IRBIS does NOT generate these documents with application-specific information.
Concise Summary examples can be found here .
Guidance on the use of plain language in consent forms:
There are a few additional forms that are not provided online and may be accessed below. As needed, these should be completed and uploaded to your IRB application.
COVID-19 Related Forms:
Informed Consent Short Form (for a single subject who may be illiterate, or otherwise unable to read the consent form — used when full consent form has to be read or translated for subject).
A collection of informed consent, assent, and debriefing templates that can be used for your human participant research study.
Social and Behavioral Research Projects (last updated 03/16/2023)
Biomedical Research Projects (last updated 07/18/2022)
MRI and fMRI
Blood Collection by Finger Stick
Blood Collection by Venipuncture
Guidance for Protocols Involving Oral Consent
Guidance and Template for Debriefing Participants
Parent-Guardian Permission for Studies Involving Children
Sample Parental Notification Form
Sample Child Assent Form
Performance Release for Minors
Performance Release for Adults
General consent form to participate in research (DOC)
Two stage project consent form (DOC)
Parent permission form for research with child (DOC)
Child assent form (DOC)
Multiple consent form including audio-recording and quotations (DOC)
Photo and video consent form (DOC)
Video-recording consent form (DOC)
Re-contact agreement form (DOC)
Post-debriefing consent form (DOC)
These consent forms were used in various NIH-funded research projects and have been approved by the relevant local IRBs. These completed forms are meant to complement the sample language found in the other sections. They are not provided as guidance or templates promoted by NHGRI, but as references to inform investigators and IRBs considering these issues. Consent forms should be tailored to each individual study.
Date | Name | Study Feature(s) |
---|---|---|
July 2014 | Natural History Study of the Clinical and Molecular Manifestations of Smith-Magenis Syndrome | |
NA | Natural History Study of the Clinical and Molecular Manifestations of Smith-Magenis Syndrome | |
December 2009 | ||
NA | Genetics of Obesity, Diabetes, and Heart Disease in African Diaspora Populations | Return of Research Results |
December 2014 | Incorporation of Genomic Sequencing into Pediatric Cancer Care | Return of Research Results |
December 2014 | Incorporación de la secuenciación genómica al tratamiento pediátrico contra el cáncer | Return of Research Results |
NA | Authorization for Tissue Donation in National Institutes of Health Research Project | Open Access Data |
May 2008 | Developing a research resource for studies of human genetic variation | Open Access Data |
NA | Building a comprehensive public resource to study tissue-specific gene expression and regulation | |
NA | Building a comprehensive public resource to study tissue-specific gene expression and regulation | |
NA | Consent Process Building a diverse database that can inform thousands of studies on a variety of health conditions | eConsent Return of Research Results |
March 2021 | Research Program (PDF) | Return of Research Results |
June 2018 | Building a central knowledgebase that defines the clinical relevance of genes and variants to improve patient care | Consent in Clinical Setting |
Last updated: March 16, 2022
The templates below were created to help you create the documents you will need to communicate to participants what they will do in the study. The documents you provide participants will range from recruitment materials to post-debrief consent forms, and you need to submit everything that you provide to a participant to our Board for review. For more information about the consent process see Consent .
About this page.
To assist UW researchers with designing subject-focused consent, the UW IRB provides example consent forms. Many of these examples are actual UW IRB approved consent forms designed by UW researchers. Some of the examples were created using one of our consent templates . The use of our template is not required and some of the examples deviate significantly from our templates.
We encourages researchers to use the Designing the Consent Process guidance and the examples below to create consent forms and processes that: (1) are written from the perspective of the subject population being enrolled, emphasizing the Key Information that is mostly likely to assist those subjects with deciding whether to enroll; and (2) are designed and presented in a way that facilitates comprehension and understanding.
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Home » Informed Consent in Research – Types, Templates and Examples
Table of Contents
Informed consent is a process of communication between a researcher and a potential participant in which the researcher provides adequate information about the study, its risks and benefits, and the participant voluntarily agrees to participate. It is a cornerstone of ethical research involving human subjects and is intended to protect the rights and welfare of participants.
There are different types of informed consent in research , which may vary depending on the nature of the study, the type of participants, and the context. Some of the common types of informed consent in research include:
This is the most common type of informed consent, where participants are provided with a written document that explains the study and its requirements. The document typically includes information about the purpose of the study, procedures involved, risks and benefits, confidentiality, and participant rights. Participants are asked to sign the document as an indication of their willingness to participate.
In some cases, oral consent may be used when a written document is not practical or feasible. Oral consent involves explaining the study and its requirements to participants verbally and obtaining their consent. This method may be used for studies with illiterate or visually impaired participants or when conducting research remotely.
