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New Study Application Smart Form Guidance

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Section 21: Methods and Procedures - Surveys/Questionnaires/Psychometric Testing

21. Methods and Procedures – Surveys/Questionnaires/Psychometric Testing

21.1. List all of the measures/instruments that will be used for this study and attach copies below.

The IRB is required to review all types of measures/instruments used in a proposed research study. Please provide a complete list of the surveys, questionnaires, and/or psychometric instruments that will be used in this study. Include the version numbers or dates, if applicable. Include both standardized instruments and study-specific instruments.  Indicate if the measures have been previously validated.

Examples:
  • Quality of life questionnaires
  • Personality tests
  • Intelligence tests
  • Knowledge assessments
  • Psychological rating tests
  • Surveys (of opinions, habits, use of services)  
  • Health questionnaires
  • Symptom rating scales

21.1.1. Attach copies of all measures/instruments that will be used for this study here.

21.2. Indicate the member(s) of the study team who will use these measures/instruments and any necessary qualifications such as special training or licenses.

Surveys, questionnaires and psychometric test measures should be conducted by persons who have the necessary training and expertise depending on the nature of the research tool, the topic of investigation, and the study population. Some instruments require use by professionals with specific licenses. Please provide the following information:

  1. The names of the research team members who will be conducting the measures.
  2. The specific academic degrees, qualifications, and/or training that qualify the team member to conduct the procedures.
  3. The individual(s) will conduct the tests must be listed as study personnel in question #2. These individuals must complete the CITI human subjects training course.
Examples
  • Study using a published intelligence test with autistic children:
    Mary Jones, Ph.D. will conduct the WPPSI-III with the study subjects. Dr. Jones is a licensed psychologist whose has extensive experience evaluating children with autism in her clinical practice.
  • Study seeking feedback on the quality of services at a public school:
    James Smith, a work-study undergraduate student, will provide the parents in this study with the anonymous questionnaires regarding their children’s schools. James has completed the CITI course on human subject protections.

Section 22: Special Subject Populations

22. Special Subject Populations

The federal regulations require that IRBs give special consideration to protecting the welfare of particularly “vulnerable” or special classes of subjects, such as children, prisoners, pregnant women, mentally disabled persons, or economically disadvantaged persons (45 CFR 46.111). In addition, the federal regulations describe specific provisions for research involving pregnant women, human fetuses, and neonates (45 CFR 46 Subpart B); prisoners (45 CFR 46 Subpart C); and children (45 CFR 46 Subpart D). These regulations can be accessed at Title 46, Protection of Human Subjects.

The involvement of students, employees, and normal volunteers in research may present special concerns; however, the federal regulations do not provide explicit protections for subjects in these categories. Investigators using special subject populations must consider the ethical conduct of research and the potential for coercion of these subjects. Specific guidance for each of the special subject populations is described in detail below.

The following definitions may be helpful in understanding the categories of subject populations and selecting the appropriate responses in this section:

Human Fetus: The product of conception from the time of implantation until delivery. Here, the term “fetus” will refer to a living fetus unless otherwise specified. The term “fetus” generally refers to later phases of development, and the term “embryo” is usually used for earlier phases of development.

Minor: A person who has not reached the legal age for consent to treatments or procedures involved in the research, under the applicable law of the jurisdiction in which the research will be conducted. In the state of California, minors are those under the age of 18 years.

Neonate: A newborn.

Normal Volunteer: Healthy volunteers who are used to study normal physiology and behavior or volunteers who do not have the condition under study in a particular research protocol.

Pregnant Woman: A woman who exhibits any of the pertinent presumptive signs of pregnancy, such as missed menses, until the results of a pregnancy test are negative or until delivery. Pregnancy encompasses the period of time from implantation until delivery.

Prisoner/Detainee: Any individual involuntarily confined or detained in a penal institution or any individual detained pending arraignment, trial, or sentencing. This includes individuals detained in other facilities because of commitment procedures that provide alternatives to criminal prosecution or incarceration in a penal institution. Prisoners and detainees includes both minors and adults.

Ward: An individual, usually a child, for whom the court has appointed a guardian to care for and take responsibility for that individual.

 

22.1. Special Subject Populations (Check all that apply).

Section 22a: Special Subject Populations - Normal Volunteers

22a: Special Subject Populations – Normal Volunteers

Normal volunteers are healthy people, or people without the condition being studied, who volunteer to participate in research. Basic ethical principles require that possible benefits to subjects are maximized and possible harms to subjects are minimized. Normal volunteers who will receive no benefit from participation in research should, therefore, be exposed to risks that are minimized to the greatest extent possible. Normal volunteers agree to participate in research because they wish to contribute to scientific knowledge for the benefit of society, and this increases the concern about the risks to which they may be exposed.

22a. If this research involves a medical procedure(s), provide a justification for involving normal volunteers in research.

If you are enrolling normal volunteers and using a medical procedure, provide justification by addressing the following issues:

  • Why you are using normal volunteers for this research study?
  • Is compensation coercive for this subject population?
  • What is the likelihood of risk for healthy volunteers participating in this study?
  • Are there any risks of loss of confidentiality in this subject population?

FOR UPC: If your research does not involve medical procedures, add “N/A”.


 

Section 22b: Special Subject Populations - Employees/Students

22b: Special Subject Populations – Employees/Students

Inviting students and employees to participate in research introduces the possibility of coercion (feeling pressured to participate). Students may perceive that their decision to participate or not may affect their grades. Employees may feel their decision might affect performance evaluations or job advancement.

Examples:
  • Students are asked to participate in a study that will evaluate teaching methods used by professors and the students are recruited by their own professors
  • USC or CHLA employees with no faculty appointment are asked to participate in research that evaluates the performance of their department or division

22b. If you selected Employees or Students, please indicate how you will minimize the potential for them to feel coerced to participate. Discuss how the potential confusion in roles will be addressed.

Researchers should avoid using their own students as research subjects. Researchers who wish to use their own students must be able to provide a good scientific reason, rather than convenience, for selecting their own students as research subjects. For example, the research project should be relevant to the topic of the class and participation should be part of the learning experience for the students.

If you will recruit employees or students in your research, please explain what steps you will take to reduce the possibility of coercion. Explain how you will ensure that employees or students understand your role as a researcher rather than an as an employer, instructor, or professor.

Examples:
  • Post recruitment flyers in public areas rather than directly approaching students or employees
  • Arrange for another investigator or qualified member of the study team to obtain informed consent from subjects who are your own students or employees
  • Avoid situations where investigators have access to their own employees’ research data
  • Ensure that students who participate through “subject pools” will be given the same compensation as if they had been recruited through other methods (such as responding to an advertisement or flyer)
  • If you offer extra credit to your own students for participating in the research, provide an alternative and equivalent means of obtaining extra credit for those students who choose not to participate in the research

Section 22c: Special Subject Populations - Adults Not Competent To Consent

22c: Special Subject Populations – Adults Not Competent to Consent

Competence refers to the capacity to act on one’s own behalf and the ability to understand information presented, to appreciate the consequences of acting (or not acting) on that information, and to make a choice. Individuals with severe disorders may or may not have the capacity to consent to participate in research. Thus, adults who are not competent to consent constitute a vulnerable population and they require additional protections in research.

