ELIGIBILITY TO PARTICIPATE
DESCRIPTION OF STUDY PROCEDURES
Explain ALL procedures that subjects will be asked to take part in during the research, where these procedures may take place (e.g. study clinic, classroom, via zoom, etc.), and the expected time duration for each procedure. Further formatting and editing will likely be needed in the document you download. See additional directions below.
Use layperson’s terminology; avoid scientific or research jargon and acronyms.
Avoid using technical wording copied/pasted directly from the IRB application or grant proposals.
The description should be clear and easy to follow. The use of bullet points, tables, section headings, numbered steps, etc., is encouraged if it helps with readability.
For surveys, interviews, focus groups, include a description of the types/nature of questions subjects will be asked or the topics to be addressed.
If groups of participants may complete different procedures and the procedures will be assigned/determined after obtaining consent, then describe each of the procedures that participants may complete and the mechanism for determining which they will complete (e.g., randomization).
If participants or their actions will be recorded (audio, video, screen capture, etc.) this must be described, including whether participants are required to allow the recording in order to participate or whether the recording is optional.
Including photographs of equipment to be used or other visual aids to help promote understanding is encouraged.
If applicable, describe procedures that may occur over multiple days/sessions.
Include all active and passive study procedures, including requesting consent to access records or to collect information about them from a third-party. If the study involves the ongoing, passive collection of data (e.g., via browser plug-ins), then describe the procedures for subjects to stop the researchers from collecting this information, e.g., uninstalling plug-in, contacting the researchers.
E.g., “If you agree to participate, you will be asked to complete a survey that should take approximately 30 minutes. The survey will ask demographic questions (e.g., age, gender) and about your feelings regarding riding the subway.”
RISKS OR DISCOMFORTS
List all reasonably foreseeable physical, informational, emotional, psychological, legal, and privacy concerns, and, if applicable, the degree and likelihood of each. Use numbering or points to separate each type of risk
BENEFITS
Describe how the information gained in this study will help society, advance knowledge, etc.
If there are reasonably foreseeable direct benefits to participants, then describe them. (Leave blank otherwise)
COMPENSATION
VOLUNTARY PARTICIPATION
If applicable to your study, complete the following (DO NOT include if they’re not applicable):
Describe early withdrawal procedures:
'If you withdraw from the study early, '
'We may end your participation in the study if '
PRIVACY & DATA CONFIDENTIALITY
YOU MUST MAKE A SELECTION FOR EACH SECTION
Please select the most appropriate choice from the following:
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No identifiable information will be linked with the research data
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Identifiable information will be recorded/linked with research data AND all participants’ identities will remain confidential
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Identifiable information will be recorded/linked with research data AND participants’ will be asked if they wish for their identities to remain confidential. (Signed consent should be used to document participants’ agreement to not remain confidential).
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Identifiable information will be recorded/linked with research data AND participants’ identities will not remain confidential. (Signed consent should be used to document participants’ agreement to not remain confidential).
Future Use of Data (choose one):
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Study data, even if de-identified, will be used only for this study and will not be used for future research, shared with other researchers, or placed in a data repository. (This option should be used in very rare circumstances. In general, researchers are expected to make de-identified data available to others or for future research or to at least ask participants if they are willing to share their data, even if the researchers have no current intent to do so)
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Study data may be used for future research, shared with other researchers, or placed in a data repository and participants must agree to this in order to participate in the study. (Note that this is the most common option used for most research studies).
Check if applicable: Only de-identified data will be shared.
(Do not use this option for studies in which participants may directly benefit from the research. Participants that do not wish for their data to be shared or used for future research must be allowed to participate in a study that involves the possibility of direct benefits)
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Study data may be used for future research, shared with other researchers, or placed in a data repository and participants will be able to agree or disagree to this, but they won’t be able to agree to whether the data will be de-identified or not. Select this option if you intend to only share de-identified data.
Check if applicable: Only de-identified data will be shared.
We will not ask for your additional permission before sharing this information. Participants will be able to choose to give permission.
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Study data may be used for future research, shared with other researchers, or placed in a data repository and participants will be able to agree or disagree to this and to whether the data shared will be identifiable or not.
Notes:
ACCESS TO YOUR STUDY INFORMATION
CONTACT INFORMATION
Researcher or research group’s name.
For a student project, the faculty sponsor’s or research group’s name and contact information MUST be included below.
AGREEMENT TO PARTICIPATE
This Consent Form Generator is designed to help NYU investigators prepare a draft consent form for their NYU Cayuse HE (Human Ethics) applications.
The generator will create the consent form according to the HRPP consent form template. It is not intended to be used with studies evaluating the safety or effectiveness of an intervention or treatment (e.g., clinical trials, RCTs).
Where appropriate, examples of the types of information needed have been provided.
Language for Parental Permission and Child Assent are different and not provided by the consent form generator.
Please remember to:
- Use of language understandable to the targeted population of research participants. Avoid jargon, technical language, acronyms or discipline-specific terms.
- Check that what is described in the IRB protocol matches the information in the consent form (e.g., compensation amount described in protocol matches consent form).