Implied consent is used in studies where participants’ actions are taken as an indication of their willingness to participate. For example, a participant may be considered to have given implied consent if they show up for a scheduled appointment for the study.
This method is used when participants are given the opportunity to decline participation in a study. Participants are provided with information about the study and are given the option to opt-out if they do not wish to participate. This method is commonly used in population-based studies or surveys.
Assent is used in studies involving minors or participants who are unable to provide informed consent due to cognitive impairment or disability. Assent involves obtaining the agreement of the participant to participate in the study, along with the consent of a legally authorized representative.
Here’s a basic format for informed consent that can be customized for specific research studies:
Here is an example of an informed consent template that can be used in research studies:
Introduction
You are being invited to participate in a research study. Before you decide whether or not to participate, it is important for you to understand why the research is being done, what your participation will involve, and what risks and benefits may be associated with your participation.
Purpose of the Study
The purpose of this study is [insert purpose of study].
If you agree to participate, you will be asked to [insert procedures involved in the study].
Risks and Benefits
There are several potential risks and benefits associated with participation in this study. Some of the risks include [insert potential risks of participation]. Some of the benefits include [insert potential benefits of participation].
Confidentiality
Your participation in this study will be kept confidential to the extent allowed by law. All data collected during the study will be stored in a secure location and only accessed by authorized personnel. Your name and other identifying information will not be included in any reports or publications resulting from this study.
Voluntary Participation
Your participation in this study is completely voluntary. You have the right to withdraw from the study at any time without penalty. If you choose not to participate or if you withdraw from the study, there will be no negative consequences.
Contact Information
If you have any questions or concerns about the study, you can contact the investigator(s) at [insert contact information]. If you have questions about your rights as a research participant, you may contact [insert name of institutional review board and contact information].
Statement of Consent
By signing below, you acknowledge that you have read and understood the information provided in this consent form and that you freely and voluntarily consent to participate in this study.
Participant Signature: _____________________________________ Date: _____________
Investigator Signature: ____________________________________ Date: _____________
Here’s an example of informed consent in research:
Title : The Effects of Yoga on Stress and anxiety levels in college students
Introduction :
We are conducting a research study to investigate the effects of yoga on stress and anxiety levels in college students. We are inviting you to participate in this study.
If you agree to participate, you will be asked to attend four yoga classes per week for six weeks. Before and after the six-week period, you will be asked to complete surveys about your stress and anxiety levels. Additionally, we will measure your heart rate variability at the beginning and end of the six-week period.
Risks and Benefits:
There are no known risks associated with participating in this study. However, the benefits of practicing yoga may include decreased stress and anxiety levels, increased flexibility and strength, and improved overall well-being.
Confidentiality:
All information collected during this study will be kept strictly confidential. Your name will not be used in any reports or publications resulting from this study.
Voluntary Participation:
Participation in this study is completely voluntary. You are free to withdraw from the study at any time without penalty.
Contact Information:
If you have any questions or concerns about this study, you may contact the principal investigator at (phone number/email address).
By signing this form, I acknowledge that I have read and understood the above information and agree to participate in this study.
Participant Signature: ___________________________
Date: ___________________________
Researcher Signature: ___________________________
Here are some reasons why informed consent is important in research:
Informed consent is a critical component of research ethics, and it serves several important purposes, including:
The advantages of informed consent in research are numerous, and some of the most significant benefits include:
Researcher, Academic Writer, Web developer
How would you rate your free form.
Updated June 23, 2023
A research informed consent form is used for the purpose of freeing students/faculty of any liability while performing a research study with human participants. Not only does the consent form liberate the researchers of accountability, it briefs the participants of how the research will be conducted, presented and reported. The participants must be fully aware of any risks or potential discomfort that may arise during the study. It should also be made known that participation is voluntary and that the participants can withdraw from the study. A step-by-step guide to filling out a general research informed consent form can be found below.
Instructions – Use to fill in the blank template.
Step 1 – Download in PDF , Microsoft Word (.docx) , or Open Document Text (.odt) .
Step 2 – The title of the research study being conducted must be included at the top of the consent form.
Step 3 – Enter the following information related to the primary researcher in the fields provided:
Step 4 – The purpose of the study, the procedures, the risks, and the benefits should be listed under each appropriate corresponding category with the participant’s initials included at the bottom of the page.
Step 5 – Any compensation that is to be provided to the participant(s) should be included under the “Compensation” section on page 2.
Step 6 – A telephone number and email address should be supplied under the “Contact Information” section in case the participant does not want to contact the primary researcher directly. The participant must initial the bottom of the second page.
Step 7 – Signatures must be produced by the participant and the researcher, with the date on which the form was signed next to each signature.