22c. Provide a justification for including adults not competent to consent in research.

Explain why it is necessary to enroll adults who are not competent to give consent in order to answer your research questions. Please note that you may enroll adults who are not competent to consent in medical experiments ONLY if your research relates to the cognitive impairment, lack of capacity, or serious or life-threatening diseases and conditions of the research participants.

According to California Health and Safety Code, Section 24178, a Legally Authorized Representative (LAR) must provide consent. Instructions for obtaining consent from an LAR are available in the guidance for question #30.

Examples:
  • This trial will investigate the safety and efficacy of an experimental drug to treat bacterial infections that commonly occur in patients on mechanical ventilators. The subjects to be enrolled in the study will be sedated and unable to communicate because of the mechanical ventilation. This study could not be performed if we limited enrollment to subjects who are competent to give consent.
  • We are evaluating rehabilitation techniques in people newly diagnosed with a stroke. Some subjects may not be able to give consent because of the severity of their stroke. For those subjects, we will obtain consent from a legally authorized representative. Because we wish to evaluate the impact of rehabilitation in people with mild, moderate, and severe stroke-related impairment, we will include some subjects who are not competent to consent.

Section 22d: Special Subject Populations - Minors

22d: Special Subject Populations – Minors

Children are those who have not attained the legal age to consent to treatment or procedures involved in the research. In the state of California, children are those aged 17 years or younger. Children are considered a vulnerable research population because their intellectual and emotional capacities are limited. Research involving children is governed by the federal regulations at 45 CFR 46 Subpart D, and the IRB can only approve research that satisfies the conditions set forth in Subpart D.

Definitions and additional guidance on research involving children is available at:

22d.1. Provide a justification for involving minors in this research.

Explain why it is necessary to enroll children to answer your research questions.

Examples:
  • We are studying children (from birth to 12 years of age) who were exposed in-utero to HIV and antiretroviral drugs to determine if exposure causes developmental problems. This study can only be conducted in children. 
  • We are studying the pharmacokinetics of a new antibiotic for people with methicillin-resistant Staphylococcus aureus infections. Drug pharmacokinetics have been studied in adults and adolescents, but there is no published data on the pharmacokinetics in children.

Research Involving Children – Special Issues

  1. Exempt Review. Children can be enrolled in studies that fall under most of the exempt review categories. However, certain activities under exempt category 2, which includes research involving survey or interview procedures or observation of public behavior, do NOT apply to children. These research activities must be submitted for expedited review. Observation of public behavior when the investigator(s) do not participate in the activities being observed does apply to children. The remaining exempt research categories (#1 and #3-6) do apply to research involving children.
  2. Phase 1 Drug Trials. The usual approach in drug trials is to study animals, adults, and older children before young children are involved as research subjects. However, there are conditions that occur only in early childhood, and data from studies involving adults or adolescents may not be applicable. The IRB must carefully assess the risks and benefits for studies of potentially life-threatening conditions in children. If the IRB approves a Phase 1 drug trial in children, the consent document must discuss the probability and the magnitude of benefit the child may receive from participating in the trial.

22d.2. Choose the proposed category of permissible research with children.

Research involving children is governed by the federal regulations at 45 CFR 46 Subpart D. The IRB can only approve research involving children that satisfies the conditions set forth in Subpart D.

Information on these categories of research involving children is available at:


 

22e: Special Subject Populations – Pregnant Women, Human Fetuses, or Neonates

Federal regulations mandate additional safeguards for pregnant women, human fetuses, and neonates involved in research. Research involving these subjects can be approved only if the proposed research satisfies the conditions of 45 CFR 46 Subpart B.

The conditions for pregnant women and fetuses include:

  1. Where scientifically appropriate, preclinical studies, including studies on pregnant animals, and clinical studies, including studies on nonpregnant women, have been conducted and provide data for assessing potential risks to pregnant women and fetuses.
  2. The risk to the fetus is caused solely by interventions or procedures that hold out the prospect of direct benefit for the woman or the fetus; or, if there is no such prospect of benefit, the risk to the fetus is not greater than minimal and the purpose of the research is the development of important biomedical knowledge which cannot be obtained by any other means.
  3. Any risk is the least possible for achieving the objectives of the research.
  4. No inducements, monetary or otherwise, will be offered to terminate a pregnancy.
  5. Individuals engaged in the research will have no part in any decisions as to the timing, method, or procedures used to terminate a pregnancy.
  6. Individuals engaged in the research will have no part in determining the viability of a neonate.

There are additional conditions regarding the informed consent process for research involving pregnant women and fetuses. These conditions are described at Subpart B - Additional Protections for Pregnant Women, Human Fetuses, and Neonates Involved in Research.

Subpart B describes the conditions under which neonates of uncertain viability and nonviable neonates may be involved in research. These conditions are available at Subpart B - Additional Protections for Pregnant Women, Human Fetuses, and Neonates Involved in Research. Neonates who are determined to be viable after delivery are considered children and may be included in research according to the regulations under Subpart D (see iStar section #22d).

22e.1. If applicable, indicate how the measures that will be taken to ensure that the fetus is placed at risk only to the extent necessary to meet the woman’s, neonate’s, and/or fetus’s health care needs. Or, indicate that the risk is minimal and (describe) how the knowledge to be obtained through research cannot be obtained through other means.

Explain whether or not your research intervention has the potential to directly benefit the health of the woman or the fetus. If there is a possibility of direct benefit, explain what steps you will take to ensure that the fetus is exposed to the lowest risk possible. If there is no possibility of direct benefit to the woman or the fetus, the study can be approved only if the risks to the fetus are no greater than minimal. If this is the case, clearly state that the risk to the fetus is minimal, and explain why you cannot obtain the important biomedical knowledge by some other means.   

Examples:
  • There is a 75% mortality rate for fetuses with condition XYZ. Performing this research procedure is estimated to reduce fetal mortality to less than 25%. Risks to the fetus will be minimized by screening the mothers for risk factors, performing the surgery under ultrasound guidance, and using local anesthesia rather than general anesthesia.
  • The study involves the collection of small amounts of blood three times during the pregnancy. The risks to the woman and fetus are minimal. Because we are studyingchanges in hematocrit levels during pregnancy, this information can only be obtained by collecting blood from pregnant women.
22e.2. Will the researchers have any part in a decision about termination of the pregnancy and the viability of the fetus/neonate?

