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Click
here for the Human Subjects
Review Cover Page (PDF)
Applications should contain
all information using the following
format, AND MUST BE SUBMITTED IN DUPLICATE to
118 College Drive #5147, Hattiesburg, MS 39406-0001. Attach to the
cover page a typed narrative
that
includes the following. Do
not omit any sections.
- Brief statement of project goals (two or three sentences).
- Protocol:
-
Describe procedures.
- Number and age range of subjects. (Federal law requires that any research
conducted involving the use of any person under the age of 18 must obtain
parental consent
prior to the research taking place. Organizations, such as public schools,
may provide a blanket consent for observational or limited direct participation
when
risks are minimal or nonexistent. This is provided the parents or guardians
are given proper notification prior to the research being conducted and
are given
the opportunity to exclude their child from participation. NOTE...Lower
level [first year - 100 level] college courses may have minors in attendance.
If your
project includes a lower-level course, please prescreen the audience for
minors, or be prepared to use a parental consent form.)
- Describe subject population, criteria for subject selection, and recruitment
procedures. From where will subjects be obtained? (The composition of any
study group should be based on science, not merely on the convenience of
the investigator.
Efforts to include representation from racial or ethnic groups and both
genders are strongly encouraged, unless inclusion is impossible or is inappropriate
with
respect to the purpose of the research. In cases where exclusion is necessary,
provide rationale.)
- How long will the procedures take? How much time will be required of
subjects?
- Where will the procedures be done? Where will the study be conducted?
(For survey research, how will the survey be conducted?)
- Name and describe the data gathering tool (attach a copy).
- Describe any special situations. (Example: Full disclosure of procedure
to subjects is not feasible because biased data will result.)
- If data collection is done in class, explain what students who do not
participate will be doing.
- Attach letter of approval from any organizations that will be involved
with the research project (regardless of the terms or extent of participation).
The
letter must be on official letterhead and signed by an authorized official
of the organization.
- Benefits: Describe the potential benefits to the
subject or to others. (If class credit will be given
for participation, describe what other options exist
for nonparticipants to receive the same amount of
credit.)
- Risks:
- Describe the possible risks, discomforts, and inconvenience to the subject
and the precautions that will be taken to minimize them. This includes physical,
psychological, and social risks. Describe appropriate controls, screening methods,
debriefing or follow-up procedures designed to prevent residual physical, psychological,
or social damage to the subject.
- Describe the conditions under which subjects will be terminated from study
before its completion.
- Describe your method for maintaining subject confidentiality or anonymity.
- How will confidentiality of data be maintained? (Where will data be kept? Who
will have access to it?)
- Detail the final disposition of data. (What will be done with questionnaires,
inventories, videotapes, and/or audiotapes?)
- Informed Consent: Samples and Tips
Informed consent is a process, not just a form. The dialogue between subject
and investigator is the essence of informed consent, and the written consent
form is its documentation. Information must be presented to enable persons
to voluntarily decide whether or not to participate as a research subject.
The procedures
used in obtaining informed consent should be designed to educate members
of the subject population in terms that they can understand. Therefore, informed
consent
language and its documentation must be written in "lay" language.
Any suggestion of undue inducement, fraud, or coercion must be strictly avoided.
Research involving minor subjects (under the age of 18) must include provisions
to obtain the minor subject's assent as well as the legal consent of the
minor subject's parent or guardian. (Revised 01/01)
Minimum information required for informed consent includes the following:
- Statement that the study involves research, the general purpose of the
research, and a description of procedures.
- The amount of time required of the subject.
- Statement that participation is completely voluntary and that participation
may be discontinued at any time without penalty or prejudice to the subject.
- Confidentiality of data and final disposition of data.
- The opportunity to ask questions and/or the name and phone number of whom
to contact for answers to questions about the research.
- The statement: "This project has been reviewed
by the Human Subjects Protection Review Committee,
which ensures that research projects involving human
subjects follow federal regulations. Any questions
or concerns about rights as a research subject should
be directed to the chair of the Institutional Review
Board, The University of Southern Mississippi,
118 College Drive #5147, Hattiesburg, MS
39406-0001, (601) 266-6820."