UCL Research Ethics
Recruitment documents help people make informed choices about whether to participate in a research study. Find out how to write a Participant Information Sheet, example forms and further guidance.
Participant Information Sheets must be designed to assist participants to make informed choices. Potential recruits must be given sufficient information to allow them to decide whether or not they want to take part. The process of obtaining consent and the accompanying documentation must be approved by a research ethics committee and, where only verbal consent to research is contemplated include consideration of an appropriate process for witnessing the consent.
Researchers must take the steps necessary to ensure that all participants in the research understand the process in which they are to be engaged, including why their participation is necessary, how it will be used, and how and to whom it will be reported so that the prospective participant can make an informed decision about whether they really do want to take part.
It is highly recommended that the information provided is presented on headed paper and is accurate, clear and simple so that someone with a reading age of 8 would understand the contents (use short words, sentences and paragraphs). The information should be specific to the proposed research and appropriate for the social and cultural context in which is it being given. It is important to avoid technical terms, jargon and abbreviations, bias, coercion or any inappropriate inducements.
It is highly recommended that the information provided is presented on headed paper and is accurate, clear, and simple. The information should be specific to the proposed research and appropriate for the social and cultural context in which is it being given. It is important to avoid technical terms, jargon, and abbreviations, bias, coercion, or any inappropriate inducements.
The following points should be considered when writing an information sheet:
Ask someone else to review your information sheet before it is circulated.
Page last updated: June 2024
Main navigation.
This section contains all of the forms and consent templates that apply to investigators from: • School of Medicine (SoM) • Veteran's Affairs (VA) Hospital
*Please note that when creating a protocol for IRB submission, these investigators need to select the Medical eProtocol Application category.
If you have questions or are having trouble accessing these forms, please contact IRB Education ( email or call 650-724-7141).
The consent/assent form should be in a language that is understandable to someone without a medical or scientific background. Please use the Microsoft Readability Statistics tool as needed when writing your consent form.
See consent template updates for recent changes.
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Regular | For greater than minimal risk research | [03/2024] | [03/2024] | [01/2024] |
Regular without HIPAA | Use VA Form 10-0493 | N/A | N/A | [01/2024] |
Expedited | For minimal risk research (e.g., blood draws, non-invasive specimen collection, interviews, surveys, behavioral interventions, etc.) | [03/2024] | [03/2024] | [01/2024] |
Expedited without HIPAA | Use VA Form 10-0493 | N/A | N/A | [01/2024] |
Somatic cell donation | For stem cell research | [09/2023] | [09/2023] | N/A |
Adults (18+) unable to provide consent | Use legally authorized representative (LAR) consent for adults (18+) | [01/2023] | [01/2023] | N/A |
Children, age 13-17 years | Use for children age 13-17 | [04/2024] | [04/2024] | N/A |
Children, age 7-12 years | Use for children age 7-12 | [04/2024] | [04/2024] | N/A |
Expedited research information sheet | Use for waiver of documentation (i.e., waiver of signature) for minimal risk procedures | [09/2023] | [09/2023] | N/A |
Exempt research information sheet | For exempt research | [09/2023] | [09/2023] | N/A |
Screening script, level 1a | Use for waiver of documentation for screening | [01/2023] | [01/2023] | N/A |
Screening script, level 1b | Use for waiver of documentation for screening and retaining contact information for future research | [01/2023] | [01/2023] | N/A |
VA HIPAA Authorization (VA Form 10-0493) | Use regular or expedited consent without HIPAA | N/A | N/A | [09/2015] |
Schedule of Procedures table | Use or insert into consent when standard of care procedures overlap with research procedures | [10/2017] | [10/2017] | N/A |
General Data Protection Regulation (GDPR) consent form language | Insert into consent when study takes place in the European Union/European Economic Area (EU/EEA) | [01/2023] | [01/2023] | N/A |
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SIR Self-Assessment Checklist - IND/IDE | |
New, Modification, Continuing Review (These are for informational purposes only)
| • Medical: - - - - - - • • • • Non-Medical: - - - - | |
is used to submit: • applications - see examples above. - Complete and attach supplemental required attachments as needed (see above) • to approved protocols (need prior IRB approval to implement). • applications. • unanticipated problems, events/information requiring prompt reporting. • (not required for Exempt research). |
Do you plan to use human participants or personal data in your research project? Learn about Sikt's notification form and get advice on consent forms, security measures and data storage.
The course will consist of two parts. We highly recommend participating in both parts if you plan to submit a notification form to Sikt in the near future.
It is possible to only participate in part 2 if you already have submitted your form or just want to learn more about how to store and share your research data at UiO.
Research projects can encounter personal data in many contexts, for example through interviews, questionnaires, social media posts or restricted archival materials.