Under federal regulations, the IRB cannot approve research in which the researchers are involved in any decisions about termination of a pregnancy or viability of a fetus/neonate. If any of the investigators are physicians who treat patients at the study site, they should refer subjects in these situations to another facility or medical practice.

22e.3. If the research involves termination of a pregnancy, please discuss if and how the research team would be involved.

Individuals engaged in the research may not have any part in deciding the timing, method, or procedures used to terminate a pregnancy, nor may they have any part in determining the viability of a neonate. If you will be recruiting women who are undergoing termination of a pregnancy, describe who will be making those decisions and determinations.

Section 22g: Special Subject Populations - Wards

22g: Special Subject Populations – Wards

The special protections for children set forth in Subpart D of the federal regulations include additional limitations on research involving children who are wards of the state or wards of any other agency, institution, or entity. Where the research involves greater than minimal risk to the subjects with no prospect of direct benefit to individual subjects (45 CFR 46.406), or requires approval by the Secretary of the DHHS (45 CFR 46.407), the research must either (1) be related to the children’s status as wards or (2) be conducted in schools, camps, hospitals, institutions, or similar settings in which the majority of children involved as subjects are not wards (45 CFR 46.409).

The IRB must require that an advocate be appointed for each child who is a ward. This advocate is in addition to any other individual acting on behalf of the child as a guardian or in loco parentis.

Whenever children who are institutionalized might be involved in research, care should be taken to ensure that they are not included as participants simply because of their availability to the investigator.

22g. Describe how you will make accommodations for wards as per regulations:

If you are enrolling wards in your study and the study involves greater than minimal risk to the subjects with no prospect of direct benefit to individual subjects, explain either (1) how the research is related to the children’s status as wards, or (2) that the research will be conducted in schools, camps, hospitals, institutions, or similar settings in which the majority of children involved as subjects are NOT wards.

Explain who you will appoint as an advocate for each child who is a ward. The research appoints an advocate for each child, who: (i) May be the same individual for all of the children; (ii) Has the background and experience to act in (and agrees to act in) the best interest of the child for the duration of the research; and (iii) Is not associated in any way with the research (except as an advocate), the investigators, or any guardian association.

Examples of Advocates:
  • Judge
  • School Psychologist
  • Counselor
  • Clergy

Section 22f: Special Subject Populations - Prisoners/Detainees

22f: Special Subject Populations – Prisoners/Detainees

Prisoners are considered to be vulnerable because they are in a restrictive, institutional environment that affords little opportunity for making choices, earning money, communicating with outsiders, or obtaining medical care. Because their autonomy is limited, prisoners may only participate in certain categories of research and special precautions are needed to assure that their consent is informed and voluntary. These categories and safeguards are covered by 45 CFR 46 Subpart C. Additional information is available at: OHRP Guidance on the Involvement of Prisoners in Research.

22f. If you selected Prisoners/Detainees, choose the applicable category of permissible research with prisoners 

When reviewing the study the IRB will determine if the proposed research qualifies for one of the permissible categories of research with prisoners.

If your research does not fall under one of these categories, you cannot enroll prisoners as study subjects.

Research Involving Prisoners – Special Issues
  1. Exempt Review. Research involving prisoners does NOT qualify for exempt status (45 CFR 46.101(b)).
  2. Under the California Penal Code, competent adult prisoners are permitted to decide whether or not to participate in behavioral research. However, no biomedical research may be conducted on any prisoner in California. Prisoners may obtain investigational drugs under an IND protocol if a physician determines that the drug or treatment is in the best interest of the prisoner and the prisoner gives consent.
Examples of Permissible Research with Prisoners:
  • Conducting a study about juvenile delinquents’ high probability of having a virus that is common among people in confined quarters.
  • A research subject in a non-prisoner study becomes incarcerated and the investigator applies to the IRB to continue the subject’s participation in the study. The Subpart C regulations apply whenever any human subject in a research protocol becomes a prisoner at any time during the study.

Section 23: Subject Identification

23: Subject Identification and Study Resources
 
23.1. Describe the method(s) by which subjects will be identified, eligibility will be determined, and by whom.
(Text Box)
 
Specify how you will identify the subjects for the study, how you determine if the potential subject qualifies for the study, and who will make that determination. Do not list the eligibility criteria or describe the informed consent process here.
 
Examples
  • Surveys of educational practices of grade school teachers: Potential subjects will be identified through a list of elementary school teachers provided by the XYZ school district. The research assistant will verify with the district office that all of the teachers on the list teach grades 1-6 and are currently teaching in one of the district schools.
  • Medical Clinical Trial: The principal investigator will identify potential subjects as they present in his/her clinic and make the initial determination of their eligibility for the study from review of their medical records. After the consent process is completed and the subjects are entered in to the study, each subject will have a study screening visit to confirm their eligibility to participate.
  • Outside referral to study: Potential subjects may also be identified through physician referrals, or in some cases self referred in response to a recruitment flyer or media advertisement. Subjects identified in this manner will contact the study coordinator who will perform an initial screen for eligibility over the phone. If the subject is eligible after the phone screening, the study coordinator will schedule an appointment for the subject to meet with the principal investigator. The PI will make the determination of the subject’s eligibility to participate.
 
23.2 Describe the time the investigators have available to conduct and complete the research and justify that it is sufficient.
Provide percentage of efforts that PI will allocate for this study and justify that allocation is sufficient for appropriate oversight of the research. 
 
23.3. Describe the staff and justify they are adequate in number and qualifications.
Explain how the number of staff and their experience/training is sufficient to properly support the research activities.
 
23.4. Describe the study facilities and justify they are adequate.
 
Example
  • The study will be performed in the Dana and David Dornsife Cognitive Neuroscience Imaging Center and the Cognitive Neuroscience Imaging Center of Beijing Normal University, which both have state-of-the-art MRI systems, and in Brain and Creativity Institute research-dedicated space.
 
23.5 Describe how staff and others will receive necessary information and training to assist in the conduct of this study.
 
Describe the initial and ongoing training of staff, discussion of study procedures, responsibilities, and the frequency of these meetings.

Section 23R: Study Purpose/Subject Identification

23R: Study Purpose/Subject Identification
 
23R.1. Briefly describe the purpose of the retrospective study
(Text Box)
Describe the purpose of the study. List the study objectives or specific aims of the research. Provide a concise statement of the hypotheses you will test or the research questions you will answer in this study. Emphasize those aspects that justify the use of human subjects.
 
23R.2. Describe the method(s) by which subject records will be identified
(Text Box)
 
There are several types of source data that are used for retrospective research. These may be in paper or electronic form, and data may be accessed from different entities. Provide the location of the source data, the method in which it is stored, and how and by whom the records will be accessed.
 
