EC1 - Version 5 - August 2014 School of Health & Life Sciences Application and Guidance notes for Ethical Approval for Research The School of Health and Life Sciences has three departmental ethics committee. Please tick which committee you wish to submit your application to (please indicate with an X) Nursing and Community Health (Chair: Dr Nicola Roberts) Psychology, Social Work and Allied Health Sciences (Chair: Dr Phil Dalgarno) Life Sciences (Chair: Dr Les Wood) Category of principal applicant (please indicate with an X) Staff: Research student (PhD/Prof D/DPsych): Taught postgraduate student: Undergraduate student: Location of research work (please indicate with an X) On campus: Off campus: One copy of all of the paperwork for an ethics application should be submitted electronically to HLSEthics@gcu.ac.uk Page 1 of 11 School of Health & Life Sciences Ethics Committee Application Form Project Title: Principal Investigator (s): Supervisor: Other academic staff involved: Project start date: Date application Submitted: Email address: Project Duration: Is this a clinical trial: YOU MUST ANSWER ALL QUESTIONS 1 2 3 Will you provide participants with a written information sheet in advance of the study describing the main procedures so that they are informed about what to expect in your study? Will you tell participants that their participation is voluntary? 9a Will your participants be able to read and understand the participant information sheet? Will you obtain written informed consent for participation? (consent is implied for questionnaire studies) Will you tell participants that they may withdraw from the research at any time without penalty and for any reason? With questionnaires/interviews, will you give participants the option of omitting questions they do not want to answer? Will you tell participants that their data will be treated with full confidentiality and that, if published, it will not be identifiable as theirs? Will you give participants a brief explanation of the purpose of the study at the beginning of their participation in it, and answer any questions? Will your project involve deliberately misleading participants in any way? 9b If YES, go to question 9b. Please note you must provide a justification in the research proposal. If YES, will an explanation be offered following participation? 4 5 6 7 8 10 11 Is there a realistic risk of the participant/researcher experiencing either physical or psychological distress or discomfort? If YES, give details in the research proposal and state how you will address these risks (e.g. who they can contact for help). Do the participants fall into any of the following special groups? If the answer is YES, indicate which group(s) by ticking the appropriate box(es): Children (under 18 years of age) Children (under 5 years of age) People with a disability such as learning and communication difficulties. Please specify: Pregnant women People studied with respect to mental or sexual health People in custody People engaged in illegal activities (e.g. drug-taking) Non-human animals Patients/service users NOTE: You may also need to obtain clearance from Protection of Vulnerable Groups (PVG) or an equivalent authority. Page 2 of 11 YES NO N/A You must tick either Box A or Box B below and provide all relevant information in support of your application. If you answered NO to any questions 1 – 3, 5-8, or YES to any questions 9 – 11, then you must check Box B. I consider that this project has no significant ethical implications to be brought to the attention of the University Research Ethics Committee. Please provide a short study protocol in a separate attachment of no more than 2 sides of A4 (Arial font size 10). The accompanying notes give additional information about how to write the protocol. Your proposal must include the following sections: 1. Project title (with student name or staff member name clearly stated) 2. Version number. 3. Background information. 4. Aims and objectives of the study. 5. Brief description of participants and recruitment methods (sample, numbers, access, recruitment and inclusion and exclusion criteria) 6. Brief description of the research methods and measurements. Include details on how the data will be securely stored and disposed of. 7. Consent, confidentiality and anonymity 8. Risks to participants/self Arrangements for debriefing.You must also provide the intended (1) Participant Information Sheet(s), (2) Consent Form(s), (3) copies of any non validated or validated tools/questionnaire(s), (4) details of interview questions you plan to use, (5) notices advertising the study,(6) draft letter(s) for gatekeeper access permission to recruit participants and (7) replies/proof of gatekeepers approval for access to recruit participants A I consider that this project may have significant ethical implications that should be brought to the attention of the University Research Ethics Committee. Please provide a short study protocol in a separate attachment of no more than 4 sides of A4 (Arial font size 10). The accompanying notes give additional information about how to write the protocol. Your protocol must include the following sections: 1. Project title (with student name or staff member name clearly stated) 2. Version number. 3. Background information. 4. Aims and objectives of the study. 5. Brief description of participants and recruitment methods (sample, numbers, access, recruitment and inclusion and exclusion criteria) 6. Brief description of the research methods and measurements. Include details on how the data will be securely stored and disposed of. 7. Consent, confidentiality and anonymity. 8. Risks to participants/self (include a risk assessment form). 9. Arrangements for debriefing. 