Minot State University Institutional Review Board ANNUAL UPDATE/REVISION/PROJECT COMPLETION REPORT

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Minot State University Institutional Review Board ANNUAL UPDATE/REVISION/PROJECT COMPLETION REPORT Annual Updates, Revisions, or Project Completion/Termination Reports should by typed on no more than two pages, attached to this form, and returned to the IRB Chairperson. They should include: 1) The number of subjects initiated into the research project 2) A description of subjects' benefits, adverse reactions, withdrawals from the research, etc. 3) The results of the research thus far 4) A current assessment of the risks and benefits based on study results 5) Any new information or changes that might impact IRB approval 6) A copy of the consent form See the reverse side for university policy regarding annual updates and project completion reports. *********************************************************************** Please Complete the following: This is an annual report revision (or) project has been completed/abandoned Investigator's name Dept. Mailing Address Phone Project Title I certify that the attached report is an accurate description of the current status of my project. For IRB Office Use: Protocol # Investigator's Signature Date Date received Approved Not approved Comments: IRB Chair signature Date revised 2/4/2004

MSU Policy for Annual Updates, Revisions, and Project Completion Reports Federal regulations covering human subject research state: "An IRB shall conduct continuing review of research covered by these regulations at intervals appropriate to the degree of risk, but not less than once per year..." Therefore, any project that will not be completed within 12 months of the original IRB approval date must undergo an annual IRB status review by the first anniversary of the original IRB approval date in order to receive IRB approval for a second year or portion thereof. If an annual update for an IRB-approved project is not received in the IRB office by the first anniversary of the original approval date, the IRB office will notify the investigator in writing that IRB approval of his/her project has been terminated. All work on the project must cease immediately and may not resume until an annual update has been received and approved by the IRB. Annual reports are reviewed by the full board at the next regularly scheduled IRB meeting following their receipt. Review may consist of an oral or written summary of the report presented to the board by either the Chair or the Vice Chair. In certain cases, the investigator may be asked to be present during the review of his/her annual report. Research work may continue on a project during the review period unless information contained in the annual report indicates possible increased risk to subjects, in which case, the IRB Office will request that the research be suspended until the project has been reviewed by the full board. Approval of an annual update by the IRB is for the next twelve month period, ending on the day of the month of original IRB project approval. At that time, another annual report is due if the project will continue beyond that date. A reminder for an annual update is mailed from the IRB Office to an investigator two months prior to the anniversary date of his/her project; a second reminder is mailed one month prior to the anniversary date of the project. For projects with annual updates due during July, August, or September, the first reminder will be sent to the investigator in the month of May; the second reminder will be sent one month before the project anniversary date. As soon as the research is completed or terminated, the investigator should submit a Project Completion Report, so that the project files can be transferred to inactive status. Federal regulations require that the IRB Office maintain these files for three years after termination of the project. Projects certified by the IRB Office as qualifying for exempt status are not subject to annual reporting requirements. Please remember that IRB approval must be obtained for any changes to protocol or consent forms prior to initiating such changes. Injuries, adverse side effects, or other unanticipated problems encountered by research subjects must be reported to the IRB Chairperson in writing by the investigator as soon as they occur. Contact the IRB Chairperson or the IRB website for forms and instructions to request IRB approval for changes in protocol or consent forms and for reporting injuries or other unexpected events. This policy covers both exempt and non-exempt projects. Any new information or changes related to the project that might impact IRB approval must be included in the Annual Update, Revision, or Project Completion Report. This includes items previously reported throughout the course of the year (see previous paragraph), as well as those not yet reported to the IRB.

IRB Proposal Checklist for All Proposals In addition to filling out one of the IRB forms (i.e. exempt, expedited review, full board review) please provide the following information so that the Committee can obtain a good sense of your proposed research and review the proposal in a timely fashion. Please Note: Depending on the status that you have applied for the outline may be brief or detailed. I. IRB Form (front & back sides) must be completely filled out or it will be returned without review. II. Introduction: A. Purpose of Research/Research Questions B. Brief Literature Review (no more than 2 pages) III. Research Methods: A. Sample/Technique 1. How will the researcher gain access to the population? (sample technique) 2. Who is the population? (for example: age, race, gender, etc.) B. Data Collection Instruments (surveys, questionnaires) 1. Provide a copy of the instrument and how you will use it to collect your data Note: Field Observations: If this is part of the data collection-describe how this will be done and if the participants are aware of being observed (i.e. are the participants in a public or private setting?) SEE NEXT PAGE FOR HUMAN PROTECTION ISSUES

