APPLICATION FORM FOR ETHICAL REVIEW OF BSc RESEARCH PROJECTS
SECTION A
Project title:
SECTION B
Has approval for the project already been granted by another ethics committee?
Yes No x
If NO, proceed to Section C;
If YES, please complete the rest of this section before going to the declaration in Section D:
Name of the committee: __________________________________ Date of approval: _________
Please attach the submission made to that committee, together with the approval letter. The Faculty Research Ethics Committee (FREC) may require further information or clarification from you and you should not embark on the project until you receive notification from the FREC that recognition of the approval has been granted.
SECTION C
Outline the aims and objectives of the project.
Describe the project:
Design:
The design of the project is an independent design with participants either in the condition with red or blue. There will be even number of males and females in each condition of the colour blue and red.
IV – the colour of the background which the list of words is presented on and the gender of the participant.
DV – the number of words recalled correctly
Participants:
The participants are university students.
Materials:
• Red and blue sheets of A4 paper displaying the same lists of random words
• A blank piece of paper and a pen for participants to write down the words they can recall
• A quite room
Location of data collection:
Kingston University library
Estimate duration of the project (months): 2
Is it collaborative research?
Yes No x
If YES, name the collaborator institutions: ___________________________
Risk Assessment: Does the proposed research involve any of the following?
Children or young people under 18 years of age?
Yes N0 x
If YES, have you complied with the requirements of the CRB? YES NO
People with an intellectual or mental impairment, temporary or permanent?
Yes
No x
People highly dependent on medical care, e.g., emergency care, intensive care, neonatal intensive care, terminally ill, or unconscious?
Yes
No x
Prisoners, illegal immigrants or financially destitute?
Yes
No x
Pregnant women?
Yes
No x
Will people from a specific ethnic, cultural or indigenous group be involved, or have the potential to be involved in the proposed research?
Yes
No x
Epidemiology research?
Yes
No x
Ingestion of potentially harmful or harmful dose of foods, fluids or drugs?
Yes
No x
Contravention of social/cultural boundaries?
Yes
No x
Involves use of data without prior consent?
Yes
No x
Involves bodily contact?
Yes
No x
Compromising professional boundaries between participants and researchers?
Yes
No x
Deception of participants, concealment or covert observation?
Yes
No x
Is there a potential for enduring physical and/or psychological harm/ distress to participants?
Yes
No x
Does your research raise any issues of personal safety for you or other researchers involved in the project? (especially if taking place outside working hours or off University premises)
Yes
No x
Will the research be conducted without written informed consent being obtained from the participants?
Yes
No x
Will financial/in kind payments (other than reasonable expenses and compensation for time) be offered to participants? (Indicate in the proposal how much and on what basis this has been decided)
Yes
No x
Is there a potential danger to participants in case of accidental unauthorised access to data?
Yes
No x
N.B. If you have answered YES to any of these questions, you should address them fully in an attached sheet and show that there are adequate controls in place.
Storage, access and disposal of data
Describe what research data will be stored, where, for what period of time, the measures that will be put in place to ensure security of the data, which will have access to the data, and the method and timing of disposal of the data. (Refer to the relevant paragraphs of the Ethics Guidance)
The data that will be stored is name, age, phone number/email, and their results. We will store it on one of the researcher’s private laptops, which will be password protected. The only people with access to the data will be the researchers as well as our supervisors. After the completion of our laboratory report and submission on the 1st of April 2020, the data will be completely deleted from the laptop, including the recycling bin on the computer.
Declaration to be signed by the applicant(s) and the supervisor:
• I confirm that the research will be undertaken in accordance with the Kingston University Guidance and procedures for undertaking research involving human participants
• I will undertake to report formally to the relevant Faculty Research Ethics Committee for continuing review approval.
• I shall ensure that any changes in approved research protocols are reported promptly for approval by the relevant Faculty Research Ethics Committee.
• I shall ensure that the research study complies with the law and University policy on Health and Safety.
• I confirm that the research study is compliant with the requirements of the Criminal Records Bureau where applicable.
• I am satisfied that the research study is compliant with the Data Protection Act 1998, and that necessary arrangements have been, or will be made with regard to the storage and processing of participants’ personal information and generally, to ensure confidentiality of such data supplied and generated in the course of the research.
(Note: Where relevant, further advice should be sought from the Data Protection Officer, University Secretary’s Office)
• I shall ensure that the research is undertaken in accordance with the University’s Diversity and Equality Policy Statement
• I will ensure that all adverse or unforeseen problems arising from the research project are reported immediately to the Chair of the relevant Faculty Research Ethics Committee.
• I will undertake to provide notification when the study is complete and if it fails to start or is abandoned;
• (For supervisors, if the applicant is a student) I have met and advised the student on the ethical aspects of the study design, and am satisfied that it complies with the current professional (where relevant), departmental and University guidelines. I accept responsibility for the conduct of this research and the maintenance of any consent documents as required by this Committee.
I understand that failure to provide accurate information can invalidate ethical approval.
Signature of student: ……Asma Samatar…………………………
Date:………17/02/20…………………….
Signature of student: ……Salina Gurung…………………………
Date:………17/02/20…………………….
Signature of student: ……Victoria Shellman……………………
Date:………17/02/20…………………….
Signature of student: ……Shamso Wardhere…………………………
Date:………17/02/20…………………….
Signature of student: ……Namo Shekani…………………………
Date:………17/02/20…………………….
Signature of supervisor: ……………………………
Date:…………………………….
CHECKLIST
Please complete the checklist below:
Project title: A study into how colour and gender affects memory recall.
Name of student: Asma Samatar, Salina Gurung, Victoria Shellman, Shamso Wardhere, Namo Shekani
Date of application: 18/02/20
Before submitting this application, please check
that you have done the following: (N/A = not applicable) Applicant Committee use only
Yes No N/A Yes No N/A
All questions have been answered
x
All applicants have signed the application form x
Description of the project has been provided
x
Correspondence from other ethics committees is attached x
Informed Consent Form is attached
x
Participant Information and Debrief Sheets are attached
x
All letters, advertisements, posters or other recruitment material to be used are attached
x
All surveys, questionnaires, interview/focus group schedules, data sheets, etc, to be used in collecting data are attached x
Reference list attached, where applicable
x
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