№ lp_2_1_03934
File format: docx
Character count: 4513
File size: 26 KB
Year:
2020
Region / City:
New Zealand
Topic:
Telepsychology
Document Type:
Checklist
Organization / Institution:
New Zealand Psychological Society
Author:
Brian Dixon (Director, Scientific Issues, New Zealand Psychological Society)
Target Audience:
Psychologists providing remote psychological services
Period of Validity:
Not specified
Date of Approval:
Not specified
Date of Changes:
Not specified
Context:
Guide for psychologists on how to provide remote psychological services, including considerations for technology, client suitability, and session preparation.
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Note:
Study Summary 1.1 Please provide a brief summary of the study in the table below. A complete description of the study with detailed information should be provided in the body of the protocol. For sections not applicable to the study, mark them as N/A. Study Title Study Design Primary Objective/Purpose Secondary Objective(s)/Purposes Research Intervention(s) ClinicalTrials.gov NCT # Study Population Sample Size Study Duration for individual subjects Study Specific Abbreviations/ Definitions
Background 3.1 Provide the scientific or scholarly background for, rationale for, and significance of the research based on the existing literature and how will it add to existing knowledge. :
this section should be limited to only information directly related to the research questions and objectives. Do not include your full dissertation proposal. 3.2 Describe any relevant preliminary data (e.g. pilot data).
Procedures Involved 5.1 Describe and explain the study design. 5.2 Please select the methods that will be employed in this study (select all that apply):
☐ Audio/Video Recording ☐ Psychophysiological Recording ☐ Behavioral Interventions ☐ Record Review - Educational ☐ Behavioral Observations and Experimentations ☐ Record Review - Employee ☐ Deception ☐ Record Review- Medical ☐ Focus Groups ☐ Record Review - Other ☐ Interviews ☐ Specimen Collection or Analysis ☐ Investigational Medical Device – (e.g. Medical Mobile Applications) ☐ Surveys and/or Questionnaires ☐Psychometric Testing ☐ Other Social-Behavioral Procedures Provide a description of all research procedures being performed and when they are performed. (Upload any surveys, questionnaires, interview scripts, focus group scripts, debriefing scripts, psychometric tests, stimulus materials, intervention manuals, and data collection forms on the Local Site Documents page in the IRB application.) 5.3 Describe the procedures or interventions that are going to be conducted as part of the research project, but that would have been conducted anyway, even if the research was not occurring (i.e. standard of care procedures, activities that would occur in a classroom). 5.4 Describe the procedures performed to lessen the probability or magnitude of risks of items selected in 5.2.5. 5 If accessing or collecting existing data, describe: The data that will be collected during the study (e.g. demographics, medical history, etc.). Attach the data capture sheet(s) on the Local Site Documents page in the IRB application. How the data will be obtained, including how you have the authority to access the data. The source or location of the data (e.g. USF Epic, TGH Epic, Hillsborough County School records, CANVAS records, publicly available databases, etc.). 5.6 If collecting and/or analyzing biological specimens, describe: How the biological specimens will be or have been collected. How the biological specimens will be stored. How long the biological specimens will be stored. How the biological specimens will be used. The laboratories that will be used. Whether the collected biological specimens will undergo genetic testing. If so, indicate if this study is part of a Genome Wide Association Study (GWAS) and whether the data will be forwarded to the NIH dbGaP. 5.7 If there are plans for long-term follow-up (once all research related procedures are complete), what data will be collected during this period.
Data and Specimen Storage for Future Research 6.1 If data or specimens will be banked for future research studies, describe where the data or specimens will be stored, how long it/they will b:
the process to request a release, approvals required for release, who can obtain data or specimens, and the data to be provided with specimens.
Note:
Year
Organization / Institution:
University of Southern California
Year:
2023
Clinical setting:
Telephone triage / Telephone consultation / Out of hours
Assessor’s email:
[Email]
Type of call:
Telephone triage / Telephone consultation / Out of hours
Assessor declaration:
I confirm that I have received appropriate training to complete this assessment form and that I am a consultant or a hospital doctor ST4 or above (or SAS equivalent) Yes
Title:
[Title of the Case]
Brief description of case:
[Up to 150 words]
Level of Complexity:
Low / Medium / High
Clinical experience groups covered by event:
[Choose maximum 2]
Grading:
[Performance levels for trainee competence in consultation tasks]
Assessment of performance:
[Overall competence rating based on observation]
Date of observation:
[Date]
Location:
[Location or Clinical Setting]
End of document:
[Confirmation and action plan for further development]
Year:
2021
Region / City:
United States
Theme:
Health plan enrollee experience survey
Document Type:
Survey script
Organization / Institution:
QHP Issuer
Author:
Not specified
Target Audience:
QHP enrollees
Period of Action:
July through December 2020
Approval Date:
Not specified
Modification Date:
Not specified
Year:
Not specified
Region / City:
Not specified
Subject:
Education, Curriculum and Instruction
Document Type:
Academic Program
Author:
Not specified
Target Audience:
Students of Ed.D. program
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Context:
An academic program outline detailing the courses, requirements, and residency activities for students pursuing a Doctorate in Education with a concentration in Curriculum and Instruction.
Year:
20XX
Region / City:
Washington, D.C.
