchers: Use the Unisa logo. Sheet for use in pragmatic trials is provided here in a question-answer format Prof E. 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