To ensure that the planned processing is in accordance with data protection legislation, all research projects that process personal data must send a notification form to Sikt, the Norwegian Agency for Shared Services in Education and Research (former NSD). We go through the different steps of the form and give hands-on advice.
Have you heard about TSD, Educloud, OneDrive or ‘storage hotel’? Do you plan on sharing your research data with your supervisor, using UiOs Dictaphone app, or use and encrypted flash drive?
All research data, like interview recordings, questionnaire data or drafts of your paper have to be stored somewhere. We present the storage solutions and sharing available at UiO, how to access them and which are suitable for what kind of project.
We highly recommend that you complete UiO's course on protection of personal data before participating. The digital introductory course provides basic knowledge about data protection, information security and UiO's routines.
E-learning course in protection of personal data (hf.uio.no)
The course is open to all students, PhD candidates, postdocs and other researchers who need an introduction to Sikt's services including the notification form and data storage and sharing at UiO. The course language is English. Please register to share which data you plan to work with and what kinds of storage and sharing solutions you are most interested in. Drop- in participation without registration is possible.
Sign up (nettskjema.no)
Medical terms in lay language.
Please use these descriptions in place of medical jargon in consent documents, recruitment materials and other study documents. Note: These terms are not the only acceptable plain language alternatives for these vocabulary words.
This glossary of terms is derived from a list copyrighted by the University of Kentucky, Office of Research Integrity (1990).
For clinical research-specific definitions, see also the Clinical Research Glossary developed by the Multi-Regional Clinical Trials (MRCT) Center of Brigham and Women’s Hospital and Harvard and the Clinical Data Interchange Standards Consortium (CDISC) .
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
ABDOMEN/ABDOMINAL body cavity below diaphragm that contains stomach, intestines, liver and other organs ABSORB take up fluids, take in ACIDOSIS condition when blood contains more acid than normal ACUITY clearness, keenness, esp. of vision and airways ACUTE new, recent, sudden, urgent ADENOPATHY swollen lymph nodes (glands) ADJUVANT helpful, assisting, aiding, supportive ADJUVANT TREATMENT added treatment (usually to a standard treatment) ANTIBIOTIC drug that kills bacteria and other germs ANTIMICROBIAL drug that kills bacteria and other germs ANTIRETROVIRAL drug that works against the growth of certain viruses ADVERSE EFFECT side effect, bad reaction, unwanted response ALLERGIC REACTION rash, hives, swelling, trouble breathing AMBULATE/AMBULATION/AMBULATORY walk, able to walk ANAPHYLAXIS serious, potentially life-threatening allergic reaction ANEMIA decreased red blood cells; low red cell blood count ANESTHETIC a drug or agent used to decrease the feeling of pain, or eliminate the feeling of pain by putting you to sleep ANGINA pain resulting from not enough blood flowing to the heart ANGINA PECTORIS pain resulting from not enough blood flowing to the heart ANOREXIA disorder in which person will not eat; lack of appetite ANTECUBITAL related to the inner side of the forearm ANTIBODY protein made in the body in response to foreign substance ANTICONVULSANT drug used to prevent seizures ANTILIPEMIC a drug that lowers fat levels in the blood ANTITUSSIVE a drug used to relieve coughing ARRHYTHMIA abnormal heartbeat; any change from the normal heartbeat ASPIRATION fluid entering the lungs, such as after vomiting ASSAY lab test ASSESS to learn about, measure, evaluate, look at ASTHMA lung disease associated with tightening of air passages, making breathing difficult ASYMPTOMATIC without symptoms AXILLA armpit
BENIGN not malignant, without serious consequences BID twice a day BINDING/BOUND carried by, to make stick together, transported BIOAVAILABILITY the extent to which a drug or other substance becomes available to the body BLOOD PROFILE series of blood tests BOLUS a large amount given all at once BONE MASS the amount of calcium and other minerals in a given amount of bone BRADYARRHYTHMIAS slow, irregular heartbeats BRADYCARDIA slow heartbeat BRONCHOSPASM breathing distress caused by narrowing of the airways
