The Florida Institute of Technology, hereinafter known as the
"institution", hereby gives assurance that it will comply with the
Department of Health and Human Services (HHS) Regulations for the
Protection of Human Research Subjects (45 CFR 46, as amended) as specified
below.
These exemptions shall not apply to research involving prisoners, fetuses, pregnant women, or human in vitro fertilization.
Research activities involving no more than minimal risk and in which the only involvement of human will be in one or more of the following categories (carried out through standard methods) may be reviewed by the Institutional Review Board through the expedited review procedure authorized in Section 46.110 of 45 CFR Part 46.
The Institutional Review Board (IRB) for Florida Institute of Technology will be appointed by the President upon the recommendation by the Vice President for Research. The VPR will serve as a non-voting ex officio member of the IRB.
The IRB must have at least five (5) members. The members must be drawn from varying backgrounds of race, gender, profession, and cultural backgrounds in order to promote complete and adequate review of research involving human subjects. In the event th at the IRB were to regularly review research that involves a vulnerable category of subjects, such as children, prisoners, pregnant women, or handicapped or mentally disabled persons, the IRB will consider whether to include one or more individuals who ar e knowledgeable and experienced with regard to such subjects.
The IRB membership may not be all of one gender nor of one profession. The IRB membership will include at least one member whose primary concerns are in scientific areas and one member whose primary concerns are in non-scientific areas. The IRB members hip must include at least one member who is not affiliated in any way with Florida Tech and who is also not part of the immediate family of a person who is affiliated with Florida Tech.
The IRB may, at its discretion, invite individuals with competence in special areas to assist in the review of specific issues that are judged by the IRB to be beyond or in addition to its expertise. These individuals may not vote on IRB determinations. No member of the IRB may be a participant in the review of any project in which the member has a conflicting interest, except to provide information requested by the IRB.
Members:
The main purpose of the informed consent process is to ensure that prospective research subjects are presented, in understandable language, the information that might influence the decision of giving or withholding consent to participate in a particular research project. Another requirement of the consent process is that the subject exercises free choice and is not subject to coercion or excessive inducement. The descriptions of informed consent and its documentation, including conditions under which the process may be waived are contained in 45 CFR 46 Sections 116 and 117. An appropriate informed consent process and consent form would include:
Other considerations in obtaining informed consent may be appropriate in certain cases, for example, when an experimental treatment is involved, when the true purpose of the research cannot be divulged to the participants, or when the research involves children or prisoners.
The consent form may not include any language that releases, or appears to release, the investigator or his/her institution from liability, or that waives, or appears to waive any of the subject's legal rights.
A copy of the consent form must be given to the person signing the form.
We are seeking your participation in a research project involving a study of the burden born by persons providing home care to victims of Alzheimer's disease. It is our understanding that you have provided the primary home care to an Alzheimer's disease patient, either a spouse or a parent or parent-in-law, for at least one year. This study will involve about 50 persons who, like yourself, provide such care.
If you agree to participate you will be interviewed about the care you provide to the Alzheimer's patient and about your feelings toward him or her. The interview will take approximately one hour. Your participation will not subject you to any physical pain or risk, but, because some of the interview questions seek to solicit very personal information, you may be subject to some stress or embarrassment. Your name will not be recorded on the interview sheet. You will be assigned an anonymous code number and your replies will be known to, at most, two persons, the interviewer and ____________, the director of this study. We assure you that any reports about this research will contain only data of an anonymous or statistical nature. Your name and that of the AIzheimer's patient will not be used.
The goal of this research is to determine what physical and psychological burdens are borne by those who provide home care for Alzheimer's patients. It is hoped that this research can be used by Alzheimer's support groups and the medical community to ease these burdens. We cannot promise that your participation in this study will be of any direct benefit to you. You may find some therapeutic value in discussing the problems you encounter in caring for the Alzheimer's patient. You will receive no monetary compensation for participating in this study.
We are planning a follow-up study which would begin in about one year and you may be asked at that time to agree to another interview. However, participation in the present study in no way obligates you to participate in the follow-up study.
Any questions you have regarding this research may be directed to the interviewer or ____________ at ____________. Information involving the conduct and review of research involving humans may be obtained from the Chairman of the Institutional Review Board of the Florida Institute of Technology, ____________ at 768-8000 ext. ____________.
Your signature below indicates that you agree to participate in this research and that:
| ____________________________________________ | ____________________ |
| Participant | Date |
I have explained and defined in detail the research procedures in which the subject has consented to participate. | |
____________________________________________ | ____________________ |
| Interviewer | Date |