Include names of any sponsors and any financial benefits that might arise from the conduct of the research. What will happen to information about me? How to use the Participant Sheet Information (PI Sheet) Template. 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:
[email protected]. PARTICIPANT INFORMATION SHEET . Thank you. Contact the research ethics chairperson of the School of Computing Ethics Committee at
[email protected] if you have any ethical concerns. 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. Participation should be voluntary and free from coercion. 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. Your decision whether to take part or not to take part, or to take part and then withdraw, will not affect your routine care, your relationship with professional staff or your relationship with the University of South Australia. University of South Australia School of Art, Architecture and Design 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. Non-Unisa researchers: Do not use the Unisa logo. Participant Information Sheet Version 3 1st Oct 2019 You have a number of rights under data protection law regarding your personal information. Please do not hesitate to contact Susan or Christy if you need further information at
[email protected] [email protected] or phone +61 419806402 It is being funded by [Name of funding organisation]. The investigator will provide you with a full explanation of the study procedures and the purpose of the study. The information that the research team collect and use is [types of information, e.g. The front page is also known as a title page. Please read this information carefully. recommendations for improvement to the south african information technology curriculum: a case study of new higher certificate graduates’ first year of employment The aim of 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. If data is being collected via Group discussions, this Example text could be included. Ethics clearance reference number: Research permission reference number: ... Prof MA Antwi on 011-670-9391 or
[email protected] if you have any ethical concerns. The person you may need to contact will depend on the nature of your query. Add any declarations of interest of researchers, sponsors and institutions. The participant Information Sheet gives potential participants the necessary understanding for the motivation and procedures of the study and sources of information to answer any further questions to allow them to give informed consent. For example, you can request a copy of the information we hold about you. In recent years at least twenty businesses in This study seeks to: 1) identify and verify the communication needs of web development firms; 2) expose the ways communication techniques aid in the development and maintenance of web development firms; and 3) analyse the current communication patterns in web development firms to reveal the ways in which their current strategies affect the firm. Provide information regarding how participants withdraw and implication for them if they do so. You have been invited because [Explain reason for invitation]. Potential participants need information on which to base their choice to take part in clinical research. Whether the research is for the purpose of obtaining a degree or other educational qualification, is funded by a grant, or has sponsorship of some kind. Please contact me via email
[email protected] or telephone (0405 614 858) to let me know you wish to participate. Its purpose is to help potential participants to decide whether they want to take part and to provide relevant details, including contact details. Guidance on Preparing a Participant Information SheET. If submitting your assignment in hard copy you should complete and attached this Assignment Cover Sheet Assignment cover page is the first page of an assignment. PARTICIPANT INFORMATION SHEET. Participant Information Sheet Version 3 1st Oct 2019 You have a number of rights under data protection law regarding your personal information. [Company/University] may benefit financially from this research project if, for example, the project assists [Company/University] in any commercial enterprise. Introduction – What does my participation involve? This template is to assist researchers in the development of a Participant Information Sheet and Consent Form. contact Prof E. Mnkandla, at 011 670 9059 or
[email protected]. 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. No member of the research team will receive a personal financial benefit from your involvement in this research project (other than their ordinary wages). Your information will only be used for the purpose of this research project [and for the future research described]. It explains the processes involved with taking part. This is an internet-based survey. 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. About the research INFORMATION FOR POTENTIAL PARTICIPANTS – PARENTS AND CARERS 1. Your participation is voluntary. Participant Information Sheet 1. By signing it you are telling us that you: Consent to take part in the research project. Note that it is provided here in a traditional text format, but another format may be better suited for your particular research. Participant Information sheet template The following is a suggested template for participant information sheets. number of schools or hospitals or countries involved, Whether the project involves researchers from a number of organisations working in collaboration, Whether this is a follow-on study/sub-study/extension study. Psychology; Justice & Society Academic Unit. However the researcher cannot guarantee the confidentiality or anonymity of material transferred by email or the internet. Remember the aim of a PIS is to provide sufficient information, in an Use of time in people with a life-limiting illness, and their primary caregivers: a feasibility study. � If so, state the relationship to the previous research and specify if data may be used for future research, name of drug (generic preferred, trade name if necessary to the study design), any conditions in which the drug should not be taken (for example during pregnancy), whether the drug is meant to treat the disease or to relieve symptoms, and therefore how important it is to take the drug, how to tell if the drug is working and what to do if it appears not to be working, when and how to take the drug (for example before or after meals), what to do if a dose is missed and the implications of not taking the drug for any length of time, any interactions with alcohol or other drugs (generic and trade names), risks, side effects, discomforts, inconveniences, restrictions, or other negative effects which might occur as a result of taking the drug, the probability of adverse effects from the test drug compared with other procedures (or drugs) used for the same purpose, any category of participant to be excluded from the research, an explanation that randomisation and/or placebos may be used (where relevant). Email:
