This document contains a standard form for evaluating informed consent (ICF) for research protocols submitted to the University of the Visayas Research Ethics Committee (UVREC). Part 1 provides details of a proposed study on mobile banking services in Cebu City, including the principal investigator and research advisor. Part 2 contains a guide for reviewers to evaluate whether the ICF adequately informs participants about the study purpose and procedures, risks and benefits, confidentiality, and contact information. The reviewer indicates whether the ICF and process are approved, require minor or major revisions, or are disapproved, and provides reasons for disapproval.
This document contains a standard form for evaluating informed consent (ICF) for research protocols submitted to the University of the Visayas Research Ethics Committee (UVREC). Part 1 provides details of a proposed study on mobile banking services in Cebu City, including the principal investigator and research advisor. Part 2 contains a guide for reviewers to evaluate whether the ICF adequately informs participants about the study purpose and procedures, risks and benefits, confidentiality, and contact information. The reviewer indicates whether the ICF and process are approved, require minor or major revisions, or are disapproved, and provides reasons for disapproval.
This document contains a standard form for evaluating informed consent (ICF) for research protocols submitted to the University of the Visayas Research Ethics Committee (UVREC). Part 1 provides details of a proposed study on mobile banking services in Cebu City, including the principal investigator and research advisor. Part 2 contains a guide for reviewers to evaluate whether the ICF adequately informs participants about the study purpose and procedures, risks and benefits, confidentiality, and contact information. The reviewer indicates whether the ICF and process are approved, require minor or major revisions, or are disapproved, and provides reasons for disapproval.
This document contains a standard form for evaluating informed consent (ICF) for research protocols submitted to the University of the Visayas Research Ethics Committee (UVREC). Part 1 provides details of a proposed study on mobile banking services in Cebu City, including the principal investigator and research advisor. Part 2 contains a guide for reviewers to evaluate whether the ICF adequately informs participants about the study purpose and procedures, risks and benefits, confidentiality, and contact information. The reviewer indicates whether the ICF and process are approved, require minor or major revisions, or are disapproved, and provides reasons for disapproval.
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REC Standard Form No.
16A ICF Evaluation Version No. 01 New ICF Date of Effectivity 01 Jan 22
Part 1: To be filled up by the Principal Investigator
UVREC Code: Date Submitted: Protocol No: Protocol Title: THE CLIENT PERSPECTIVE OF MOBILE BANKING SERVICE IN CEBU CITY Site Address: UNIVERSITY OF THE VISAYAS – COLON STREET, CEBU CITY Principal Investigator: Research Adviser: GRACELYN D. SOJOR PHILIP M. ALMANON, MBA Email Address: [email protected] Contact No: 09551136445
Part 2: To be filled up by the ICF Reviewer
GUIDE FOR REVIEWING THE INFORM CONSENT PROCESS & FORM
1. There is a need to seek the Informed Consent of the participants. ( ) YES ( ) NO ( ) CANNOT TELL If NO, please explain If YES, the participants provided with sufficient information about the following items: YES NO o Purpose of the study o Expected duration of participation o Procedure to be carried out o Discomforts and inconvenience o Risks (including possible discrimination) o Benefits to the participants o Compensation and/or medical treatment in case of injury o Contact person in case of questions for assistance in research-related concerns or injury o Extent of confidentiality 2. The Informed Consent is written and is presented in non-technical language that participants can understand. ( ) YES ( ) NO ( ) CANNOT TELL
3. The protocol includes adequate process for ensuring that the consent is voluntary. ( ) YES ( ) NO ( ) CANNOT TELL 4. There are different types of consent forms (assent, patient representative) appropriate for the types of study participants. ( ) YES ( ) NO ( ) CANNOT TELL 5. The names and contact numbers of the research team and UVREC are in the informed consent. ( ) YES ( ) NO ( ) CANNOT TELL 6. The Informed Consent is translated into the local language/dialect. (if applicable) ( ) YES ( ) NO ( ) CANNOT TELL 7. OVERALL SUGGESTIONS
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