DDOSC-REC Form 2.
3
Protocol Evaluation Form
Republic of the Philippines April 12, 2018
Davao de Oro State College
RESEARCH ETHICS COMMITTEE
PROTOCOL EVALUATION FORM
Note: Kindly fill all the items with a red asterisk (*)
*Title of the Study Differentiated Teaching Strategies in Identifying Multiple
Intelligence in Kindergarten Pupils
*Researcher Villamero jr, Julito B
*Co-Researcher/s Baylosis, Jhester D.
Bot-oy, Revo Jan C.
*Submission Date December 28,2022
To be filled up by DDOSC-REC
REC Code: 034-01-2023
Type of Review: □ Full Board
□ Expedited
□ Exempt from Review
Reviewer: □ □
□ □
□ □
□
Conflict of Interest
INSTRUCTIONS
To the Researcher: Please indicate in the space provided below whether or not your
study protocol addresses the specified assessment point. To
facilitate the evaluation of the assessment point, indicate the page
and paragraph where this information can be found. Further, those
items with RED asterisks shall be indicated in your Manuscript and
checked as YES.
To the Primary Reviewer: Please evaluate how the assessment points outlined below have
been appropriately addressed by the study protocol, as applicable,
by confirming the submitted information and putting your comments
in the space provided under “REVIEWER COMMENTS”, Finalize
your review by indicating your conclusions under
“RECOMMENDED ACTION” and signing in space provided
To be filled out by the
Investigator/Researcher
ASSESSMENT POINTS Indicate if Page and REVIEWER
the study paragraph COMMENTS
protocol where it is
contains the found
specified
assessment
point
1. SCIENTIFIC DESIGN YES N/A
1.1. Objectives* ✓ complied
Review of viability of expected output Page
3/Paragrap
Page 1-3
DDOSC-REC Form 2.3
Protocol Evaluation Form
Republic of the Philippines April 12, 2018
Davao de Oro State College
RESEARCH ETHICS COMMITTEE
h 1-2
1.2. Literature review* ✓ Page 8-14 complied
Review of results of previous
animal/human studies showing known
risks and benefits of
intervention,including known adverse
drug effects, in case of drug trials
1.3. Research design* ✓ Page complied
Review of appropriateness of design in 15/Paragra
view of objectives ph 2
1.4. Sampling design* ✓ Page 15/ Please clarify,
Review of appropriateness of sampling Paragraph purposively done by the
methods and techniques 4 researcher with the aid
of the teachers.
Suggestion: must be
upon the
recommendation of the
Head of the Kindergarten
Teachers.
1.5. Sample size* ✓ Page Just address the
Review of justification of sample size 17/Paragra sampling design
ph 1
1.6. Statistical analysis plan (SAP) ✓ Page 18/ n/a
Review of appropriateness of statistical Paragraph
methods to be used and how participant 2-3
data will be summarized
1.7. Data analysis plan* ✓ Page complied
Review of appropriateness of statistical 18/Paragra
and non-statistical methods of data ph 2-3
analysis
1.8. Inclusion criteria* ✓ Page complied
Review of precision of criteria both for 16/Paragra
scientific merit and safety concerns; and ph 4
of equitable selection
1.9. Exclusion criteria* ✓ Please indicate, this is
Review of criteria precision both for mandatory
scientific merit and safety concerns; and
of justified exclusion
1.10.Withdrawal criteria* ✓ Please indicate, this is
Review of criteria precision both for mandatory
scientific merit and safety concerns
2. CONDUCT OF STUDY
2.1. Specimen handling ✓ n/a
Review of specimen storage, access,
disposal, and terms of use
2.2. PI qualifications* ✓ n/a
Review of CV and relevant certifications
to ascertain capability to manage study
related risks
2.3. Suitability of site* ✓ Please indicate suitability
Review of adequacy of qualified staff of the place of where the
and infrastructures actual data gathering is
to be conducted based
on the recommendations
Page 2-3
DDOSC-REC Form 2.3
Protocol Evaluation Form
Republic of the Philippines April 12, 2018
Davao de Oro State College
RESEARCH ETHICS COMMITTEE
of the Head of the
Kindergarten Teachers