[email protected] Phone: +61 (0)418 921 849 By completing and submitting the survey, you are indicating that you have read and understood the Participant Information Sheet and give your consent to be involved in the research. Participation in this research is voluntary. Participant Information Sheet. Researchers: This project is being undertaken as an Honours project in the Bachelor of Health Science Guidance on Preparing a Participant Information SheET. 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. A Participant Information Sheet is standard for research undertaken at Australian Universities. At this time the, IRB is restricting all in-person research activities to research that has the potential to provide direct benefit to participants. Dr. Amanda Hutchinson (Chief Investigator;
[email protected], 08-83024468), Researcher. V2: 22-9-2020. [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. If you would like to know more about your different rights or the way we use your personal information to ensure we follow Example text (include the appropriate information for your research): This research project is being conducted by [Name of person]. Both Unisa and Non-Unisa researchers: Align the template to the specific requirements of your research . Participant Information Sheet . Their identity can be masked if they request this. _____ Dr Matthew Leach Please do not hesitate to contact Susan or Christy if you need further information at
[email protected] [email protected] or phone +61 419806402
[email protected] (08) 8302 9939. If you want any further information concerning this project or if you have any problems which may be related to your involvement in the project, you can contact the researcher on [Phone number] or any of the following people: If you have any complaints about any aspect of the project, the way it is being conducted or any questions about being a research participant in general, please contact: Reviewing HREC approving this research and HREC Executive Officer details, University of South Australia Human Research Ethics Committee. The following issues should be addressed where relevant. information you collect from them will be, or how long you will keep it. Participant information sheets & informed consent forms How to provide information and seek consent from research participants. Provide information on how, and approximately when, participants will be provided with a summary of the results when the research project is completed. 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:
[email protected] UNSW Sydney NSW 2052 Australia Telephone +61 2 93851000 Authorised by Deputy Vice-Chancellor (Research) UNSW CRICOS Provider Code: 00098G ABN: 57 195 873 179 Participant Information Sheet (PIS) Template This is not offered as a rigid template, but rather a flexible framework. Use clear, simple English at all times and avoid abbreviations and acronyms. Consent to the use of your information as described. Please ensure that the sheet is available for printing from the online site. Division of Health Sciences. Details about what to include are below. You are invited to participate in a research project titled: An Exploratory Study: Australian Occupational Therapists Experiences and Perceptions of Assistance Dogs. No personal information about you or your students is collected. What makes it stick? Once you submit your survey, however, we are unable to remove your response as it will be impossible to identify your completed survey. Attached to this Participant Information Sheet is a Consent Form. Thank you for taking time to read this information sheet and for participating in this study. You are invited to take part in this research project, which is called [Name of research project]. You will be given a copy of this Participant Information Sheet to keep. Dear Participant My name is Barbara Lester. Why? Likewise individuals' responses will be kept confidential by the researcher and will (or participants will) not be identified in the reporting of the research. where data is collected through audio or video recordings) it is normally most appropriate to obtain consent through provision of a participant information sheet (PIS) and consent form in either written or electronic form. If you have any ethical concerns about the project or questions about your rights as a participant, please contact the Executive Officer or this Committee, telephone +61 8 8302 3118; or email
[email protected]. The titles must be consistent throughout the documentation. Dr Angela Berndt PhD (
[email protected]) 08 8302 2806 Dillon Tepper BAppFin, Occupational Therapy with Honours student (
[email protected]) Dr Claire Hutchinson PhD (
[email protected]) Dr Stacey George PhD (
[email protected]) Participant Information Form Please update us every time you change your address, phone number and/or email. A summary of project results will be available [provide date] from [provide details]. If you do decide to take part, you will be given this Participant Information and a Consent Form to sign and you will be given a copy to keep. Consent form will be signed prior to any study assessments being performed, Randomisation and/or the use of a control group. A member of the research team will inform you if there are any special requirements linked to withdrawing. It may be suitable to adapt for use in other trials. What is the project about? • Post each assignment in an individual Unisa. PARTICIPANT INFORMATION SHEET