10. A clear statement of the ethical considerations raised by the project and how you intend to deal with them. B You must also provide the intended (1) Participant Information Sheet(s), (2) Consent Form(s), (3) copies of any non validated or validated questionnaire(s), (4) details of interview questions you plan to use, (5) notices advertising the study, (6) Risk Assessment form, (7) draft letter(s) for gatekeeper access permission to recruit participants and (8) Replies/proof of gatekeepers approval for access to recruit participants Declaration I am familiar with the Declaration of Helsinki and professional body code of human research ethics (e.g. BPS), and have discussed them with the other researchers involved in the project. I confirm that my research abides within these guidelines. Signature Date Principal Investigator Supervisor There is an obligation on the Principal Researcher and/or the Supervisor to bring to the attention of the Ethics Committee any issues with ethical implications not covered by the above checklists. Page 3 of 11 Please complete the checklist with details of the documents which are included in your submission (where applicable)* EC1 form 2 page protocol (for those with no significant risks) or 4 page protocol (for those WITH significant risks) Participant information sheet(s) Consent form(s) Non-validated or validated tools / questionnaires Interview guide/ schedule Advert / notices for study Risk assessment form (if applicable for those WITH significant risk)) Your letter(s) which request access permission to recruit participants Gatekeepers approvals for access permission to recruit participant *Paperwork associated with your application does not need to be anonymised. Only one set of these documents are needed. These can be sent as one large word document, please do not send a combined PDF document. Page 4 of 11 Version 5- August 2014 School of Health & Life Sciences Ethical application Guidance Notes (EC1 form) This document is intended as a guide to the provision of sufficient information for the Ethics Committee to assess any ethical matters connected to your proposed research project, and if so, whether these have been addressed in an appropriate and satisfactory manner. You should bear in mind that the reviewers may not be familiar with your specific area and should therefore try to keep the content understandable to a non-expert (so as jargon free as possible, explain any acronyms etc). SENDING YOUR APPLICATION Once you have completed the forms, checklist and paperwork, please ensure that if you are a student that your supervisor has seen your application and signed and approved this (this can be typed into the form or a scanned copy of the first page with signatures included in the application). The application should be sent as a word file not a PDF. When you send your application your supervisor MUST BE included in the email and equally when you are resubmitting any corrections. The application is paperless and should be sent by email to HLSethics@gcu.ac.uk and marking for the attention of the relevant departmental committee ticked on the EC1 form. *Supervisors should have reviewed the proposal, and have signed the application form and be included (cc’ed) in the email submission FILLING IN THE EC1 FORM Page 1 of the EC1 form Please give details of the departmental ethics committee that you plan to submit your ethical application to. There are three committees within the school (Nursing and Community Health; Psychology, Social Work and Allied Health Sciences; and Life Sciences). Please give details of the principal applicant and the location where the project will take place (on/off campus). Page 2 of the EC1 form Please give details of the title, the principal investigators’ name and contact details as well as your supervisor’s name (where appropriate). Page 5 of 11 Q1 Potential study participants should be given written information about the study you are asking them to take part in. This is known as a participant information sheet and has a standard format. Examples are included on the ethics webpages for you to use. http://www.gcu.ac.uk/media/gcalwebv2/hls/content/patientinformationsheet.doc. Answer ‘yes’ if you are providing this. Q2 Participants should be able to participate and leave a study whenever they want and should not feel coerced to participant, it is important that participants are made aware that they do not have to take part and this should be included in your consent and information sheets as guided. Answer ‘yes’ if you are including this in your information and consent forms. Q3 Make sure that you write your information sheet so that it is easy to understand and potential participants will be able to read this easily. Answer ‘yes’ if you have done this. Q4 Written consent should be obtained from participants, this should have the participants name and signature as well as the researchers name and signature. This should follow a standard template which is available at the weblink below http://www.gcu.ac.uk/media/gcalwebv2/hls/content/consentform.doc Tick yes if you are obtaining written consent Q5-9b explore whether you have considered that participants can: withdraw from the study, miss questions out in questionnaire/interview, confidentiality issues, provided a full explanation of the nature of participating and in the study and if deliberate deception will be involved as part of the study’s design.. Ensure that you have considered these issues and tick ‘YES’ if you have addressed these. If you have ticked ‘NO’ to any of these questions you will need to give further details later on in the application. Q10 If there is any risk of distressing participants or the researchers involved or causing any physical harm this should be considered. If you answer ‘YES’ to this question, you will have to provide more details about this further on. You will need to give details of how you are going to manage and overcome these risks. Q11 If you are using vulnerable groups such as young children, or those with learning difficulties you will need to provide more information, please give details of any of the vulnerable groups if you plan on working with them and provide PVG/disclosure. Once you have completed Q1-11 you must tick either Box A or Box B, depending on your answers to these questions. If you answered ‘NO’ to any questions in 1 –3, 5-8, or ‘YES’ to any questions 9 – 11, then you must check Box B. Page 6 of 11 If you ticked box A or B the following information should be included in your proposal Box A – no significant risks Box B – significant risks Protocol* - a short study protocol in a separate attachment of no more than 2 sides of A4 Protocol* - a short study proposal in a separate attachment of no more than 4 sides of A4 Your proposal must include the following sections: 1. Project title (with student name or staff member name clearly stated) 2. Version number. 