image 1Office of Sponsored Programs

Institutional Review Board (IRB) Templates and Policy

Since there have been several requests for assistance in writing informed consent and debriefing documents, the committee has prepared the following templates for your use.
Consent Template (DOC 32KB)
Sample Debriefing Form (DOC 25KB)
Sample Child Assent (DOC 25KB)


IRB Suggested Procedure for Anonymous Surveys
Subjects are recruited through advertisements, announcements, etc. without coercion. Professors, coaches, or other individuals having direct supervision of the intended audience may announce the opportunity but can not be the contact person for recruitment. Surveys can not be distributed, supervised, or collected by an individual with direct supervisory capacity over the participant.

An IRB approved informed consent is read to the participants in a group setting and the informed consent is contained on the survey. If a survey is truly anonymous, there should be no opportunity for participant to sign an informed consent or identify themselves in any way on the survey or associated forms. Implied consent is obtained by completing the survey. If a prospective participant does not complete the survey, it indicates that he/she did not consent. The consent is only obtained by completing the survey.

All surveys should be distributed and returned in a blank envelope.  This negates any knowledge of whether a prospective participant has participated or not. 

Participants are supplied with a writing implement. It is at the discretion of the prospective participant to complete the survey or to merely place a blank or partially complete survey into the provided envelope.

Envelopes will be placed in a container by the prospective participant.



---
Contact
For additional information, please contact:

Dr. Michael Breton
Social Work Building, Room 121
p - 516.877.3655
f - 516.877.3297
e - breton@adelphi.edu

Dr. Mary Cortina
Social Work Building, Room 119
p - 516.877.3259
f - 516.877.3297
e - cortina@adelphi.edu

Virginia Bruchhauser
Social Work Building, Room 116
p - 516.877.3161
f - 516.877.3297
e - bruchhau@adelphi.edu

This page last modified on February 13, 2008.
---
^ Back to Top of Page