CARCINOGENIC cancer-causing CARCINOMA type of cancer CARDIAC related to the heart CARDIOVERSION return to normal heartbeat by electric shock CATHETER a tube for withdrawing or giving fluids CATHETER a tube placed near the spinal cord and used for anesthesia (indwelling epidural) during surgery CENTRAL NERVOUS SYSTEM (CNS) brain and spinal cord CEREBRAL TRAUMA damage to the brain CESSATION stopping CHD coronary heart disease CHEMOTHERAPY treatment of disease, usually cancer, by chemical agents CHRONIC continuing for a long time, ongoing CLINICAL pertaining to medical care CLINICAL TRIAL an experiment involving human subjects COMA unconscious state COMPLETE RESPONSE total disappearance of disease CONGENITAL present before birth CONJUNCTIVITIS redness and irritation of the thin membrane that covers the eye CONSOLIDATION PHASE treatment phase intended to make a remission permanent (follows induction phase) CONTROLLED TRIAL research study in which the experimental treatment or procedure is compared to a standard (control) treatment or procedure COOPERATIVE GROUP association of multiple institutions to perform clinical trials CORONARY related to the blood vessels that supply the heart, or to the heart itself CT SCAN (CAT) computerized series of x-rays (computerized tomography) CULTURE test for infection, or for organisms that could cause infection CUMULATIVE added together from the beginning CUTANEOUS relating to the skin CVA stroke (cerebrovascular accident)
DERMATOLOGIC pertaining to the skin DIASTOLIC lower number in a blood pressure reading DISTAL toward the end, away from the center of the body DIURETIC "water pill" or drug that causes increase in urination DOPPLER device using sound waves to diagnose or test DOUBLE BLIND study in which neither investigators nor subjects know what drug or treatment the subject is receiving DYSFUNCTION state of improper function DYSPLASIA abnormal cells
ECHOCARDIOGRAM sound wave test of the heart EDEMA excess fluid collecting in tissue EEG electric brain wave tracing (electroencephalogram) EFFICACY effectiveness ELECTROCARDIOGRAM electrical tracing of the heartbeat (ECG or EKG) ELECTROLYTE IMBALANCE an imbalance of minerals in the blood EMESIS vomiting EMPIRIC based on experience ENDOSCOPIC EXAMINATION viewing an internal part of the body with a lighted tube ENTERAL by way of the intestines EPIDURAL outside the spinal cord ERADICATE get rid of (such as disease) Page 2 of 7 EVALUATED, ASSESSED examined for a medical condition EXPEDITED REVIEW rapid review of a protocol by the IRB Chair without full committee approval, permitted with certain low-risk research studies EXTERNAL outside the body EXTRAVASATE to leak outside of a planned area, such as out of a blood vessel
FDA U.S. Food and Drug Administration, the branch of federal government that approves new drugs FIBROUS having many fibers, such as scar tissue FIBRILLATION irregular beat of the heart or other muscle
GENERAL ANESTHESIA pain prevention by giving drugs to cause loss of consciousness, as during surgery GESTATIONAL pertaining to pregnancy
HEMATOCRIT amount of red blood cells in the blood HEMATOMA a bruise, a black and blue mark HEMODYNAMIC MEASURING blood flow HEMOLYSIS breakdown in red blood cells HEPARIN LOCK needle placed in the arm with blood thinner to keep the blood from clotting HEPATOMA cancer or tumor of the liver HERITABLE DISEASE can be transmitted to one’s offspring, resulting in damage to future children HISTOPATHOLOGIC pertaining to the disease status of body tissues or cells HOLTER MONITOR a portable machine for recording heart beats HYPERCALCEMIA high blood calcium level HYPERKALEMIA high blood potassium level HYPERNATREMIA high blood sodium level HYPERTENSION high blood pressure HYPOCALCEMIA low blood calcium level HYPOKALEMIA low blood potassium level HYPONATREMIA low blood sodium level HYPOTENSION low blood pressure HYPOXEMIA a decrease of oxygen in the blood HYPOXIA a decrease of oxygen reaching body tissues HYSTERECTOMY surgical removal of the uterus, ovaries (female sex glands), or both uterus and ovaries
IATROGENIC caused by a physician or by treatment IDE investigational device exemption, the license to test an unapproved new medical device IDIOPATHIC of unknown cause IMMUNITY defense against, protection from IMMUNOGLOBIN a protein that makes antibodies IMMUNOSUPPRESSIVE drug which works against the body's immune (protective) response, often used in transplantation and diseases caused by immune system malfunction IMMUNOTHERAPY giving of drugs to help the body's immune (protective) system; usually used to destroy cancer cells IMPAIRED FUNCTION abnormal function IMPLANTED placed in the body IND investigational new drug, the license to test an unapproved new drug INDUCTION PHASE beginning phase or stage of a treatment INDURATION hardening INDWELLING remaining in a given location, such as a catheter INFARCT death of tissue due to lack of blood supply INFECTIOUS DISEASE transmitted from one person to the next INFLAMMATION swelling that is generally painful, red, and warm INFUSION slow injection of a substance into the body, usually into the blood by means of a catheter INGESTION eating; taking by mouth INTERFERON drug which acts against viruses; antiviral agent INTERMITTENT occurring (regularly or irregularly) between two time points; repeatedly stopping, then starting again INTERNAL within the body INTERIOR inside of the body INTRAMUSCULAR into the muscle; within the muscle INTRAPERITONEAL into the abdominal cavity INTRATHECAL into the spinal fluid INTRAVENOUS (IV) through the vein INTRAVESICAL in the bladder INTUBATE the placement of a tube into the airway INVASIVE PROCEDURE puncturing, opening, or cutting the skin INVESTIGATIONAL NEW DRUG (IND) a new drug that has not been approved by the FDA INVESTIGATIONAL METHOD a treatment method which has not been proven to be beneficial or has not been accepted as standard care ISCHEMIA decreased oxygen in a tissue (usually because of decreased blood flow)