Examples
  • School-based data: The attendance officers for XYZ and ABC elementary schools will be asked for a list of students who have missed more than 30 days of school during the 2003-2004 academic year. This list will be used to identify the student performance records that will be analyzed as part of this study. The student guidance officers will supply these records.
  • Healthcare Data:

    • Mt. Sinai Hospital has a computerized medical record: The Medical Records staff will use the following variables to select the patient records that will be analyzed for this study: hospitalized for cystic fibrosis during the time periods 1/1/00-12/31/03; ages 0-18 years; received antibiotic therapy.
    • Valley Hospital uses paper medical records: Using the patient roster from the Cystic Fibrosis Clinic, the researchers will identify all of the patients who were hospitalized during the time period 1/1/00-12/31/03. The Medical Records department will be asked to provide the records for all patients during this time period who were 0-18 years of age and received antibiotic therapy.

Section 24: Subject Recruitment

24. Subject Recruitment
 
Background
Subject recruitment is the process of finding and enrolling appropriate subjects into a study. The recruitment of subjects is considered to be the beginning of the informed consent process. Therefore, the IRB must review and approve methods of recruitment and content of the recruitment materials prior to use. The recruitment strategies are evaluated by the IRB to ensure that participant selection is equitable, that accurate and appropriate information is provided to potential subjects, and that the likelihood of coercion is minimized.
 
Tips on Recruitment Advertisements
Write recruitment materials in lay language that can be understood by a person with an 8th grade reading level. Add the IRB number to the bottom of all print and electronic advertisements. Follow all policies regarding the use of University or Hospital logos on recruitment materials and the placement of recruitment materials on University or Hospital property.
 
Recruitment materials may contain the following:
  • Name and address of the investigator and/or institution
  • Simple explanation of the purpose of the research
  • Eligibility criteria
  • Time commitment or what will be expected of the subject
  • Location of study visit(s)
  • General statement that subjects will be compensated for their time
  • Who to contact for additional information
 
Recruitment advertisements may NOT contain the following:
  • Claims that a drug or device is safe and effective
  • The words “new treatment,” “new drug,” or “new device” without explaining that the test article is experimental
  • A promise of free medical treatment
  • Amount of payment, dollar signs, or the words “free” in large or bold face type. Compensation should not be excessive relative to the nature of the project. (NOTE: The amount of payment is generally allowed for UPIRB submissions due to the low risk / no risk projects. The IRB decides this on a case-by-case basis);”
  • Language or graphics that may be coercive or misleading
 
24.1 Recruitment Tools (Check all that apply)
(Selection)
 
NOTE: Participant retention programs that offer compensation, incentives, or gifts with the intent to retain participants in an ongoing study are also considered recruitment methods and must be submitted to the IRB for approval.
24.1.1. If “Other Recruitment Tool”, please specify:
(Text String)
 
 
If you chose “Other” in section #24.1, describe the other recruitment tool(s) that you plan to use here.
 
24.2. Attach copies of all recruitment tools indicated above.
 
Attach/upload all documents and materials indicated in sections #24.1 and #24.1.1 that will be used for recruitment. If recruitment materials will be provided in languages other than English, attach copies of the translated materials.
 
24.3. Describe in detail all recruitment strategies for each participant group (including controls)involved in this study.  Explain who will approach the participants, how and when the participants will be approached, and what will be said.
(Text Box)
 
Provide descriptions of how each of the recruitment tools selected above will be implemented. If recruitment will be in-person (personal solicitation), describe the personnel involved and their relationship, if any, to the potential subjects.
Examples
  • The treating physician, with the patient’s permission, will arrange for the study nurse to meet with each patient at the time of his/her scheduled clinic visit. The study nurse will provide the potential subject with the information in the recruitment script provided in section #24.2. If the patient indicates interest in the study, the consent process will be initiated. This timing will give subjects about a week to decide whether or not to participate in the study at the time of their follow-up visit.
  • The recruitment flyer provided in section #24.2 with the parental consent will be mailed to the parents of all students at the ABC middle school three weeks before the student survey is scheduled to take place.
  • The subjects will be recruited through the Psychology department’s subject pool.
 
24.4. What measures will be taken during the recruitment and consent process to safeguard against potential coercion or the appearance of coercion?
(Text Box)
 
The IRB needs to determine whether the recruitment methods for each subject group are appropriate to ensure that subjects are not coerced. Recruitment methods and materials must respect individuals who may be approached in a school, workplace, hospital, nursing home, community event, or other setting.
 
Describe the protective safeguards that are included to protect the rights and welfare of subjects who are likely to be vulnerable to coercion or undue influence (for example, children, prisoners, pregnant women, persons with physical or mental illness, students, employees, and persons who are economically or educationally disadvantaged). These safeguards could include:
  • The advertising materials comply with guidelines of the IRB and the institution(s)
  • Only members of the study team are involved in recruitment
  • Investigators will not recruit from their own staff
  • Investigators will not recruit from their own students
  • If the study involves children, only children with parent permission will be contacted to participate
 
Examples
 
1.      This study includes students enrolled in Psychology 101 courses. To eliminate the potential for coercion, the researcher will advertise generally across campus for subjects rather than approach students in his own classes. Additionally, the students are assured that the decision whether or not to participate will not affect their grades or evaluations. (Note: If the researcher recruits their own students and offers extra credit for participation, an alternative opportunity to earn the same extra credit must be made available to those students who do not participate).  
2.       This study is a therapeutic study that includes patients with life-threatening illnesses. Subjects will be informed about the study by their treating physicians and given a copy of the informed consent document to take home. This will allow them the opportunity to discuss participation in the research with other medical professionals, family, and friends.
3.      The PI of this study has a financial involvement in the research. This creates a potential conflict of interest. Thus, she will not be involved in the recruitment process. Subjects who respond to the advertisements will speak with other qualified study personnel.
 
24.5. (HSC Only) Describe any competing protocols of which you are aware and how issues of subject selection and recruitment will be addressed
(Text Box)
 
If there are active competing protocols, you must decide the method of recruiting subjects into a new study in a systematic manner. Describe any competing protocols of which you are aware that contain the same or substantially similar eligibility criteria. If competing protocol(s) exist, describe how you will decide the priority among the competing protocols. The issue of subject selection and recruitment should be addressed. If none, then please type “none” in the provided space.
 
For example, if there are two similar lung cancer protocols that use standard treatment versus an experimental drug, explain how subjects will be triaged into the two different studies. Or you might inform subjects of both studies and help them to decide which study is better suited for their condition.


 

Section 25: Financial Obligation and Compensation

25. Financial Obligation and Compensation
 
25.1. Financial Obligation: Describe any financial obligations that the subject may incur as a result of participating in the study. Indicate which costs will be covered by the study.
(Text Box)
 
Describe the financial arrangements that have been made for the study. Delineate which costs (for procedures, exams, and study-related medications) are covered by the study and which costs will be charged to the subject/third party payor. Clearly explain the subject’s financial responsibility for related care or hospitalization. Please make sure that the financial obligations described here are consistent with the informed consent document. If there are no financial obligations, please state so.
 