3. Background information. 4. Aims and objectives of the study. 5. Brief description of participants and recruitment methods (sample, numbers, access, recruitment and inclusion and exclusion criteria) 6. Brief description of the research methods and measurements. Include details on how the data will be securely stored and disposed of. 7. Consent, confidentiality and anonymity 8. Risks to participants/self 9. Arrangements for debriefing. Your protocol must include the following sections: 1. Project title (with student name or staff member name clearly stated) 2. Version number. 3. Background information. 4. Aims and objectives of the study. 5. Brief description of participants and recruitment methods (sample, numbers, access, recruitment and inclusion and exclusion criteria) 6. Brief description of the research methods and measurements. Include details on how the data will be securely stored and disposed of. 7. Consent, confidentiality and anonymity. 8. Risks to participants/self ( risk assessment form). 9. Arrangements for debriefing. A clear statement of the ethical considerations raised by the project and how you intend to deal with them. Participant Information Sheet(s) Participant Information Sheet(s) Consent Form(s) Consent Form(s) Copies of any non validated/ validated questionnaire(s)/tool(s) Copies of any non validated/ validated questionnaire(s)/ tool(s) Details of interview questions you plan to use (interview guide/schedule) Details of interview questions you plan to use (interview guide/schedule) Notices advertising the study Notices advertising the study Draft letter(s) for access permission to recruit participants Risk Assessment form (if applicable). Gatekeepers approvals for study access Draft letter(s) for access permission to recruit participants Gatekeepers approvals for study access These documents do not need to be anonymised and only one copy needs to be sent to the HLS ethics mailbox. *Further guidance on writing a protocol is available on Page 9 Page 7 of 11 Page 3 DECLARATION The declaration should be completed by the Principal Investigator and the supervisor (where appropriate) and signed electronically or scanned. All researchers are obliged to ensure as far as possible that their research is ethical and that their participants are protected from harm. Both postgraduate and undergraduate students should have the submission version of their protocol and supporting documents reviewed by their supervisor. Both student and supervisor must sign the application prior to submission, and this should be regarded as taking joint responsibility for both the content of the proposal and observing the ethical principles agreed to for the duration of the study. Please send a signed copy of the signature page if electronic signatures are not available for the form, as well as a word version of the file (please do not send a pdf version of the form). Page 4 of the EC1 form This is a checklist for the ethics committee to check before reviewing your application that you have included the relevant files. Fill this in at the end once you have completed the rest of the form. Please ensure that you complete this fully. Only one copy of this document is needed and does not require to be anonymised. Please ensure these are separate files or forwarded emails where appropriate. Page 8 of 11 ACCOMPANYING DOCUMENTATION: PROTOCOL Your protocol must include all of the following headings and contain the specified information; supplementary headings and information may be added where appropriate (but be mindful of the space restrictions). This should be either 2 pages or 4 A4 pages depending on whether Box A or B is ticked in the EC1 form. TITLE: The full title of your study with your name (as PI/principal investigator) and the name of your supervisor, where appropriate. VERSION NUMBER: Please provide a version number (e.g. Version 1, 11 August 2012). If you subsequently wish to make changes to the protocol, you must first obtain approval from the Ethics Committee (by submitting a ‘Protocol Amendment’), and then revise the version number and date in the new document. INTRODUCTION: This section should provide the background information to your study. What are the main issues your study will focus on? What makes this area of research important? What work has already been conducted in this area (include key/relevant references)? AIMS AND OBJECTIVES: The research questions and/or hypotheses you plan to test should be stated clearly here. This information should follow on clearly from what you've already said in the introduction. You can list aims/objectives as bullet points. PARTICIPANTS & RECRUITMENT METHODS: In this section, you must provide the following information about potential participants; Who are they? How will they be identified? How will they be contacted? How do you plan to get their consent for participation? How many do you plan to recruit? Where applicable, inclusion/exclusion criteria (This will include age range as well as any other requirements for your study)will they be anonymous? DESIGN & METHODS: In this section you must describe