№ lp_1_2_12780
File format: docx
Character count: 2516
File size: 19 KB
A telephone script used to obtain verbal informed consent from potential participants for a study being conducted by The Aga Khan University.
Study Title:
___________________________
Note:
Year
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2020
Region / City:
United States
Subject:
Eligibility Documentation for WIOA Title I-B Programs
Document Type:
Policy Change
Agency / Institution:
Department of Labor (DOL)
Author:
Not specified
Target Audience:
Case Managers, LWDBs, Service Providers
Effective Date:
March 23, 2020
Expiration Date:
June 30, 2024
Date of Approval:
Not specified
Date of Amendments:
December 3, 2021
Year:
2008
Region / City:
Not specified
Subject:
Autism, language delays, developmental disabilities
Document type:
Assessment tool, curriculum guide
Organization:
Not specified
Author:
Mark Sundberg
Target Audience:
Behaviour analysts, speech-language pathologists, school psychologists, special educators
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2024
Region / city:
Australia
Topic:
Telehealth services, Medicare, benefit assignment
Document type:
Policy/Guidance
Agency / institution:
Services Australia
Author:
Australian Government
Target audience:
Healthcare providers
Period of validity:
Ongoing
Approval date:
4 July 2024
Date of amendments:
N/A
Effective Date:
March 23, 2020
Expiration Date:
June 30, 2024
Note:
Minimum Requirements for Documenting Eligibility for WIOA Title I-B Programs
Period of Effectiveness:
March 23, 2020 – June 30, 2024
Year:
2023
Region / City:
Australia
Subject:
Telehealth services, Medicare
Document Type:
Government guidance
Organization / Institution:
Services Australia
Author:
Unknown
Target Audience:
Health professionals, Providers
Period of Validity:
Ongoing
Approval Date:
27 October 2023
Date of Changes:
27 October 2023
Document type:
Participant information sheet
Consent type:
Verbal consent
Research context:
Academic research
Ethics review:
Faculty Research Ethics Committee
Intended use:
Supporting documentation for ethical review and approval
Applicable legislation:
General Data Protection Regulation
Data considerations:
Personal data and special category data
Research methods:
Brief interviews, observation, ethnographic methods
Institution referenced:
De Montfort University
Target audience:
Research participants
Status:
Template with researcher-completed sections
Contextual description:
Ethical guidance document outlining requirements and procedures for informing research participants and documenting verbal consent in academic studies involving brief interviews and related qualitative methods.
Year:
[Date]
Region / City:
Liberty University
Topic:
Research Participant Recruitment
Document Type:
Recruitment Template
Organization / Institution:
Liberty University
Author:
[Not provided]
Target Audience:
Potential research participants
Period of Action:
[Not provided]
Approval Date:
[Not provided]
Modification Date:
[Not provided]
Type of document:
Institutional research guideline
Subject:
Verbal informed consent procedure
Applicable to:
Minimal risk research
Reviewing body:
Institutional Review Board (IRB)
Institution mentioned:
Governors State University
Content elements:
Consent requirements, participant protections, sample scripts
Consent format:
Verbal consent in lieu of written consent
Required components:
Research description, procedures, duration, confidentiality, investigator contact information
Associated materials:
Written invitation, information sheet, verbal consent script
Year:
2021
Title:
Goals Related to Verbal Imitation Chart
Organization:
J Benner Resource
Author:
L Mize
Topic:
Verbal imitation and communication development
Document Type:
Educational resource
Target Population:
Children
Setting:
Naturalistic and play-based activities
Focus Areas:
Object actions, whole-body actions, communicative gestures, facial nonverbal actions, vocalizations, exclamatory words, automatic speech tasks, functional words, functional phrases
Performance Criteria:
3/5 and 5/6 opportunities with minimal cues
Communication Partners:
Variety of communication partners and settings
Version Date:
9/12/2023
Year:
2023
Region / City:
Emory, CHOA
Topic:
HIPAA, IIHI, Confidentiality
Document Type:
Consent form
Organization / Institution:
Emory Healthcare, Children’s Healthcare of Atlanta
Author:
Not specified
Target Audience:
Individuals participating in research
Period of Validity:
Indefinite for research purposes
Approval Date:
Not specified
Date of Modifications:
Not specified
Year:
2012
Region / City:
Sheffield
Field:
Pragmatics, Linguistics
Document Type:
Thesis
Institution:
Sheffield University, Department of English Language and Linguistics
Author:
John Vance
Target Audience:
Academic researchers, linguists, students of pragmatics
Period of Validity:
N/A
Approval Date:
September 2012
Date of Modifications:
N/A
Year:
2015
Region / City:
Not specified
Theme:
Cognitive Science, Perception, Color Vision
Document Type:
Research Paper
Organization / Institution:
Not specified
Author:
Forder, Lupyan
Target Audience:
Researchers in cognitive science and perception
Period of validity:
Not applicable
Approval Date:
Not specified
Date of changes:
Not specified
Contextual Description:
This document provides supplementary information for a study on how hearing words influences color perception and facilitates color discrimination in humans through verbal and visual cues.
Year:
2020
Region / City:
Not specified
Theme:
Communication competency, personal & social competencies, self-assessment
Document Type:
Self-assessment, reflection
Organization / Institution:
Not specified
Author:
Keira Sandrin
Target Audience:
Individuals reflecting on their communication, thinking, and personal/social competencies
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2021
Region / City:
Puducherry
Topic:
Non-verbal Communication in Nursing Care
Document Type:
Research Study
Institution:
Sri Manakula Vinayagar Nursing College
Authors:
Ms. P. Sevvanthi, Dr. R. Sridevi, Dr. G. Muthamilselvi
Target Audience:
Nursing Students
Period of Study:
2021
Approval Date:
Not provided
Date of Modifications:
Not provided
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.