If you will be conducting a study using investigational devices, drugs, or biologics, please review the FDA regulations for guidance on when and if it is permissible to charge subjects for these costs. See FDA Information Sheets, Charging for Investigational Products.  The site address: http://www.fda.gov/oc/ohrt/irbs/toc4.html#products
 
Examples
  • A new surgical device is being tested in patients undergoing transplant surgery. The surgery and all related costs such as anesthesia and medications will be billed to a third party payor, and the device will be supplied by the sponsor.
  • This study will compare Drug X, an investigational drug, to Drug A, an FDA-approved drug that is being used for the labeled indication. Drug A will be paid for by subjects or their third party payor. Drug X will be provided by the sponsor. Drug X is known to cause cardiac toxicities. Therefore, the sponsor will pay for the additional cardiac tests such as echocardiograms and MUGA scans as well as the additional cardiac laboratory tests.
 
25.2. Payment for Participation: Describe how much, if any, financial or other form of compensation will be provided to the subject/family. Describe the requisite conditions that must be fulfilled to receive full or partial compensation. Describe the proposed method of timing and disbursement. If children are involved, please specifically address how the compensation will be distributed to children.
(Text Box)
 
Describe any financial or other form of payment/compensation that is provided to the subject. Compensation includes cash, gift certificates, movie tickets, bus passes, toys, books, class credit or equipment. Provide the payment schedule if payment is prorated for each completed study visit. The payment amount should be related to the time/degree of effort expected from the subject. Unreasonably large payments may exert undue influence and interfere with the ability of the subject to make an informed decision. Please ensure that the compensation described here is consistent with the informed consent document.
 
If children are involved, indicate how compensation/payment will be distributed. Instead of cash payment for minors, provide an age-appropriate token such as a small toy or a gift certificate.
 
Examples
  • One-hour Survey: Subjects will be compensated $25 for their time, travel, and parking.
  • One-hour Survey: The subjects in this study are 7-12 years of age. Their parents will receive $20 in compensation for the time and expenses of bringing their child to campus to participate in the study. All of the child subjects will receive a gift certificate worth $5 for their efforts.
  • Inpatient Therapeutic Study: There is no payment for participation in this study.
  • Longitudinal Study: Subjects will be given a total of $150 in department store gift certificates for participation in this study. Payments will be prorated $25/session and provided to each subject at the end of each session.
  • Pharmacokinetic Study: Subjects receive an investigational drug and then have their blood drawn a total of 10 times. They receive $150 for each of the first three draws, $100 for each of the next three draws, and $50 for each of the last four draws. Subjects will receive an IRS 1099 tax statement because the total payment exceeds $600 in one year.
 
25.3 Emergency Care, Injury and Compensation for Injury: For studies of greater than minimal risk, if participants require care, medical services, or psychological services as a consequence of the research, Who will provide this care? If applicable, describe who will pay for research-related injuries.
(Text Box)
 
Explain who will provide emergency care if the subject needs such care as a result of taking part in the study. Explain who will be financially responsible for any emergency care. Describe the sponsor’s responsibility for research-related injuries, if applicable. Please ensure that the information provided here is consistent with the sponsor’s contract and with the informed consent document, if applicable.
 
USC has no mechanism available to pay the costs of research-related injuries. If the study has no outside indemnification, the institution must inform the subjects that costs associated with treatment of research-related injuries will be paid by the subjects or their third party payors. The subjects must also be informed of the approximate costs of such treatments and that the third party may not pay for treatment of research-related injuries.
 
Examples
  • If a patient requires medical treatment as a result of a physical or psychological injury arising from his/her participation in the study, emergency medical care required to treat the injury will be provided. However, the financial responsibility for such care will be shouldered by the patient or his/her insurance provider. No compensation will be provided for any injury that may result as a direct consequence of non-negligent performance of procedures described in the consent form.
  • If they require medical care/treatment as a result of injury arising from their participation in this study, emergency medical care/treatment will be provided. The sponsor will pay for the cost of care/treatment for those injuries related to their participation in the study. No other form of compensation will be provided for injuries resulting from their personal conduct or participation in activities outside of the scope of the study protocol. No financial compensation will be provided for such things as lost wages, disability or discomfort, losses claimed by spouses or family members, medical expenses due to treatment of any underlying or unrelated condition or any expense arising from or claimed to be due any research-related injury. The Sponsor is not responsible for the negligence or actions of anyone other than the Sponsor, or for events that the Sponsor does not control. The Sponsor is not responsible for problems caused by the study participant's failure to follow study instructions, including attending all follow-up visits. However, by signing this form they have not given up any of their legal rights.

Section 26: Participant Privacy and Data Confidentiality

26. Participant Privacy and Data Confidentiality
 
26.1. Describe the provisions to protect the privacy of the individual during screening, consenting, and conduct of the research.
(Text Box)
 
 
 
Describe what measures you will take to protect the privacy interests of participants. Privacy considerations include the time and setting where private information is obtained, the nature of the information given, and who receives/uses the information.
 
Example:
  • Potential subjects will be approached in the clinic waiting room. When subjects express interest, they are taken to an office to see if they meet the inclusion criteria of the study. Subjects will be asked to discuss their personal health backgrounds, including drug/alcohol use. This discussion will take place in a private office with a member of the research staff.
 
26.2 How will the data be recorded to protect personal confidentiality (select one)?
(Drop-down List)
 
Please choose one. If you choose “Other,” describe it in #26.2.1.
  • Identified data means the data being collected includes information that can directly link the data to the identity of the individual (e.g. names, social security #, medical record #, date of birth and address).
  • Coded means replacing identifiable information (such as name or social security number) with a number, letter, symbol, or combination thereof (i.e., the code).
  • Anonymous means the data being collected does not contain any identifying information or codes that link the data back to the individual.
 
26.2.1. If Other is selected, please specify.
(Text String)
 
26.3 How will the data be recorded and stored? Please specify the physical location and describe how data will be secured to protect confidentiality. (Text Box)
 
Confidentiality refers to physical and/or electronic study records/data. Care should be taken to explain the plan to maintain confidentiality of the data/study records. For example, the use of numbering or code systems, encryption of data, the use of passwords for electronic data access, and safely locked files in private offices.
 
 
 
Describe where the data will be stored. Describe how the confidentiality of the data will be maintained.
 
Example
  • The required data will be abstracted from the research participant's medical record and recorded in case report forms. The case report forms are assigned with a unique code by the sponsor and contain only the participant's initials and not the complete name or hospital record number in order to protect the privacy of the participant.The data will be stored in a password protected computer in the PI’s office (Room #12C). Access to the office will be limited to the PI and a study coordinator.
     