what will be expected of the participants in your study. You should provide some detail about the following: Where the study will take place (e.g. On campus, if appropriate or off-campus, the location or collaborating institution, online, etc). How much time will the participant be expected to give up to participate in the study. Whether any payment/reward/incentive for participation will be offered (if so, provide details). Where appropriate, specify all procedures including recording of biometric data and clinical measurements (refer to non-invasive and minimally invasive protocols if applicable) Page 9 of 11 Where appropriate give details of all nutritional supplements and pharmaceuticals (name, concentration and dose) and specify their status (over-the-counter, prescription-only medicine(s); investigational product or unapproved applications). Name the investigator(s) responsible with clinical qualification or specialist training and attach a copy of the appropriate forms to be filed with the relevant agency for investigational products Where questionnaires are to be used, a copy should be included as an appendix to the application. Where the study involves focus groups or semi structured or structured interviews, then an outline of the questions should be provided as an appendix to the application. Outcome measures (quantitative studies); what do you actually plan to measure and what data will you collect? What is the format you will use in your data recording? Computer records? Audio recordings? Video recordings? Hard/paper records? Will the data collected be confidential and fully anonymised? If not, please give reasons for this. What arrangements are in place for the storage of the data collected? Has security been considered? Who will have access to the data and how long do you plan to keep it for? Have you considered appropriate GCU policies? (e.g. Data protection and IT) Please note: if you plan to conduct work off campus (outside of the university) then you will also require written permission to access potential participants from the appropriate authority/agency. RISKS TO THE PARTICIPANTS: Do you foresee any risks to your participants? By this we mean physical or psychological harm or discomfort. If the answer to this is no, then you should say "no known risks from participating in this study" at this point. If, on the other hand, there is any risk to the physical or mental wellbeing of the participant - regardless of how small or inconsequential you consider this to be - then you must indicate the nature of the risk and then state how you would propose to deal with it. Note: an effective method of circumventing issues of this sort is to be as clear and unambiguous as possible regarding the nature of the research in your initial information materials, making it clear that participation is completely a matter of personal choice. If you consider there to be potentially a high risk of harm/distress to the participants in your study and are unsure of how to deal with these, speak to your supervisor in the first instance and if concerns remain then contact one of the ethics committee chairs. DEBRIEFING AND FEEDBACK ARRANGEMENTS: You must provide details of the information you will give to participants following the study. If your project involves deception, you must provide participants with an opportunity to withdraw their data after debriefing. If there is any possibility of participants becoming upset or experiencing discomfort after debriefing, you must explain how you propose to deal with this. If your research uncovers a previously undiagnosed condition (i.e. dyslexia, hearing or visual defect, etc.), specify your back-up assessment or referral procedures. SPECIAL ETHICAL CONSIDERATIONS (This applies to those who ticked Box B on the ethics form) Page 10 of 11 If you answered "NO" to any of the questions 1 to 8 or "YES" to any of the questions 9-11 then you must provide a satisfactory justification for this. We draw your attention in particular to any projects involving any form of deception of the participant(s). If your intended participants are minors below the age of 18 or people with a disability (particularly learning difficulties or communication impairment) then you must provide full details regarding obtaining informed consent from parents, guardians, people acting in loco parentis and carers. If your intended participants are pregnant women, people studied with respect to contraception or conception, people in custody or people engaged in illegal activities, then your application may need to be referred to the University insurers, please contact your departmental chair to discuss this. If you plan to work with groups such as NHS patients, people in custody or non-human animals, then your application will need to be reviewed by another ethics committee (e.g. NRES, SPS) as well as the departmental one. For those who have already got external ethical approval, you will need to complete an EC3 form. OTHER ACCOMPANYING DOCUMENTATION: Examples of participant information sheets and consent forms are available on the ethics webpages www.gcu.ac.uk/hls/ethics, please follow the weblink for examples of how these should be constructed. If you are undertaking interviews or questionnaires an interview guide or sample questionnaire should be included in your application RISK ASSESSMENTS A risk assessment should be completed if you have ticked Box B and your project has significant ethical risk GATEKEEPER ACCESS Please discuss with your supervisor or research team about when it is appropriate to contact external organisations for external ethical approval or permission to access potential participants. Or alternatively contact one of the ethics chairs for a discussion about your project. Please include your invitation emails or letter and/or any replies that you have received if you have started this process already. Page 11 of 11