The above information should be provided even for anonymous surveys/questionnaires.
For other types of research, one or more of the following elements may be required:
- Description of reasonably foreseeable risks, inconvenience, or discomforts.
- Description of benefits to the subject or to others.
- Disclosure of appropriate alternative procedures.
- Documentation of informed consent.
In addition, when appropriate, more information may need to be provided, including
the following:
- Explanation as to whether compensation or treatment will be provided
if injury occurs and whom to contact in the event of a research-related injury.
- Statement that the procedure may involve risks that are currently unforeseeable.
- Circumstances under which the subject’s participation may be terminated
by the investigator.
- Any additional costs to the subject.
- Consequences of and procedures for withdrawal from the research.
- Statement that new findings, which may affect the subject’s willingness
to participate, will be provided.
- Approximate number of subjects.
Consent forms:
Short Form and Oral Presentation:
The oral presentation must
be accompanied by a short consent
form unless this requirement
is waived. The short consent
form and oral presentation
are appropriate when procedures
are simple or the research
involves minimal risk. Minimal
risk is ultimately determined
by the HSPRC, but generally
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.
The oral presentation, used
with a short consent form,
must cover the same elements
of informed consent as those
required in the long form.
If an oral presentation is
planned, include the content
of the presentation in your
application. The oral presentation
must be witnessed each time
it is read to a group of subjects.
The date and signature of the
auditor witness and of the
person explaining the study
is needed on the oral presentation
form. The auditor witness shall
sign both the short consent
form and the oral presentation
form. Provide subjects with
a copy of the oral presentation
and a copy of the short consent
form.
Long Form: The long consent
form is required when studies
have a longitudinal perspective
and require the subjects' ongoing
participation or if the research
procedures are complex and
difficult to understand or
involve more than minimal risk.
Consecutively number the pages
in the lower left corner. Denote
total number of pages (e.g.,
page 1 of 6). Provide a space
in the lower right corner for
the subject to initial each
page. Provide a copy to the
subject or the subject’s
legally authorized representative.
Waiver of Consent Forms: At
the request of the investigator,
the HSPRC may waive the requirement
to obtain a signed consent
form for some or all subjects
if it finds either:
- That the only record linking the subject and the research would be the
consent document and the principal risk would be potential harm resulting
from a breach
of confidentiality. Each subject will be asked whether the subject wants
documentation linking the subject with the research, and the subject's wishes
will govern;
or
- That the research presents no more than minimal risk of harm to subjects and
involves no procedures for which written consent is normally required when performed
outside of the research context.
In cases in which the consent
form requirement is waived,
the HSPRC may require the investigator
to provide subjects with a
written statement regarding
the research.
Other Considerations: If the
consent document or oral presentation
is administered in a language
other than English, include
a copy in the language of the
participants and a copy in
English. A signed statement,
from someone other than the
researcher, attesting to the
accuracy of the translation
should also be included.
Projects with an exercise or
a diet component should contain
the following statement: "Before
beginning this or any exercise
or health program, participants
should consult a physician."
Enclosure Checklist (if not
applicable, write N/A)
_____ ORIGINAL AND ONE COPY of proposal for college/division reviewer
(including cover page and complete narrative)
_____ Original signatures from principal investigator
and department chair (also adviser’s signature,
if applicable)
_____ Letter from dissertation
or thesis committee indicating
approval of research proposal
_____ Two copies of survey/research
instruments
_____ Permission letter from
external agencies participating
in the project
_____ Consent form to be used
(long or short)
_____ Oral presentation
_____ Assent form
_____ Cover letter or written
instructions
_____ Letter to parents
_____ List or description of
organizations to be contacted
(school districts, hospitals,
etc.)
Tips
on Informed Consent (PDF)
Sample
Oral Presentation (PDF)
Sample
Consent (Short Form) (PDF)
Sample
Consent (Long Frm) (PDF)
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