  • Subjects write their randomly assigned identification code on the physical abuse questionnaire. The questionnaires are kept in a locked file cabinet in STO # 221. The “key” (spreadsheet/log) that contains the subjects name and assigned identification code is kept electronically on the PI’s laptop, which is password protected. Only the PI and the study coordinator have access to the file.  
 
 
26.4. Who, other than the specified study team, will have access to the study records or data? Specify their name, role, and affiliation. Do not list study personnel already listed on screen 2.
(List)
 
Add the personnel who have access to the records at USC/CHLA. Add any onsite or offsite personnel who are not listed as members of the study team in iStar section 2. Provide each individual’s name, role, and affiliation.
 
26.5 If coded or identified data will be released, specify the persons, agencies to whom the information will be released. Please also indicate the provisions that will be taken to assure that the transmission of the data will maintain confidentiality.
(Text Box)
 
If you are releasing coded or identified data to agencies or persons who are not part of the study team, identify those persons or agencies. Describe what measures you will take to ensure that the data is transmitted confidentially when you release the data to these persons or agencies. 
 
Identified data means the data being collected includes information that can directly link the data to the identity of the individual (e.g. names, social security #, medical record #, date of birth and address).
 
Coded means replacing identifiable information (such as name or social security number) with a number, letter, symbol, or combination thereof (i.e., the code).
 
26.6. Describe what will happen to the data or data set, when the study is completed. Please indicate your plans for destruction of identifiers at the earliest opportunity consistent with the conduct of the research and/or clinical needs, if applicable.
(Text Box)
 
Describe what you will do with the data or data set when the study is completed. Please describe how you will destroy the identifiers at the earliest opportunity consistent with the conduct of the research and/or clinical needs, if applicable.
 
Example:
  • The data will kept for a minimum of 3 years after the study is completed. Upon completion, all identifiers will be removed from the data and discarded. All documents containing identifiers will be shredded. Electronic documents will be deleted.
     
  • The data will be kept indefinitely. The records will be kept confidential as described in the IRB application question 26.3.
 
 
26.7. Will a Certificate of Confidentiality be obtained for this study?
(Yes/No)
 
Certificates of Confidentiality are issued by the National Institutes of Health (NIH) to protect the privacy of research subjects by protecting investigators and institutions from being compelled to release information that could be used to identify subjects within a research project. Certificates of Confidentiality are issued to institutions or universities where the research is conducted. They allow the investigator and others who have access to research records to refuse to disclose identifying information in any civil, criminal, administrative, legislative, or other proceeding, whether at the federal, state, or local level. Identifying information is broadly defined as any item or combination of items in the research data that could lead directly or indirectly to the identification of a research subject.

By protecting researchers and institutions from being compelled to disclose information that would identify research participants, Certificates of Confidentiality help achieve the research objectives and promote participation in studies by assuring privacy to subjects.

A Certificate of Confidentiality may be needed if the study is collecting sensitive information that, if disclosed, could have adverse consequences for subjects or damage their financial standing, employability, insurability, or reputation. Sensitive information includes (but is not limited to):
  • Information relating to sexual attitudes, preferences, or practices
  • Information relating to the use of alcohol, drugs, or other addictive products
  • Information pertaining to illegal conduct
  • Information that, if released, might be damaging to an individual's financial standing, employability, or reputation within the community or might lead to social stigmatization or discrimination
  • Information pertaining to an individual's psychological well-being or mental health
  • Genetic information or tissue samples.

For detailed information and instructions for obtaining a Certificate of Confidentiality, please visit the NIH Certificates of Confidentiality Kiosk.
 
26.7.1. Please attach the Certificate of Confidentiality.
 
26.8. If audio/video recordings or photographs will be used, will you be anonymizing or deidentifying materials? If so, how will this be done and when.
(Text Box)
 
Describe how you will deidentify or anonymize the recordings or photographs. How long you plan to keep the recordings or photographs. If you plan to keep them indefinitely, explain why. Please ensure that the handling and retention of recordings and photographs are clearly described in the informed consent document.
 
If you are using photographs or video/audio recordings in your research, any information identifying the subjects should be removed when no longer needed for the research. This can involve the following processes:
 
  1. De-identifying data: Refers to stripping all personal identifiable information (such as name, social security number, birth date, driver’s license, etc) from the data. De-identified data may contain non-identifying code (such as a sequential number). The code can be maintained in a confidential way (for example, in a secured locked cabinet, with a password protected computer database).
  2. Anonymizing data: Once you remove all links to the data source, such as the name of the subject or code, then the data have been anonymized.
 
Example #1 - The photographs contain a code i..e (medical record, etc.) linking them to the subjects’ identities. This code will be destroyed at the completion of the study.
 
Example #2 At the end of the study, the subject’s faces in the photos will be obscured to anonymize the images. The photos will be shredded three years after completion of the study.
 

Section 27: Risk/Benefit Assessment - Risks

27. Risk/Benefit Assessment – Risks
 
27.1 Risk classification for this study (select one).
(Drop-down List)
 
Choose the appropriate risk classification for this study.
 
Minimal risk means that the probability and magnitude of harm or discomfort anticipated in the research are not greater in and of themselves than those ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests (45 CFR 46.102(i)). Examples of minimal risk studies may include:

  • Questionnaire, interview, and survey studies
  • Pathology studies using existing specimens or specimens to be collected with no personal identifiers
  • Retrospective chart reviews
  • Collection of biological materials or data through noninvasive means
  • Venipuncture
 
Examples of studies involving greater than minimal risk include:
  • Therapeutic studies involving chemotherapy, radiotherapy, or surgery
  • Investigational drug or device studies
  • Invasive collection of biological materials
  • Questionnaire or survey studies that gather sensitive data from subjects (i.e. history of drug abuse, HIV status, etc.)
 
27.2. Risks, Discomforts and Potential Harms: Describe the risks associated with each intervention. Include consideration of physical, psychological, social, and other factors. If data are available, estimate the probability that a given harm may occur and the potential reversibility. (HSC: refer to specific sections of the protocol/grant, if applicable)
(Text Box)
 
For HSIRB submissions only: If a clinical protocol is attached to the application, refer to the section(s) of the protocol that provide this information. If your grant application includes this information, refer to the appropriate section(s). DO NOT RETYPE MATERIAL THAT IS IN THE PROTOCOL OR GRANT APPLICATION.
 
UPC example:
Participants may feel discomfort when sharing information about their academic or social weaknesses related to their disabilities.
 
 
 
 
 
27.3 Describe the precautions that will be taken to minimize risks/harms.(HSC: refer to specific sections of the protocol/grant, if applicable)
(Text Box)
 
Describe the safety precautions, such as prophylactic medications, dose modifications, stopping rules, or other measures taken to reduce study risks.
 
