Ethical Approval _Application Form(伦理申请书)

更新时间:2023-07-08 02:49:57 阅读：评论：0

For official u

Reference No.:

THE SCHOOL OF PSYCHOLOGY, SOUTH CHINA NORMAL UNIVERSITY

Human Rearch Ethics Committee for Non-Clinical Faculties

Application Form for Ethical Approval

Plea complete Parts A - B and F – H. If you are collecting new data, plea also complete Part C. If you are studying existing personal data, document or records, plea also complete Part D. If you are collecting new data, and eking a waiver of informed Connt, plea also complete Part E.

Part A: Summary

Principal Investigator

( )* Surname:

First Name:

Department:

Position / Staff Grade:

Staff No.:

Office telephone:

PI email:

For students, plea provide the following additional information:

Degree Programme/Year:

SCNU Student No.:

Name of Supervisor:

Supervisor email:

Co-Investigator(s), if any

Name:

Staff No:

Position:

Department/Unit:

Degree Programme/Year (for students only):

Name:

Staff No:

Position:

Department/Unit:

Degree Programme/Year (for students only):

两山战役Name:

Staff No:

Position:

Department/Unit:

Degree Programme/Year (for students only):

Rearch Proposal/Project:

火星建筑

Title:

Qmail

Start date:

Expected completion date:

Funding Source (plea tick as appropriate):

University internal rearch grants#

RGC General Rearch Fund

Innovation Technology Fund

Public Policy Rearch

Contract Rearch#

Other external grant#

No funding

# Plea specify funding source: _ Faculty Rearch Fund ________________________________

*Delete as appropriate

Part B: Rearch Proposal

Plea summari on ONE page the objectives of the project and methodology ud, and attach a copy of your proposal including any questionnaire and informed connt form to be ud.

Objectives of the proposal:

Rearch plan and methodology:

Part C: Risk Asssment for Newly Collected Data

春天的词语

Plea answer the following questions, if your proposal involves any newly collected data, to decide if your proposal should be submitted for expedited review.
	Yes	交与 No
a) Will the study involve action/participatory/treatment rearch?
b) Is it possible that the study will involve greater than minimal privacy risks, which could induce stress to rearch participants, such as political behaviour, illegal conduct, drug or alcohol u and xual conduct?
c)Is it possible that the participants’ burden to complete the procedures will induce greater than minimal stress, in particular, for children, given their age and capacity?
d)Is it possible that the study will induce greater than minimal physical or psychological stress/pain/discomfort?
e)Is it possible that the study will expo participants to greater than minimal physical or medical risk?
f)Will deception be ud during the study?
g)Will video-recording be ud during the study?
h)Will audio-recording be ud during the study?
i)Is there potential conflict of interests? (e.g. financial gain to the investigators, power over participants such as teacher/student relationship)
j)Will the study involve vulnerable participants who are unable to give informed connt, e.g. under the age of 18, mentally handicapped individuals? - If “Yes”, plea specify details of the age group and/or vulnerability: _______________________________________________________ (Parent/Guardian Connt Form should be attached.)

感染的近义词

For Expedited Review:

- If you have answered “No” to all of the questions (a) – (j) above, your application may qualify for an expedited review, meaning that your rearch involves minimal risk. However, informed connt is still required unless reasons why this is infeasible are adequately justified.

For Full Review:

- If you have answered “Yes” to any of the above questions (a) – (j), plea give more details on your study design and methodology in the questions (k) to (t).

k)The lection and recruitment of participants (Attach any initial letter of contact and Connt Form)

l)Rationale for sample size calculation

m)How will participants be recruited/identified？

n)What are the inclusion and exclusion criteria?

o)Description of any specific data collection, such as interviews, questionnaire (including telephone) survey or experimental procedures like deception (plea attach Deception Form) and any treatment or intervention.

p)Plea state who will perform the data collection, how long it will take and where the data collection will take place.

q)Can the participants be allowed to withdraw at any time without prejudice?

r)Will there be any stress/discomfort to participants?

s)Plea provide details of any audio and/or video recording including the justifications for the recording.

t)苻坚读音Plea identify any potential conflict of interests and how that potential conflict will be addresd.

Part D: Using Existing Documents or Records containing Personal Data

Plea complete this ction if you are using existing documents or records that contain any personal data.

瓦片尺寸

Will existing documents or records containing any personal data be ud? Yes No

- If “Yes”, plea give more details of the personal data being obtained by answering questions (a) – (h) in the following.

- If “No”, plea skip this Part D.

a)What is the source of the data?

b) Were the data originally collected for rearch purpos? Yes No

-	If “Yes” is checked, plea attach a copy of the Connt Form for the original collection of data.
-	If “No” is checked, plea provide the Personal Information Collection Statement.
-	For all situations, plea explain how this rearch is consistent with the purpo and u specified when the data were originally collected.

c) Plea list the types of personal data being ud, if not already listed in the Connt Form for the original collection of data or Personal Information Collection Statement.

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