: The title could be the same as in the protocol or a simplified version understandable to a lay person. 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. It is a key mechanism for ensuring that consent is active, informed and voluntary. Information should be provided regarding the following: By signing the consent form you consent to the research team collecting and using information about/from you for the research project. The entry to the survey can be found at the bottom of the Participant Information Sheet. We thank-you in advance for your interest and support. Whether the research project involves the establishment of a databank. If there are no foreseeable risks, the following statement should be included: It is not anticipated that there are any risks to participation in this study beyond those encountered in everyday life. Participant Information Sheet. It will only be disclosed with your written consent, except as required by law. Please refer to guidance ‘How to prepare your information sheet’ before completing your PI Sheet. Participant Information Sheet, Version 5 Date: April 23rd, 2020 1 of 5 . A Participant Information Sheet is standard for research undertaken at Australian Universities. You are not required to use the outline in the template, but all information is required. Reference to the potential benefit to others in the future may be appropriate, but should not be exaggerated. [email protected]. Information collected or used will be stored as [individually identifiable, re-identifiable or non-identifiable. 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. Invitation You are being invited to take part in this research project. What happens when the research project ends? Direct Benefit- when the participant is expected to receive . You are free to decline to complete the survey or to withdraw from the study at any point while completing the survey, without affecting your relationship with the researchers or the University of South Australia, either now or in the future. 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. Participant information sheet . Sub-headings have been provided. Participant Information Sheet1V1. Participant Information Sheet & Consent Form, Version: FINAL (14 August 2012) P a g e | 1 o f 5 PARTICIPANT INFORMATION SHEET AND CONSENT FORM ... via email ([email protected]) or on (08) 8302 1872. This Participant Information Sheet tells you about the research project. 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 decide to take part and later change your mind, you are free to withdraw from the project at any stage. It is important that you adapt this template to suit the audience and nature of the research. 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: [email protected]. If you decide to withdraw from the project, please notify a member of the research team before you withdraw. I have read the Information Sheet, and the nature and the purpose of the research project is clear to me. Food for thought: Diet and cognitive function in adult cancer survivors. It explains the tests and research 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]. We are currently studying how employees respond to workplace change in organis ations that have recently undergone merger or acquisition. immediately themselves from participation in the clinical trial. I will then organise a convenient time to Participation in this research is voluntary. information from questionnaires]. 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). Whether any part of the research project will be recorded (video/audio). 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. It should be in plain English, using language appropriate to the target audience. There will be no clear benefit to you from your participation in this research. 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. 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: [email protected]. However, this information will be stored separately to your results. INFORMATION FOR POTENTIAL PARTICIPANTS – PARENTS AND CARERS 1. What are the possible risks and disadvantages of taking part? Before you decide, it is important that A feasibility study. If you don’t wish to take part, you don’t have to. It explains the processes involved with taking part. An example participant information sheet for use in pragmatic trials is provided below. UniSA respects the Kaurna, Boandik and Bangarla peoples spiritual relationship with their country. In some cases it will be appropriate to have the information sheet translated into a language other than English, or to provide an interpreter. On this page you will find the Participant Information Sheet which provides… Please also insert the below text (verbatim) into this section: This is an example of an information sheet a student should produce to distribute to all potential research participants. What makes it stick? 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. case/control groups, different types of focus groups, The size or scope of a project e.g. 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: [email protected]. Participation in any research project is voluntary. Ethics clearance reference number: Research permission reference number (if applicable): Participant Information Sheet 1; Version 2.0, 27 May 2014 6 of 6 beginning of the study so that we can provide you with puzzle books and newsletters about how the project is going. All participants should be given a copy of the participant information sheet, even if they are completing an online questionnaire. Participant Information Sheets and Consent Forms are important aspects to the organisation and conduct of a study. Reviewing HREC approving this research. This could be, but does not have to be, in a question-answer format. Knowing what is involved will help you decide if you want to take part in the research. While it is sometimes possible to obtain oral consent for research (e.g. Email: [email protected] This project has been approved by the University of South Australia’s human Research Ethics Committee. What are the possible benefits of taking part? Knowing what is involved will help you decide if you want to take part in the research. 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. Participant Information Sheet: COVID-19 Information. Student │ University of South Australia │ Email: [email protected] 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. Any information obtained in connection with this research project that can identify you will remain confidential. Provide information on the possible risks with taking part in this research project and strategies the researchers will use to manage and/or minimise the risks. You should remove components that are irrelevant to your project, including this text. � � ���� � � � � � � � � � � �������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� � �� 0 y7 bjbj�� = �{ �{ e/ �� �� �� � � Instructions for Creating a Participant Information Sheet/Consent Form ( This template is a guide only. If … For more information about eligibility requirements, please visit www.sagaftraplans.org. benefit. The tape or a certified transcript of the tape is raw data and will be securely retained for five years. 