Topic:
Agricultural Survey
Document Type:
Survey Form
Organization:
U.S. Department of Agriculture
Author:
National Agricultural Statistics Service (NASS)
Target Audience:
Farm operators, ranchers, and survey respondents
Effective Period:
20XX
Approval Date:
Not specified
Revision Date:
Not specified
Year:
2019
Region / City:
Humboldt County, California
Subject:
Jail Management System, Inmate Telephone System, and Associated Services
Document Type:
Request for Proposal
Target Audience:
Bidders, Vendors, Service Providers
Effective Period:
July 22, 2019
Approval Date:
May 20, 2019
Date of Modifications:
N/A
Year:
2020
Region / City:
United States
Topic:
Public services, automation
Document Type:
Report
Agency / Institution:
Social Security Administration (SSA)
Author:
Social Security Administration (SSA)
Target Audience:
General public, SSA service recipients
Period of Effectiveness:
End of September 2020
Approval Date:
N/A
Change Date:
N/A
Contextual Description:
Report outlining the justification for the implementation of a new telephone service to assist SSA recipients in updating their information, as part of SSA’s Digital Transformation Plan.
Year:
2018
Region / City:
West Virginia
Topic:
Telecommunications, Emergency Services, Wireless Communication
Document Type:
Legislative Rule
Authority:
Public Service Commission of West Virginia
Target Audience:
Telecommunications carriers, Emergency services providers
Effective Date:
December 3, 2018
Approval Date:
November 1, 2018
Amendment Date:
N/A
Study Title:
___________________________
Note:
Year
Updated:
05-08-2025
Jurisdiction:
California, USA
Applicable Entities:
All telephone corporations with operating authority under Pub. Utilities Code Sections 1001 and 1013 or CD Director approval
Exempt Entities:
Carriers of Last Resort (COLR), URF and GRC ILECs, Cox Communications as COLR
Bond Amount:
$25,000
Bond Type:
Continuous performance bond
Filing Requirements:
Initial filing via Advice Letter – Tier 1 within 30 days of operating authority; annual filing by March 31
Legal References:
Decisions D.10-09-017, D.11-09-026, D.13-05-035, D.24-11-003
Penalties:
$1,000 for noncompliance, with $200 increase for second citation
Contact:
[email protected]
Source Type:
Regulatory FAQ document
Year:
2025
Region / City:
Louisville, KY
Subject:
Telephone Directory
Document Type:
Directory
Institution:
Simmons College of Kentucky
Author:
Not specified
Target Audience:
Staff and Faculty
Effective Date:
01/31/25
Date of Revision:
Not specified
Year:
2022
Region / City:
Florida
Theme:
Law
Document Type:
Legal Text
Agency / Organization:
State of Florida
Author:
Florida Legislature
Target Audience:
Legal Professionals, Judges
Effective Date:
October 1, 2022
Approval Date:
December 21, 2022
Date of Amendments:
November 2022
Note:
Year
Document type:
Referral Form
Institution:
Croydon University Hospital
Target Audience:
Medical professionals, general practitioners, and healthcare providers
Priority:
2WW
Specialty:
2WW
Clinic type:
2WW Lower GI
Service name:
2WW FIT Negative Significant Concerns Telephone Assessment (LGI)
Referral Timeline:
24 hours
Year:
2023
Region / city:
United Kingdom
Subject:
Psychological wellbeing, mental health training, NHS Talking Therapies
Document Type:
Curriculum
Organization / Institution:
NHS
Author:
NHS
Target Audience:
Trainees, mental health professionals, educators
Period of Validity:
Not specified
Approval Date:
July 2022
Date of Revisions:
April 2023
Year:
2023
Note:
Region / City
Theme:
Sports Psychology, Injury Rehabilitation, Soccer
Document Type:
Research Article
Target Audience:
Sports Psychologists, Coaches, Soccer Players, Rehabilitation Specialists
Keywords:
Social support, re-injury anxiety, soccer, return to sport, rehabilitation
Year:
2025
Region / city:
Manchester
Subject:
Primary Mental Health Care, Psychological Wellbeing Practitioners
Document Type:
Handbook
Organization:
University of Manchester
Author:
PWP Teaching Team
Target Audience:
Supervisors of Trainee Psychological Wellbeing Practitioners
Period of validity:
Until next update
Approval Date:
September 2025
Date of modifications:
N/A
Document type:
Psychological report section
Purpose:
Application to SPED school offering National Curriculum for students with Autism Spectrum Disorder
Target population:
Children with Autism Spectrum Disorder
Intended users:
Registered Educational or Clinical psychologists
Governing body reference:
Ministry of Education, Singapore
Professional guidelines referenced:
Professional Practice Guidelines for the Psycho-educational Assessment & Placement of Students with Special Educational Needs (2018)
Clinical guidelines referenced:
Clinical Practice Guidelines on Autism Spectrum Disorder in Children and Adolescents (2023)
Jurisdiction:
Singapore
Assessment instruments referenced:
Singapore Ability Scales
Validity period of assessment:
Within 2 years from date of application
Educational context:
Special Education (SPED)
Content scope:
Psycho-educational assessment, diagnosis, developmental, educational, intervention, and medical history
Authorship requirements:
Psychologists listed in the Singapore Register of Psychologists