IV. Human Protection Issues (if any): 1. Confidentiality (how will this be assured?) 2. Where will the researcher keep the raw data? 3. Voluntary Participation- the subject can withdraw at any time by stating, I no longer want to continue. Should be stated in the written consent form. 4. Informed Consent- (see page 6) Examples of informed consent should be provided in your IRB proposal in appendix. Include IRB Chairperson contact information: Dr. Margi Coxwell, IRB Chair, 701-858-3125 Informed consent should include: Description of project Potential Benefits/Risks to participants How information will be used, secured, and how long the data will be kept before destroying it The research process-what the participants can expect step by step (including tape recording or video recording) Confidentiality/Anonymity Voluntary-participants may withdraw at anytime 5. Additional Information on Informed Consent: Depending on the nature of the study, it may be necessary to obtain written/signed consent from the agency and guardian(s) where you are accessing the participants that indicate their agreement and understanding that the study is being conducted. Examples of additional informed consents: 1. School age children- permission from the principal, school superintendent, parents, and any other individual that has a legal interest in the child. *Research being conducted in the Minot School District requires permission from both the school principal and the assistant superintendent. 2. Inmates- permission from prison warden, director of corrections, and inmates 3. Adults who are developmentally disabled-permission from the director of the workshop, half-way house, and legal

guardian/advocate (if applicable) 6. Qualifications of the Researcher: Does the researcher have experience in working with the population? Provide a brief vita or resume Note: If the researcher is a student who will be supervising student? 7. Changes in Protocol and/or Consent Forms Researches are responsible for notifying the IRB Chairperson of any substantive changes in research protocol or consent forms. Provide a copy of the changed consent forms and/or a letter explaining the research changes. This must occur 14 days prior to implementation EXCEPTION: A protocol may be changed without prior IRB approval where necessary to eliminate apparent immediate hazards to subjects. However, the IRB Chairperson must be notified in writing of any such changes within 72 hours. Researches are also responsible for notifying the IRB of any injuries or unanticipated problems involving risks to subjects within 72 hours in writing to the IRB Chairperson at Minot State University. 8. Annual Reports-(attached to packet): A brief report for on-going research projects (longer than 1 year) is required.

INFORMED CONSENT REQUIREMENTS /CRITERIA FOR DIFFERENT STATUSES OF RESEARCH PROJECTS Note: The criteria below constitute general guidelines in that they are meant to cover different statuses of research projects (full board, exempt, expedited). The criteria for specific research projects may be described in more detail or less detail, depending on the nature of your particular project. The following are the minimum required elements of informed consent. Investigators are free to include additional information at their discretion. The U. S. Code of Federal Regulations governing research on human subjects (45 CFR 46.116) states that, "... no investigator may involve a human being as a subject in research covered by these regulations unless the investigator has obtained the legally effective informed consent of the subject or the subject's legally authorized representative. An investigator shall seek such consent only under circumstances that provide the prospective subject or the representative sufficient opportunity to consider whether or not to participate and that minimize the possibility of coercion or undue influence. The information that is given to the subject or the representative shall be in language understandable to the subject or the representative. No informed consent, whether oral or written, may include any exculpatory language through which the subject or the representative is made to waive or appear to waive any of the subject's legal rights, or releases or appears to release the investigator, the sponsor, the institution or its agents from liability for negligence." I. Types of Projects to Which Informed Consent Applies. Unless the IRB issues a specific waiver, the written informed consent of subjects is required for ALL research projects except those projects that qualify for certification of exempt status. Written informed consent of subjects may also be required in some projects that otherwise qualify for exempt status. II. Minimum Required Elements of Informed Consent. The following information must be communicated in writing to all research subjects or respondents before they agree to participate in a research project which involves human beings as subjects. The information may be incorporated into a cover letter or information sheet to be distributed with a questionnaire or other survey instrument. The IRB Office may, in certain cases, require that an investigator develop a consent form to be signed by each research subject. Additional elements of informed consent may be required by the IRB Office for some projects. 1. A statement identifying yourself and your affiliation with Minot State University; 2. An invitation to participate in the study as part of a research project; 3. An explanation of the purposes of the research, the expected length of time of the subject's involvement, a description of the procedures to be followed, and identification of any procedures which are experimental in nature; 4. A description of any benefits to the subject or others which may reasonably be expected from the research;

5. A description of compensation for participation (money, extra course credit, etc.), if any; 6. A statement describing the subject's anonymity or the extent to which confidentiality of records identifying the subject will be maintained; 7. The names, addresses, and phone numbers of the people to 8. An assurance that participation is voluntary and that the subject may withdraw from participation at any time. Suggestion: give a copy of your informed consent statement to each subject to keep for their information. III. Additional Provisions. A. Oral Consent Under special circumstances, the IRB may approve an oral consent document that states that the elements of informed consent have been presented orally to the subject or the subject's legally authorized representative. The oral consent document must include: the reason the investigator had to use the oral form, the date of the communication of consent requirements to the subject(s), information about whether the communication was in person or over the telephone, Any possible questions or comments from the subject(s) raised during the communication. B. Waiver of Elements of Informed Consent There may also be some circumstances (e.g. a very unique, unprecedented nature of the project) under which the IRB may approve a consent procedure which does not include, or which alters, some or all of the elements of informed consent. The investigator must justify in writing any request to waive the elements of informed consent. C. Informed Consent for Minors When research subjects are under the age of 18, the written consent of one or both parents is required for projects for expedited or full board review, and for some projects that otherwise would qualify for exempt review. D. Storage of Informed Consent Forms Signed copies of informed consent forms must be maintained by the principal investigator and be stored in a secure manner. Unless otherwise specified by federal and/or state regulations, retention of the signed consent forms is for a period of at least three years beyond the termination of the study. If the investigator resigns or graduates from Minot State University before the end of the designated period, the informed consent forms must be maintained by the department of record, unless otherwise specified.