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Details of Proposed Activity
Application for Approval
Outline of Research or Related ActivityHECS Human Ethics Committee
1. Identify the project
Title of Project
Researcher(s) name and contact information
Supervisors name and contact information (if relevant)
Anticipated date to begin data collection
Does your application involve issues of health or disability with human participants? If so, please refer to the guidelines as to whether your application needs to be submitted to the Northern Y Regional Ethics Committee.
2. Describe the research or related activity
Briefly outline what the project is about including your goals and anticipated benefits. Include links with a research programme, if relevant.
Briefly outline your methods.
Describe plans to give participants information about the goals of the research or related activity.
Identify the expected outputs of this research or related activity (e.g., reports, publications, presentations).
Identify who is likely to see or hear reports or presentations arising from this research or related activity.
Identify the physical location(s) for the research or related activity, the group or community to which your potential participants belong, and any private data or documents you will seek to access. Describe how you have access to the site, participants and data/documents. Identify how you obtain(ed) permission from relevant authorities/gatekeepers if appropriate and any conditions associated with access.
3. Obtain participants informed consent without coercion
Describe how you will select participants (e.g., special criteria or characteristics) and how many will be involved.
State clearly whether this is an application under section 10 of the Ethical Conduct in Human Research and Related Activities Regulations: Large Random Sample Surveys.
Describe how you will invite them to participate.
Show how you provide prospective participants with all information relevant to their decision to participate. Attach your participant information sheet, cover letter, or introduction script. See document on informed consent for recommended content. Information should include, but is not limited to:
what you will ask them to do;
the context in which information sheets and consent sheets will be used. When (e.g. just before the study, a week before etc), where (e.g. in a laboratory environment, in a field setting etc) and in what form (e.g. paper, email etc) information will be provided to prospective participants.
how to refuse to answer any particular question, or withdraw any information they have provided at any time before completion of data collection;
how and when to ask any further questions about the study or get more information.
the form in which the findings will be disseminated and how participants can access a summary of the findings from the study when it is concluded.
Describe how you get their consent. (Attach a consent form if you use one).
Explain incentives and/or compulsion for participants to be involved in this study, including monetary payment, prizes, goods, services, or favours, either directly or indirectly.
4. Minimise deception
If your research or related activity involves deception this includes incomplete information to participants -- explain the rationale. Describe how and when you will provide full information or reveal the complete truth about the research or related activity including reasons for the deception.
5. Respect privacy and confidentiality
Explain how any publications and/or reports will have the participants consent.
Explain how you will protect participants identities (or why you will not).
Describe who will have access to the information/data collected from participants. Explain how you will protect or secure confidential information.
6. Minimise harm to participants
Harm' includes pain, stress, emotional distress, fatigue, embarrassment and exploitation.
Where participants risk change from participating in this research or related activity compared to their daily lives, identify that risk and explain how your procedures minimize the consequences.
Describe any way you are associated with participants that might influence the ethical appropriateness of you conducting this research or related activity either favourably (e.g., same language or culture) or unfavourably (e.g., dependent relationships such as employer/employee, supervisor/worker, lecturer/student). As appropriate, describe the steps you will take to protect the participants.
Describe any possible conflicts of interest and explain how you will protect participants interests and maintain your objectivity.
7. Exercise social and cultural sensitivity
Identify any areas in your research or related activity that are potentially sensitive, especially from participants perspectives. Explain what you do to ensure your research or related activity procedures are sensitive (unlikely to be insensitive). Demonstrate familiarity with the culture as appropriate.
If the participants as a group differ from the researcher in ways relevant to the research or related activity, describe your procedures to ensure the research or related activity is culturally safe and non offensive for the participants.
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