SCHOOL OF SOCIOLOGY, SOCIAL POLICY AND SOCIAL WORK
SREC Ethics Application Form (Secondary Analysis)
(Staff/PGR Research)
Please note:
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You must not begin your study until ethical approval has been obtained.
Please complete the Ethics Application Checklist before submitting this from.
Completed application forms should be submitted to Eileen Gray (SREC Secretary)
e.gray@qub.ac.uk
1.
Name(s):
2.
Current Position
3.
Contact Details
School:
Email:
Phone:
4.
Is the proposed study being conducted as part of an education qualification (e.g.,
PhD)
5.
If Yes, state name of supervisor (the supervisor should complete the declaration at
the end of this form)
6.
Title of Project:
7.
What are the proposed start and end dates of the study?
8.
Briefly describe the rationale, study aims and the relevant research questions
9.
Briefly describe the design of the study
10.
Who were the participants?
11.
How were they recruited to the study?
12.
How many participants were recruited in total?
(If there are more than one group, state how many participants were recruited in
each group? For international studies, say how many participants were recruited in
the UK and in total.)
13.
If your analysis focuses on a subgroup of the data, please explain your rationale for
selecting this group,
(If a formal sample size calculation was used, indicate how this was done, giving
sufficient information to justify and reproduce the calculation.)
14.
Were participants allocated to groups at random?
(If yes, give details of the method of randomisation)
15.
Describe the methods of analysis (statistical or other appropriate methods, e.g. for
qualitative research) by which the data will be evaluated to meet the study objectives.
16.
Was ethical approval obtained for the original data collection stage? If yes, please
give details.
17.
How was the consent of participants obtained?
18.
Is there any reason to believe participants may not have given full informed consent?
19.
Briefly describe what participation in the study involved for study participants. (Please
attach copies of any questionnaires and/or interview schedules that wereused)
20.
Was it made clear to participants that they may withdraw consent to participate at any
time without penalty? If so, how?
21.
Detail any possible distress, discomfort, inconvenience or other adverse effects the
participants may have experienced, including after the study, and how this was be
dealt with.
22.
How will participant anonymity and confidentiality be maintained?
23.
Please describe the process of obtaining the data, including where/who you obtained
it from, if there were any special licence agreements, and if any stipulations were
made about the analysis, storage and/or deletion of the data at the end of your
project.
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24.
How will data be stored securely during and after the study?
25.
Who will have control of and act as the custodian for the data?
26.
What are the main ethical issues raised by your research and how do you intend to
manage these?
27.
Please outline any other information you feel may be relevant to this submission
(Please include your research protocol with this form)
Declaration by Chief Investigator
1. The information in this form is accurate to the best of my knowledge and I take full
responsibility for it.
2. I undertake to abide by the ethical principles underpinning the Declaration of Helsinki and
relevant good practice guidelines in the conduct of research.
3. If the research is approved, I undertake to adhere to the study protocol, the terms of the
full application of which the School Research Ethics Committee (SREC) has given a
favourable opinion and the terms of this application.
4. I am aware of my responsibility to be up to date and comply with the requirements of the
law and relevant guidelines relating to the conduct of research.
5. I undertake to disclose any conflicts of interest that may arise during the course of this
research, and take responsibility for ensuring that all staff involved in the research are aware
of their responsibilities to disclose conflicts of interest.
6. I understand and agree that study files, records and data may be subject to inspection by
the University Research Ethics Committee (UREC) for audit purposes.
7. I understand that personal data about me as a researcher will be held by the School and
University Research Committees and their operational managers and that this will be
managed according to the principles established in the Data Protection Act 1998.
Signature of Chief Investigator:
Print Name:
Date:
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