ࡱ> PROQ /bjbj55 4DWeWe'r r 4$Q!#9999  $1#%\  99 !F99   9@١4"Z( !!0Q!,C&BC& C&  Q!C&r }: Application form: Full review Checklist for Research Requiring Full Committee Review with Guidelines for Protocol Preparation Investigators (including faculty sponsor): Department/Program: Name of Project: Directions: If you believe that your project requires full committee review, please submit electronically the following materials to the IRB Chair: (a) a completed copy of this form; (b) a signed copy of the Research Review Declaration (for student-led proposals); and (c) a copy of your certificate of completion for the CITI online training program. Please check all applicable items in Part A and include a full research proposal that explicitly provides all relevant information requested in Part B. Part A: 1. ____ The research involves prisoners, fetuses, pregnant people, the seriously ill, or mentally or cognitively compromised adults as subjects. [NOTE: The accompanying proposal must indicate clearly why the use of subjects in any of these categories is scientifically necessary.] 2. ____ The research involves the collection or recording of behavior which, if known outside the research, could reasonably place the subjects at risk of criminal or civil liability, be stigmatizing, or be damaging to the subjects financial standing, employability, insurability, or reputation. [NOTE: The accompanying proposal must indicate clearly why the collection or recording of such behavior is scientifically necessary and what steps will be taken to preserve subjects anonymity/protect subjects confidentiality.] 3. ____ The research involves the collection of information regarding sensitive aspects of the subjects behavior (e.g., drug or alcohol use, illegal conduct, sexual behavior). [NOTE: The accompanying proposal must indicate clearly why the collection of such information is scientifically necessary and what steps will be taken to preserve subjects anonymity/protect subjects confidentiality.] 4. ____ The procedures of this research involve more than minimal risk to the subject (where more than minimal risk means that the probability and magnitude of harm or discomfort anticipated in the proposed research is greater than that ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests). [NOTE: The accompanying proposal must identify all risks (physical, psychological, financial, social, legal, other) connected with the proposed procedures, indicate clearly how such risks to subjects are reasonable in relation to anticipated benefits, describe procedures designed to protect against or minimize such risks, and assess their likely effectiveness.] 5. ____ This research does not fall into any of the categories explicitly identified as qualifying for exempt or expedited status. 6. ____The research involves deception, and the nature of the deception is considered of sufficient consequence to require consideration by the full IRB. (Deception of lesser consequence may be eligible for expedited review (see  HYPERLINK "http://www.wabash.edu/irb/Categories%23Deception%20" http://www.wabash.edu/irb/Categories#Deception for a discussion of Deception). Part B: 1. What is the purpose of the proposed study (the research question), and what is the research hypothesis? Please do not use abbreviations. 2. Describe the proposed subject sample. If subjects under the age of 18 will participate in your research, indicate the samples expected age range. For 91˶Ƶ students who are not yet 18 years old, please send them to the IRB chair to obtain parental consent. If your research involves prisoners, fetuses, pregnant people, the seriously ill, or mentally or cognitively compromised adults as subjects, you must indicate clearly why the use of these subjects is scientifically necessary. 3. How will subjects be recruited and selected? 4. Describe fully the following: a) all research methods and procedures that will be employed in this study. b) approximately how much time each subject is expected to devote to the research. c) how data will be collected and recorded (with or without identifiers [names, initials, etc.]? what instruments, materials, or equipment will be used? will audio- or videotapes be employed in data collection?). Append electronic copies of all written instruments and/or describe any apparatus with which subjects will be in direct contact. Please respond appropriately if any of the following conditions apply: i) if the research involves the collection or recording of behavior which, if known outside the research could reasonably place the subjects at risk of criminal or civil liability or be damaging to the subject's financial standing, employability, or reputation or the collection of information regarding sensitive aspects of the subjects behavior (e.g., drug or alcohol use, illegal conduct, sexual behavior), indicate clearly why the collection or recording of such behavior is scientifically necessary and what steps will be taken to preserve subjects anonymity/protect subjects confidentiality. ii) if the research presents more than minimal risk to the subject (where more than minimal risk means that the probability and magnitude of harm or discomfort anticipated in the proposed research is greater than that ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests), you must: a) identify all risks (physical, psychological, financial, social, legal, other) connected with the proposed procedures; b) indicate clearly how such risks to subjects are reasonable in relation to anticipated benefits; c) describe procedures designed to protect against or minimize such risks; and d) and assess the likely effectiveness of any such procedures. iii) if the research involves any of the following: covert observation, studies of ethnic and group differences, intervention research, invasion of privacy, aversive (noxious) stimulation, induction of mental or physical stress or deprivation (e.g., food, water, sensory, sleep), invasive procedures (e.g., drugs, blood, samples, surgery), potentially embarrassing situations, or other ethical issues concerning the dignity and welfare of the participants, describe these in detail, indicate why they are scientifically necessary, and describe any steps that will be taken to minimize risk and maximize benefit to the subjects. d) methods for obtaining informed consent (for subjects age 18 years or older) or assent (for minors). For minors (including 91˶Ƶ students who are not yet 18), indicate how the consent of parents or legal guardians will also be obtained. Append electronic copies of all materials used to obtain informed consent or assent. Sample in person or online study consent forms are available on the 91˶Ƶ IRB website. Sample assent forms can be found at Forms and Instructions. e) methods for preserving confidentiality. This includes plans for storing data or recordings (in your private files/computer) and any plans to post data to a public repository (e.g., Open Science Framework), or disposing of such data at the conclusion of the research. f) if deception is to be employed, provide a scientific justification for its use and describe debriefing procedures. If, for any reason, it will not be possible to debrief subjects regarding the deception, this must be explained and justified. 5. Indicate any benefits that are expected to accrue to subjects as a result of their participation in the research (this can include the subjects gaining knowledge on facts in the field, or the subjects learning about how the field gains its knowledge). In the event that subjects will be paid (in money or Psychology SONA credits), describe all payment arrangements, including how much subjects will be paid should they choose to withdraw from the study prior to completion of the research. Note that the IRB expects mTurk subjects (or other online workers; Prolific expects at least $12/hr) to be paid at a rate at or above Indianas minimum wage. Also note that partial compensation is unfortunately not really feasible on mTurk or Prolific, so partial subjects there will have to either be fully compensated or not compensated for their time. 6. Describe any relationship between researcher and subjects, such as: teacher/student; superintendent/principal/teacher; employer/employee; fraternity member/pledges. If such a relationship exists, how will it affect the subject's ability to participate voluntarily and how will the principal investigator handle it? 7. If the research presents more than minimal risk to subjects, discuss benefits to the subjects, to science, and/or to society that will result from this work in relationship to those risks. [NOTE: You must be able to show that the overall benefits to be gained from the research justify whatever risks subjects are asked to take.] 8. Please provide the debriefing that you will provide to the subjects after they have participated in your study. Explain to them what your hypothesis is, what your experimental manipulations were. This should also include your contact information and how/where the subjects can see the results of the study that they participated in. Appendices: Please append to this document any additional information that is applicable, including consent forms, survey instruments, etc. Sample in person or online study consent forms are available on the 91˶Ƶ IRB website. Please compile this information into a single MS Word document. Also include a copy of the certificate of completion for the CITI online human subjects certification training program for each of the researchers. (Please submit the certificate, not the listing of grades on each module.) For student projects, also include a scanned signed Research Review Declaration. The CITI certificates and Research Review Declaration should be in their own electronic files, separate from the proposal. 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