For HSIRB submissions only: If a clinical protocol is attached to the application, refer to the section(s) of the protocol that provide this information. If your grant application includes this information, refer to the appropriate section(s). DO NOT RETYPE MATERIAL THAT IS IN THE PROTOCOL OR GRANT APPLICATION.
 
HSC example (for studies without a sponsor’s clinical protocol):
The investigator will take standard precautions to insure the safety of the subject as with any other surgical intervention. Those receiving the study drug will also receive antibiotic eye drops at the time of the injection and 3 days postoperatively. Subjects will undergo a complete review including an eye examination and assessment of vital statistics at 1 week after the injection.
 
UPC example (for minimal risk research):
Parents and children will be fully informed about the nature of the study prior to participating in the study. In addition, the interview protocol is structured to minimize harm through selective questioning. Participants will be reminded that they can choose not to answer study questions and may withdraw from the study at any time.
 
 
27.4. Data Safety Monitoring Plan: Describe who will monitor the studies for the safety of the participants (investigators, sponsor, independent monitor, DSMB, etc). Provide a plan ( Monitoring provisions) which may include information on: the type of data or events to be captured, who is responsible for monitoring data related to unanticipated problems and adverse events, time frames for reporting adverse events and unanticipated problems to the monitoring entity, the frequency of assessments of data / events captured by monitoring, specific triggers or stopping rules that dictate when an action is required, and procedures for communicating to the IRB, sponsor, investigator, and other appropriate officials the outcome of the reviews by the monitoring entity.
(Text Box)
 
Every clinical trial conducted at HSC must include a plan for data and safety monitoring.
The data safety monitoring plan describes methods by which the investigator ensures that: (1) research subjects are not exposed to unreasonable or unnecessary risks and (2) the scientific validity of the study is protected. The specifics of the data safety monitoring plan are dependent on the nature, size, complexity, and risks of the study.
 
For complex, or high risk studies, a data safety monitoring board (DSMB) may be required.
A DSMB is an independent committee set up specifically to monitor data throughout the duration of a study to determine if continuing the study is scientifically and ethically appropriate. The DSMB periodically reviews study data and advises the sponsor/investigator on safety issues, as well as the continuing validity and scientific merit of the trial.
 
For HSC:
Describe how you will monitor the study data to ensure safety of the participants and validity and integrity of the data. If there is a DSMB for this study, describe the composition of the Board, plans for monitoring the data, and dissemination of monitoring information to the local IRBs. Discuss any related DSMB documents and attach them to 40.1 (i.e. charter, meeting schedule, etc.).  
 
For UPC: In general, data safety monitoring plans are not required for social/behavioral research projects qualifying for Exempt or Expedited review, and an entry of “N/A” is adequate. In projects involving greater than minimal risk, the IRB may require the investigator to submit a data safety monitoring plan.
 
Additional information on data safety monitoring is available at:
1. For the NIH Policy for Data and Safety Monitoring (Release Date: June 10, 1998) visit:
http://grants.nih.gov/grants/guide/notice-files/not98-084.html
2. For “Further Guidance on a Data and Safety Monitoring for Phase I and Phase II Trials” visit:
http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-038.html
 
 
27.4.1. (CHLA Only) Attach the CHLA Research Monitoring Plan

Section 28: Risk/Benefit Analysis - Potential Benefits and Alternatives

28. Risk/Benefit Analysis – Potential Benefits and Alternatives
 
28.1. Describe any potential for direct benefits to participants in the study. There may be no direct benefits.
(Text Box)
 
Describe benefit(s) associated with the study, if any. A benefit may refer to a health or personal benefit the subject might gain by participating in the study. If data are available, estimate the probability that a given benefit may occur. If there is no personal benefit to the subject, state that. 
 
Examples:
 
  • The treatment group may experience improved visual acuity, improved intraocular pressures, less complications, and less need for additional surgeries. It is possible that subjects will not directly benefit from participating in this study.
     
  • There are no direct benefits for participating in this study
     
  • Subjects may acquire knowledge that might be of value to them.
 
 
28.2. Describe potential benefits, if any.
(Text Box)
 
Describe the potential benefit(s) to society that may result from this study.
 
Examples:
 
  • The advancement of knowledge and possible therapeutic benefits to future subjects.
     
  • The results of this study may be useful for guiding treatment strategies for other XYZ conditions.
 
28.3. What are the alternatives to participation? (This could include not participating in the study)
(Text Box)
 
If the study is non-therapeutic or non-interventional, explain that the alternative would be not to participate in the study. If the study is therapeutic or interventional, describe the therapeutic alternatives available to subjects in the research or non-research context. If therapeutic alternatives do not exist, state that clearly and explain why. The answer provided should match the alternatives section of the informed consent document.    
 
Examples:
 
  • Other choices may include: getting treatment or care without being in a study, taking part in another study, other treatments such as radiation, getting comfort care also called palliative care. This type of care helps reduce pain, tiredness, appetite problems and other problems caused by the cancer. It does not treat the cancer directly, but instead tries to improve how participant feels and keep participant as active and comfortable as possible.
     
  • An alternative is not to participate
 
 
28.4 Risk/Benefit Analysis: This analysis should indicate if the risks to subjects are reasonable in relation to the benefits (if any) to the subjects and the benefit or importance of the knowledge expected to result.
(Text Box)
 
Provide an overall assessment of the risk/benefit relationship in the study. Are the risks of the study reasonable in relation to the potential benefits to subjects or society? If so, clearly state that. In the case of clinical studies, the probable results of the therapy are to be compared with the standard therapy. The anticipated net benefits from research participation must be at least as great as those to be expected in the absence of participation, and such considerations should be described in detail.
 
Example 1: Currently there is no standard treatment available for this subject population (describe the subject population in detail). Although the risks from the study (drug, procedure, etc.) are not fully known, we believe that the anticipated net benefits from participating in this study are at least as great as those that are expected in the absence of participation.
 
Example 2: This is a minimal risk study (describe why this is a minimal risk study). Although there is no direct benefit to subjects from participating in this study, we feel that the risk/benefit ratio is acceptable.
 
Example 3: Phase II/III study – This clinical study is still under investigation; therefore the answer to the risk/benefit relationship is not clear. However, the investigator believes that participation in this study is as good as being treated under standard or available therapies (describe all the treatment options).

CURRENTLY UNDER REVISION.

Section 29: Informed Consent and Waivers

29. Informed Consent and Waivers
 
29.1 Indicate the types of consent that will be involved in this study (check all that apply)
(Selection)
 
Written/signed consent by the subject: Select this if you are enrolling adult subjects who are competent to consent.
 
Written/signed consent by a legally authorized representative (for an adult): Select this if you are enrolling any adult subjects who are not competent to consent.
 
Written/signed permission for a minor by a parent or legal guardian: Select this if you are enrolling any subjects under the age of 18.
 