LAPAROTOMY surgical procedure in which an incision is made in the abdominal wall to enable a doctor to look at the organs inside LESION wound or injury; a diseased patch of skin LETHARGY sleepiness, tiredness LEUKOPENIA low white blood cell count LIPID fat LIPID CONTENT fat content in the blood LIPID PROFILE (PANEL) fat and cholesterol levels in the blood LOCAL ANESTHESIA creation of insensitivity to pain in a small, local area of the body, usually by injection of numbing drugs LOCALIZED restricted to one area, limited to one area LUMEN the cavity of an organ or tube (e.g., blood vessel) LYMPHANGIOGRAPHY an x-ray of the lymph nodes or tissues after injecting dye into lymph vessels (e.g., in feet) LYMPHOCYTE a type of white blood cell important in immunity (protection) against infection LYMPHOMA a cancer of the lymph nodes (or tissues)
MALAISE a vague feeling of bodily discomfort, feeling badly MALFUNCTION condition in which something is not functioning properly MALIGNANCY cancer or other progressively enlarging and spreading tumor, usually fatal if not successfully treated MEDULLABLASTOMA a type of brain tumor MEGALOBLASTOSIS change in red blood cells METABOLIZE process of breaking down substances in the cells to obtain energy METASTASIS spread of cancer cells from one part of the body to another METRONIDAZOLE drug used to treat infections caused by parasites (invading organisms that take up living in the body) or other causes of anaerobic infection (not requiring oxygen to survive) MI myocardial infarction, heart attack MINIMAL slight MINIMIZE reduce as much as possible Page 4 of 7 MONITOR check on; keep track of; watch carefully MOBILITY ease of movement MORBIDITY undesired result or complication MORTALITY death MOTILITY the ability to move MRI magnetic resonance imaging, diagnostic pictures of the inside of the body, created using magnetic rather than x-ray energy MUCOSA, MUCOUS MEMBRANE moist lining of digestive, respiratory, reproductive, and urinary tracts MYALGIA muscle aches MYOCARDIAL pertaining to the heart muscle MYOCARDIAL INFARCTION heart attack
NASOGASTRIC TUBE placed in the nose, reaching to the stomach NCI the National Cancer Institute NECROSIS death of tissue NEOPLASIA/NEOPLASM tumor, may be benign or malignant NEUROBLASTOMA a cancer of nerve tissue NEUROLOGICAL pertaining to the nervous system NEUTROPENIA decrease in the main part of the white blood cells NIH the National Institutes of Health NONINVASIVE not breaking, cutting, or entering the skin NOSOCOMIAL acquired in the hospital
OCCLUSION closing; blockage; obstruction ONCOLOGY the study of tumors or cancer OPHTHALMIC pertaining to the eye OPTIMAL best, most favorable or desirable ORAL ADMINISTRATION by mouth ORTHOPEDIC pertaining to the bones OSTEOPETROSIS rare bone disorder characterized by dense bone OSTEOPOROSIS softening of the bones OVARIES female sex glands
PARENTERAL given by injection PATENCY condition of being open PATHOGENESIS development of a disease or unhealthy condition PERCUTANEOUS through the skin PERIPHERAL not central PER OS (PO) by mouth PHARMACOKINETICS the study of the way the body absorbs, distributes, and gets rid of a drug PHASE I first phase of study of a new drug in humans to determine action, safety, and proper dosing PHASE II second phase of study of a new drug in humans, intended to gather information about safety and effectiveness of the drug for certain uses PHASE III large-scale studies to confirm and expand information on safety and effectiveness of new drug for certain uses, and to study common side effects PHASE IV studies done after the drug is approved by the FDA, especially to compare it to standard care or to try it for new uses PHLEBITIS irritation or inflammation of the vein PLACEBO an inactive substance; a pill/liquid that contains no medicine PLACEBO EFFECT improvement seen with giving subjects a placebo, though it contains no active drug/treatment PLATELETS small particles in the blood that help with clotting POTENTIAL possible POTENTIATE increase or multiply the effect of a drug or toxin (poison) by giving another drug or toxin at the same time (sometimes an unintentional result) POTENTIATOR an agent that helps another agent work better PRENATAL before birth PROPHYLAXIS a drug given to prevent disease or infection PER OS (PO) by mouth PRN as needed PROGNOSIS outlook, probable outcomes PRONE lying on the stomach PROSPECTIVE STUDY following patients forward in time PROSTHESIS artificial part, most often limbs, such as arms or legs PROTOCOL plan of study PROXIMAL closer to the center of the body, away from the end PULMONARY pertaining to the lungs
QD every day; daily QID four times a day
