[go: up one dir, main page]
Scribd
Upload
34 views3 pages

Participant'S Information & Informed Consent: 2) The Nature and Purpose of This Study

The document outlines an informed consent form for a study on attitudes and beliefs about noise and noise-induced hearing loss among mine employees. It details the study purpose, procedures, risks, benefits, confidentiality, and participant rights. Participants will answer questions about their views and voluntarily provide consent to participate.

Uploaded by

kavitha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
34 views3 pages

Participant'S Information & Informed Consent: 2) The Nature and Purpose of This Study

The document outlines an informed consent form for a study on attitudes and beliefs about noise and noise-induced hearing loss among mine employees. It details the study purpose, procedures, risks, benefits, confidentiality, and participant rights. Participants will answer questions about their views and voluntarily provide consent to participate.

Uploaded by

kavitha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

PARTICIPANT’S INFORMATION & INFORMED CONSENT

STUDY TITLE: Noise and Noise Induced Hearing Loss– Attitudes and Beliefs in the
Mining Industry in Mpumalanga

Principal Investigator: Ms K Naicker

Institution: University of Pretoria

DAYTIME AND AFTER HOURS TELEPHONE NUMBER(S):

Daytime number/s: 0836830480

Afterhours number: 0836830480

DATE AND TIME OF FIRST INFORMED CONSENT DISCUSSION:

date month year Time

Dear Prospective Participant

1) INTRODUCTION

You are invited to volunteer for a research study. I am doing research for an MSc in Public Health
degree purpose at the University of Pretoria. This information in this document is to help you to
decide if you would like to participate. Before you agree to take part in this study you should fully
understand what is involved. If you have any questions, which are not fully explained in this
document, do not hesitate to ask the researcher. You should not agree to take part unless you are
completely happy about all the procedures involved.

2) THE NATURE AND PURPOSE OF THIS STUDY

The aim of this study is to ascertain the attitudes and beliefs about noise and noise induced hearing loss
amongst employees to noise induced hearing loss at a mine in Mpumalanga. By doing so we wish to
learn more about the barriers to noise induced hearing loss on the mine.

3) EXPLANATION OF PROCEDURES AND WHAT WILL BE EXPEXTED FROM


PARTICIPANTS.
This study involves answering some questions with regarding your attitudes and beliefs about noise and
noise induced hearing loss.

4) POSSIBLE RISKS AND DISCOMFORTS INVOLVED

There are no medical risks associated with the study.

5) POSSIBLE BENEFITS OF THIS STUDY

Although you may not benefit directly, the study results may help the company improve their processes
as well as assisting other companies and industries to use the information form this study to improve
their processes.

6) COMPENSATION

You will not be paid to take part in the study. There are no costs involved for you to be part of the
study.

7) YOUR RIGHTS AS A RESEARCH PARTICIPANT

Your participation in this research is entirely voluntary and you can refuse to participate or stop at any
time without stating any reason. Your withdrawal will not affect your access to other medical care or
services.

8) ETHICS APPROVAL

This Protocol will be submitted to the Faculty of Health Sciences Research Ethics Committee,
University of Pretoria, and telephone numbers 012 356 3084 / 012 356 3085. The study has been
structured in accordance with the Declaration of Helsinki (last update: October 2013), which deals
with the recommendations guiding doctors in biomedical research involving human/subjects. A copy
of the Declaration may be obtained from the investigator should you wish to review it.

9) INFORMATION

If I have any questions concerning this study, I should contact:

Ms Kavitha Naicker Tel: 0836830480 or Cell: 0836830480

10) CONFIDENTIALITY

All information obtained during the course of this study will be regarded as confidential. Each
questionnaire will be allocated a numeric coded number e.g. 001. This will ensure confidentiality of
information so collected. Results will be published or presented in such a fashion that patients remain
unidentifiable. The hard copies of all your records will be kept in a locked facility at Sasol Mining.

11) CONSENT TO PARTICIPATE IN THIS STUDY


• I confirm that the person requesting my consent to take part in this study has told me about the
nature and process, any risks or discomforts, and the benefits of the study.
• I have also received, read and understood the above written information about the study.
• I have had adequate time to ask questions and I have no objections to participate in this study.
• I am aware that the information obtained in the study, including personal details, will be
anonymously processed and presented in the reporting of results.
• I understand that I will not be penalised in any way should I wish to discontinue with the study
and that withdrawal will not affect my further treatments.
• I am participating willingly.
• I have received a signed copy of this informed consent agreement.

__________________________________ ________________________
Participant’s name (Please print) Date

__________________________________ ________________________
Participant’s signature Date

__________________________________ ________________________
Researcher’s name (Please print) Date

__________________________________ ________________________
Researcher’s signature Date

You might also like