Written/signed assent by a minor: Select this if you are enrolling any subjects under the age of 18 who are capable of providing assent (generally aged 7 years or older).
 
Verbal consent or written information sheet: Select this if you are using a verbal consent or written information sheet. If the study requires Expedited or Full Board IRB review, you must request a waiver of signed written consent (see item section #34).
 
UPC Only: In general, studies that qualify as “Exempt” do not require an informed consent document to be used. A written information sheet is recommended. An information sheet contains a description of the study procedures, and a copy is given to participant. Information sheets are not signed by the investigator or participants. To create an information sheet, use the templates available on the UPIRB website.
 
Informed Consent Templates
The IRBs provide templates and instructions for preparing informed consent documents that contain the required elements of informed consent, along with preferred institutional language. Please use the appropriate template(s) when developing a new informed consent document or modifying a sponsor’s consent. Instructions and templates for informed consent materials for your institution are available by clicking on the following links:
 
 
29.1.1. Attach copies of all of the informed consent/assent, information sheet, verbal script, and statements of new information/findings documents that will be used for this study.
(List)
 
These documents should be submitted as Microsoft Word documents. Do not submit PDFs.
 
HSC Sponsored research: Do NOT attach the sponsor’s template informed consent document(s) here; attach these in section #4.2.
 
 
29.2 Waivers: If you are applying for any waivers of consent (check all that apply).
(Selection)
  • Waiver of consent: Select this if you are requesting a waiver of consent for adults (see section #31 for additional information)
     
  • Waiver of assent: Select this if: you are enrolling children who are not capable of providing assent; or a waiver involves minimal risk to children and the research could not practicably be carried out without the waiver (see section #32 for additional information)
     
     
  • Waiver of parental permission: Select this is you are requesting a waiver of parental permission (see section #33 for additional information)
     
  • Waiver of written or signed consent: Select this if you are requesting a waiver of written or signed consent and will use an information sheet, telephone script, or verbal script to inform subjects about the research (see section #34 for additional information)
 
Waiver or Alteration of Informed Consent:
In order to waive the requirements to obtain informed consent, or alter some or all of the basic elements of informed consent, all of the following conditions must be met:
1)      No more than minimal risk to the subject;
2)      The waiver or alteration will not adversely affect the rights and welfare of the subjects;
3)      The research could not practicably be carried out without the waiver or alteration; and
4)      Whenever appropriate, the subjects will be provided with additional pertinent information after participation (45 CFR 46.116d).
 
Requirements for Waiver of Signed Informed Consent:
In order to waive the requirements for a signed consent form for some or all subjects, one of the following conditions must be met:
1)      The only record linking the subject and the research would be the consent document and the principle risk would be from a breach of confidentiality; or
2)      No more than minimal risk of harm to subjects, and involves no procedures for which written consent is normally required outside of the research context (45 CFR 46.117c).
 
Note: Waivers of informed consent are not applicable if the research is subject to FDA regulations, except for the following situations:
1.      Waivers of informed consent in FDA-regulated studies are permissible in case of life-threatening situations, inability to communicate, not sufficient time and no alternative method, even if the research presents more than minimal risk (21 CFR 50.23)
2.      If the study satisfies the requirements under 21 CFR 50.24 “Exception from Informed Consent Requirements for Emergency Research”

Section 30: Description of Informed Consent Process

30. Description of Informed Consent Process
 
30.1. Personnel Obtaining Consent: Please ensure that all study personnel involved in obtaining consent are designated as such in items 2.4 or 2.4.1.
(Text Box)
 
Please note that as of 10/1/08 personnel mentioned here should be moved to 2.4 or 2.4.1 and REMOVED from here
 
30.2. Describe the consent process. Discuss when and where the consent process will take place relative to the initiation of the study procedures. Describe how prospective participants/families will be premitted to discuss their participation with others before signing the consent form. Describe the steps taken to provide the prospective participant sufficient opportunity to consider whether or not to participate in the study. If more than one consent form will be used in the study, explain when and how each form will be used to obtain consent from participants.
(Text Box)
 
Describe when and where the consent process will take place. Describe how participants will have opportunities to be able to discuss participation with their family members/other before agreeing to participate. State whether subjects will be able to take the consent home to discuss it with others. If subjects will not be permitted to take the consent form home, explain why not.
 
Examples
  • Participation in this trial will be offered by the treating physician initially. The study will be discussed in detail with the subjects. Their rights as a potential research participant will be discussed as well. Other members of the research team and participant’s family will be involved in this discussion. The subjects will also be given the written informed consent document and may take it home for further review. They will be given sufficient time to consider their options, frequently requiring additional visits. Their questions and concerns will be addressed by the research team and investigators.
  • Subjects will be recruited on XYZ campus through study fliers and advertisements. Those interested in participation will contact the research team to set up a time to discuss study procedures and review the consent documents. A study team member will explain study procedures, their rights as a participant, and answer any questions and allow the subject ample time to consider participation. The consent form will be sent home with the subjects.
 
30.3. Describe the steps that will be taken to make certain that research participants (including children) understand what is going to happen to them in the research. For example, participants can be asked to answer the following questions (as applicable): (1) What are you being asked to do? (2) What question is this study trying to answer? (3)What are the potential risks of participating in this study? (4) How often will you need to come in for study visits? (5) What is the difference between participating in this study and your standard medical care? (6) What should you do if you decide to withdraw from the study?
(Text Box)
 
Explain how you will assess the subject’s understanding of the information provided during the informed consent process.
1)      If a subject will be asked a series of questions to assess his/her understanding, describe the questions. 
2)      If applicable, attach any instruments described above to question 30.5.
 
Example
  • Potential research subjects will be asked questions about their involvement in research, their rights as research participants and aspects of the research to assure that they understand the nature of their involvement in the research. (Include the questions).
 
30.4. Will you be recruiting non-English speaking subjects?
(Yes/No)
 
(USC) If you are recruiting subjects who do not speak English into the study, please select “Yes.” You will be asked to provide additional information in section #41
 
30.5. Describe how capacity for consent will be determined if some or all of the participants have cognitive impairments
(Text Box)
 
Explain how you will assess the subject’s capacity to provide informed consent if the subject has cognitive impairments, language impairments, or hearing impairments. If you will use a standard instrument to assess the subject, attach the instrument in section #30.5.1 below.
 
30.5.1. If applicable, attach any instruments that will be used to determine the subjects’ capacity to consent.
(List)
 
30.6. Describe the procedures for identifying a legally authorized representative/guardian for those unable to consent (adults) or for minors not accompanied by their parents, as applicable
(Text Box)
 
If you will be enrolling subjects who require a legally authorized representative to provide consent, explain how you will determine who is permitted to provide surrogate consent under California law [CA Health and Safety Code 24178 (c&d)]. For assistance, call the IRB/OPRS offices.

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