2.4. Duration* ✓ Please indicate
Review of length/extent of human
participant involvement in the study
3. ETHICAL CONSIDERATIONS
3.1. Conflict of interest* Page complied
Review of management of conflict ✓ 19/Paragra
arising from financial, familial, or ph 3
proprietary considerations of the PI,
sponsor, or the study site
3.2. Privacy and confidentiality* Page complied
Review of measures or guarantees to ✓ 21/Paragra
protect privacy and confidentiality of ph 1-2
participant information as indicated by
data collection methods including data
protection plans
3.3. Informed consent process* Page complied
Review of application of the principle of ✓ 19/Paragra
respect for persons,who may solicit ph 1-3
consent, how and when it will be done;
who may give consent especially in
case of special populations like minors
and those who are not legally
competent to give consent, or
indigenous people which require
additional clearances
3.4. Vulnerability* Page n/a
Review of involvement of vulnerable ✓ 21/Paragra
study populations and impact on ph 5
informed consent (see 3.3). Vulnerable
groups include children, the elderly,
ethnic and racial minority groups, the
homeless, prisoners, and people with
incurable disease, people who are
politically powerless, or junior members
of a hierarchical group. Vulnerability
must always be assessed in the context
of the protocol and the participants.
3.5. Recruitment* ✓ n/a
Review of manner of recruitment
including appropriateness of identified
recruiting parties
3.6. Assent √ n/a
Review of feasibility of obtaining assent
vis à vis incompetence to consent;
Review of applicability of the assent age
brackets in children:
0-under 7: No assent
8-under 12: Assent Form
13-under15: Simplified Assent Form
16-under18:Co-sign informed consent
form with parents
3.7. Risks* Page Please enhance further
Review of level of risk and measures to ✓ 19/Paragra to specify level of risk
mitigate these risks (including physical ph 3
,psychological, social, economic),
Page 3-3
DDOSC-REC Form 2.3
Protocol Evaluation Form
Republic of the Philippines April 12, 2018
Davao de Oro State College
RESEARCH ETHICS COMMITTEE
including plans for adverse event
management;
3.8. Benefits* Page complied
Review of potential direct benefit to ✓ 20/Paragra
participants; the potential to yield ph 3
generalizable knowledge about the
participants’ condition/problem; non-
material compensation to participant
(health education or other creative
benefits), where no clear, direct benefit
from the project will be received by the
participant
3.9. Incentives or compensation √ n/a
Review of amount and method of
compensations, financial incentives, or
reimbursement of study-related
expenses
3.10. Community considerations* Page complied
Review of impact of the research on the ✓ 20/Paragra
community where the research occurs ph 1
and/or to whom findings can
be linked; including issues like stigma or
draining of local capacity; sensitivity to
cultural traditions, and involvement of
the community in decisions about the
conduct of study
3.11. Collaborative study terms of ✓ n/a
reference
Review of terms of collaborative study
especially in case of multi-country/multi-
institutional studies, including
intellectual property rights, publication
rights, information and responsibility
sharing, transparency, and capacity
building
3.12. Other issues ✓ n/a
Review of issues not subsumed in the
issues covered by items 3.1 to 3.11
RECOMMENDED ACTION:
• APPROVED
• MINOR REVISION
• MAJOR REVISON
• DISAPPROVED
JUSTIFICATION FOR RECOMMENDED ACTION:
Please on work on remarks.
Prepared by:
Baylosis, Jhester D.
Bot-oy, Revo Jan C.
Page 4-3
DDOSC-REC Form 2.3
Protocol Evaluation Form
Republic of the Philippines April 12, 2018
Davao de Oro State College
RESEARCH ETHICS COMMITTEE
Villamero jr, Julito B.
Note by:
IVONE CARL PENAFLOR
Research Adviser
_________________________________
Reviewer(Signature over printed name)
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