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Creating
Basic Information Sheets
[printable
version]
Refer to the consent form/information sheet checklist for detailed guidance in how to prepare and format the consent form.
Consent Form Validation
Investigators are required to use an approved, validated (with the IRB's stamp) consent form or information sheet to consent each subject.
General Instructions
& Formatting:
- Leave plenty
of "white space"
- Make sure
you have at least 1" margins on all sides
- Do not use
anything smaller than size 12 font
The IRB has
provided the Information
Sheet Template to make it easier for researchers to include
all of the necessary information. The template should be downloaded
and modified to suit the individual study.
- If you
choose NOT to use the IRB template, skip to the Section
1 instructions and include all of the required information
as addressed by Sections 1 - 11.
For ease of
use, the template downloads as a locked document. Simply
tab through and fill out the gray sections or cut and paste into
the shaded areas to complete the information sheet.
- Download
the Template Now
- To unlock
the document in Microsoft Word, go to Tools -->
Unprotect Document. This will allow you to edit the document
fully.
- Any text
appearing in the gray shaded areas of the Template should be replaced
with your own words and explanations.
- Follow the
detailed instructions listed below to complete the sections of
the template.
- The
Basics of Using RTF files.
**
Note - never list students as the Principal Investigators; list
them instead as student researcher. **
Section
1: Invitation to Participate
Tell your subject why s/he is being asked to be in the study. The
information sheet must be written in the second person ("You
are invited to be in this study
") Do not use the first
person ("I understand that
")
Section 2: Purpose
Describe WHY you are conducting the study.
Section 3:
Description of Procedures
Describe all study procedures so that the subject knows what her/his
participation will consist of. You should include the length of
time the study will take, the timing and sequence of the study procedures,
the time required for each procedure and whether the subject will
be contacted again in the future.
Section 4:
Risks and Inconveniences
Describe any risks (could be physical, psychological, social, or
economic) or inconveniences the subject may experience. Inconveniences
could be the amount of time it takes to do the study.
Section 5:
Benefits
If there are no benefits to the individual subject, you should identify
the benefits to society. DO NOT include $$$ here.
Section 6:
Economic Considerations (if appropriate to the study)
Tell the subject whether s/he will be charged for any part of the
study and/or whether s/he will be given any compensation for participation.
Compensation may not be coercive in amount or method of distribution.
Section 7:
Alternative Treatments
If the study offers treatment then you must include a section that
tells the subject what other alternatives exist to the treatment
offered per the study (could be no therapy, standard therapy or
other experimental therapies). If this is not a treatment study
then leave this section out.
Section 8: Confidentiality
Describe how you plan to preserve the subject's confidentiality.
Remember that there is a difference between confidentiality and
anonymity. Confidentiality means that the subject's identity is
known and linked to the data, even if not included in publications.
Anonymity means that there is no way you can ever link the data
to the subject. You must also include the following statement:
You should
also know that the UConn Institutional Review Board (IRB) and
the Office of Research Compliance may inspect study records
as part of its auditing program, but these reviews will only
focus on the researchers and not on your responses or involvement.
The IRB is a group of people who review research studies to protect the rights and welfare of research participants.
Section 9:
In Case of Injury
Only applicable for studies that present greater than minimal risk
to subjects:
If the study is greater than minimal risk to the subjects, you must
include a statement telling subjects what they should do if injured
(go to ER, call PI, etc.). If funds exist to reimburse the subjects
for the cost of their medical treatment, state that here. If no
funds exist to reimburse subjects, you must state that as well.
In addition, the following statement must be included:
The University
of Connecticut does not provide insurance converge to compensate
you if you are injured during the research. However, you may
still be eligible for compensation. If you are injured, you
can file a claim against the State of Connecticut seeking compensation.
For a description of this process, or available compensation
options, please contact the Office of Research Compliance at
the University of Connecticut at 860-486-8802.
Section 10:
Voluntary Participation
Include the following statement:
You do not
have to be in this study if you do not want to. If you agree
to be in the study, but later change your mind, you may drop
out at any time. There are no penalties or consequences of any
kind if you decide that you do not want to participate."
Section 11:
Questions
Include the following statement:
Take as
long as you like before you make a decision. We will be happy
to answer any question you have about this study. If you have
further questions about this project or if you have a research-related
problem, you may contact the principal investigator, (insert
name and phone number) or the student researcher (insert name
and phone number). If you have any questions concerning your
rights as a research subject, you may contact the University
of Connecticut Institutional Review Board (IRB) at 860-486-8802.
An IRB is a group of people that reviews research studies and
protects the rights of people involved in research.
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