RADIATION THERAPY x-ray or cobalt treatment RANDOM by chance (like the flip of a coin) RANDOMIZATION chance selection RBC red blood cell RECOMBINANT formation of new combinations of genes RECONSTITUTION putting back together the original parts or elements RECUR happen again REFRACTORY not responding to treatment REGENERATION re-growth of a structure or of lost tissue REGIMEN pattern of giving treatment RELAPSE the return of a disease REMISSION disappearance of evidence of cancer or other disease RENAL pertaining to the kidneys REPLICABLE possible to duplicate RESECT remove or cut out surgically RETROSPECTIVE STUDY looking back over past experience
SARCOMA a type of cancer SEDATIVE a drug to calm or make less anxious SEMINOMA a type of testicular cancer (found in the male sex glands) SEQUENTIALLY in a row, in order SOMNOLENCE sleepiness SPIROMETER an instrument to measure the amount of air taken into and exhaled from the lungs STAGING an evaluation of the extent of the disease STANDARD OF CARE a treatment plan that the majority of the medical community would accept as appropriate STENOSIS narrowing of a duct, tube, or one of the blood vessels in the heart STOMATITIS mouth sores, inflammation of the mouth STRATIFY arrange in groups for analysis of results (e.g., stratify by age, sex, etc.) STUPOR stunned state in which it is difficult to get a response or the attention of the subject SUBCLAVIAN under the collarbone SUBCUTANEOUS under the skin SUPINE lying on the back SUPPORTIVE CARE general medical care aimed at symptoms, not intended to improve or cure underlying disease SYMPTOMATIC having symptoms SYNDROME a condition characterized by a set of symptoms SYSTOLIC top number in blood pressure; pressure during active contraction of the heart
TERATOGENIC capable of causing malformations in a fetus (developing baby still inside the mother’s body) TESTES/TESTICLES male sex glands THROMBOSIS clotting THROMBUS blood clot TID three times a day TITRATION a method for deciding on the strength of a drug or solution; gradually increasing the dose T-LYMPHOCYTES type of white blood cells TOPICAL on the surface TOPICAL ANESTHETIC applied to a certain area of the skin and reducing pain only in the area to which applied TOXICITY side effects or undesirable effects of a drug or treatment TRANSDERMAL through the skin TRANSIENTLY temporarily TRAUMA injury; wound TREADMILL walking machine used to test heart function
UPTAKE absorbing and taking in of a substance by living tissue
VALVULOPLASTY plastic repair of a valve, especially a heart valve VARICES enlarged veins VASOSPASM narrowing of the blood vessels VECTOR a carrier that can transmit disease-causing microorganisms (germs and viruses) VENIPUNCTURE needle stick, blood draw, entering the skin with a needle VERTICAL TRANSMISSION spread of disease
WBC white blood cell
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VIDEO
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2023-04-10. Assent Form Ages 7-14. 2023-06-27. Consent Addendum for Unencrypted Communication. 2020-10-26. Information or Fact Sheet. 2023-04-10. The following documents are samples. IRBIS does NOT generate these documents with application-specific information.
A collection of informed consent, assent, and debriefing templates that can be used for your human participant research study. General Consent Form Templates Social and Behavioral Research Projects (last updated 03/16/2023)
se this template if your research is NOT. derally-sponsore. A. D participants are adults.Avoid Common Problems with Consent Forms. Read these tips!1. ustomize this template to reflect the specifics of your study and participan. population.Text in [brackets] represents study-specific information that must be added.A ba.
Sample Informed Consent Form - ©NCPI. The following is a sample consent form for a research project. It is a research project on faculty life on campus, carried out by the principle investigator (PI) of this project from the fake-named Century University. The interviewer (the investigator) should have the interviewee read this form carefully ...
The forms should be provided to participants in addition to the main study consent form. The language in these forms can also be adapted and added to consent forms for studies in which COVID-19 screening and testing procedures are being done for study purposes, i.e., the results of the screening and/or testing will be used as study data. To do ...
Sample consent and permission forms. General consent form to participate in research (DOC) Two stage project consent form (DOC) Parent permission form for research with child (DOC) Child assent form (DOC) Multiple consent form including audio-recording and quotations (DOC) Photo and video consent form (DOC)
Consent Template Exempt Research This consent form is an example, designed specifically for Exempt survey research and is provided purely as a service by the IRB. The IRB does not review or approve the content of exempt consent forms. The consent form should not include any mention of IRB approval and it should not include the standard IRB ...