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, 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 Please read this information carefully. The data will be stored [provide details] in [format] for this period of time [define period of time]. Provide a description of measures which will be taken if the participant suffers adverse events as a result of participating in the research. This research is being sponsored by [Name of sponsor]. Before you decide to do so, it is important you understand why the research is being done and what it … If you agree to participate in this research study, the following will occur: [State your process step by Participant Information Sheet Research Team: Sandra Lucas, Dr. Saravana Kumar, Dr. Matthew Leach and Dr. Anna Phillips. See more ideas about print templates, sheet, downloadable templates. Thank you for taking time to read this information sheet and for participating in this study. 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. I understand and agree to take part. If you decide you want to take part in the research project, you will be asked to sign the consent section. Robert Hans The consent form is the document on which participants give their written consent to take part in the research. 1. This could be, but does not have to be, in a question-answer format. The SAG-AFTRA Health Plan and the SAG-Producers Pension Plan share this information if you are a participant of both. No publications or other public information … Behaviour-Brain-Body (BBB) Research Centre. This Participant Information Sheet/Consent Form tells you about the research project. Do not attempt to build up participant hope in this section. Participant Information Sheet and Consent Form Template. Please advise the researcher if you have had any exposure to radiation for any reason in the last year. This may help you decide if you want to take part in the research. The language used throughout the form should be easily understandable. The entry to the survey can be found at the bottom of the Participant Information Sheet. Participant Information Sheet [10/08/2020] Introduction –What does my participation involve? 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. Participant Information Sheet. Explain how it will be confidential and, if it is identifiable/re-identifiable, where it will be kept and who will have access to it]. Explain that taking part in the research is entirely voluntary. Please read this information carefully. Whilst all care will be taken to maintain privacy and confidentiality, the researcher cannot guarantee anonymity and confidentiality for group discussions. You will not benefit financially from your involvement in this research project even if, for example, knowledge acquired from your information proves to be of commercial value to [Company/University]. Who is organising and funding the research? Research Project Title Research data management and libraries international survey 2. Individual results will be provided via [provide details], if possible/applicable. Make sure what you say under each heading/question relates clearly to your heading/question. Participant Information Sheet 1. 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. Participant Information Sheet/Consent Form 12th December 2017 version 3.0. I understand and agree to take part. Participant information sheets are an important aspect for conducting studies within an organization or institution. B. For example, you can request a copy of the information we hold about you. If you do consent to participate, you may withdraw at any time. Participant information sheet ... UniSA for five years. Jan 30, 2019 - Explore Templatesumo's board "Participant Information Sheet" on Pinterest. I have read (or had explained to me) and understood the study as explained in the information sheet. Version 5 date: April 23rd, 2020 1 of 5 individually identifiable, re-identifiable or.! Provide direct benefit to participants Kaurna, Boandik and Bangarla peoples spiritual relationship with their country, about Experiences... If possible/applicable with your written consent, except as required by law not to... Of both Unisa respects the Kaurna, Boandik and Bangarla peoples spiritual relationship with their country 2. Dear Parent, you are invited to take part in clinical research make them separate documents when you yours... The organisation and conduct of a focus group, stipulate whether data can/ can not guarantee confidentiality! Working at AHPRA of project results will be signed prior to any study assessments performed. ), Participant information Sheet Version 3 1st Oct 2019 you have any concerns... Of researcher here, please make them separate documents when you develop.! Described ] do so build up Participant hope in this research project: do not use the Unisa.... University of South Australia School of Computing ethics participant information sheet unisa at socethics @ if. But another format may be better suited for your interest and support in-person research activities to research has. This time the, IRB is restricting all in-person research activities to research that has the potential benefit to in. Which to base their choice to take part, you will be signed to... Information about you Kaurna, Boandik and Bangarla peoples spiritual relationship with their country has the potential benefit to from. Conduct of the study at any time a suggested template for Participant information Sheet team! To others in the template, but rather a flexible framework titled: an study! Funded by [ Name of funding organisation ] hope in this research being... Me ) and understood the study, Boandik and Bangarla peoples spiritual relationship with their country 2020... Person has rights of access to the specific requirements of your research document., but does not have to be, in a question-answer format populate participant information sheet unisa... For any reason in the research language appropriate to the target audience employee of AHPRA about! Depend on the nature of your research Benefit- when the Participant suffers events. Target audience important aspects to the target audience project ] you, as an employee AHPRA. Of any sponsors and any financial benefits that might arise from the online site know more about organising!, informed and voluntary Randomisation and/or the use of your research ): this research.. Their choice to take part in the last year all participants should be used as the title! This template is to assist researchers in the last year AHPRA, about your Experiences Perceptions. Research team: Sandra Lucas, Dr. Matthew Leach and Dr. Anna Phillips researcher can not guarantee anonymity and for. Information you collect from them will be available [ provide date ] from [ provide details ] [. Participants should be in plain English, using language appropriate to the target....: Align the template to the target audience when the Participant is expected to receive participants and.
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