The UW IRB provides the UW research community with a variety of consent templates that align with regulatory and policy requirements and best practices as described in our main Consent guidance and guidance on Designing the Consent Process. The first two templates, marked with an asterisk, are the templates most non-exempt studies will choose from.
Sample Consent Forms. These consent forms were used in various NIH-funded research projects and have been approved by the relevant local IRBs. These completed forms are meant to complement the sample language found in the other sections. They are not provided as guidance or templates promoted by NHGRI, but as references to inform investigators ...
Include the project title on all pages of the consent form. List the page numbers on all pages of the consent form in the standard format: Page 1. Delete all colored text from the final copy of your form. The colored text is for explanation purposes only. Make sure that the form matches the descriptions in the protocol and vice versa.
A statement that this is a Bucknell University research project. 2. An explanation of the purposes of the research. 3. A detailed description of the procedures to be followed. ... Example Consent Forms Some examples involving different types of studies are provided below. ese are meant to serve as general guides, not strict templates.
The consent form must include their name, title(s), phone number and/or email. Question about participant's rights or research-related injury should be directed to the Institutional Review Board (IRB): Crown Family School of Social Work, Policy, and Practice University of Chicago 969 East 60th Street Chicago, Illinois 60637 Telephone: 773-834 ...
Many of these examples are actual UW IRB approved consent forms designed by UW researchers. Some of the examples were created using one of our consent templates. The use of our template is not required and some of the examples deviate significantly from our templates. We encourages researchers to use the Designing the Consent Process guidance ...
RESEARCH PARTICIPANT CONSENT FORM [insert . title of project - consent form title should match grant/contract title] [insert. Principal Investigator's name] ... See Examples of Informed Consent Text Provided by Institutional Review Boards at U.S. Medical Schools to view examples of commonly used consent form language organized by readability ...
Your specific consent form should include information pertinent to your specific research project, and may need to be considerably different from this sample. The highlighted sections are to be filled in by you.) My name is (name of person doing project), and I am a (student/professor, etc.) at Union College. I am inviting you to participate in ...
Informed Consent Templates in Research. Here is an example of an informed consent template that can be used in research studies: Title of Study: [Insert Title of Study] Investigator (s): [Insert Name (s) of Investigator (s)] Introduction. You are being invited to participate in a research study.
A Consent Form is read by the participant, signed and handed back to the researcher and should include the following features: 1. Use University of Wollongong/AHS letterhead. 2. Provide the title of the research project, the researcher(s) name, supervisor's name (for student research), the Unit in which the researcher is based and the name of ...
How to Write. Step 1 - Download in PDF, Microsoft Word (.docx), or Open Document Text (.odt). Step 2 - The title of the research study being conducted must be included at the top of the consent form. Step 3 - Enter the following information related to the primary researcher in the fields provided: Step 4 - The purpose of the study, the ...
Informed consents should include theBelow is an example of an. ev. ew Board Hofstra University Office of. Research and Sponsored Programs 516-463-50541. Introduction and Purpose of the StudyInclude a brief overview. of the study on a level of understanding for the person who will be signing the form. Remember.
An example of an online informed consent form is posted at the end of this document. Telephone: Typically, these components will be written as the beginning of the "script" and verbal consent will be requested before beginning the telephone survey. A copy of the script must be provided to the IRB. Paper Survey: Typically, these components ...
Researchers must take the steps necessary to ensure that all participants in the research understand the process in which they are to be engaged, including why their participation is necessary, how it will be used, and how and to whom it will be reported so that the prospective participant can make an informed decision about whether they really do want to take part.
If you have questions or are having trouble accessing these forms, please contact IRB Education ( email or call 650-724-7141). The consent/assent form should be in a language that is understandable to someone without a medical or scientific background. Please use the Microsoft Readability Statistics tool as needed when writing your consent form.
1. Personal data and a practical guide to the Sikt notification form. Time: 12:30 - 13:30; Facilitator: Lisa Nordick, Senior advisor and data protection officer at HF; Research projects can encounter personal data in many contexts, for example through interviews, questionnaires, social media posts or restricted archival materials.
Human Subjects Office / IRB Hardin Library, Suite 105A 600 Newton Rd Iowa City, IA 52242-1098. Voice: 319-335-6564 Fax: 319-335-7310
A Consent Form is read by the participant, signed and handed back to the researcher and should include the following features: 1. Use University of Wollongong/AHS letterhead. 2. Provide the title of the research project, the researcher(s) name, supervisor's name (for student research), the Unit in which the researcher is based and the name of ...