Helpful
Hints for Consent Form Submission
Additional Reading: Consent Form Checklist - 12/07/05 (doc) 58 kb
HEADING
The
heading "Investigators' Statement" or "Researcher's
Statement" should be formatted
to parallel the heading "Subject's
Statement". The heading "Investigators'
Statement" (and its analogues)
applies to the entire consent
form up to and including
the investigator's signature
line -- not simply to the
initial paragraph. The formatting
should make this clear.
FOOTER
Please add a footer
to each page of your consent
form which indicates the
version number and date of
the consent form. These should
change each time you modify
the consent form. Remember
that each new version of
the consent form must be
reviewed and approved by
the Human Subjects Division.
Indicating the version number
and date on the consent form
helps both the investigator and
the Human Subjects Division
keep track of which is the
most current consent form.
GRAMMAR
Please
check the grammar and grade
level of your consent form(s).
If you have Microsoft Word,
you will find the grammar
function under the Tools
menu. After the program
checks the grammar and
makes editorial and spelling
suggestions, it will give
you "readability statistics," including
the grade level of your
consent form. Because
subjects come from a wide
range of educational and
socioeconomic backgrounds,
we recommend that you write
your consent forms at a
level no higher than eighth
grade.
ATTESTATIONS
OF UNDERSTANDING
Attestations
of understanding (e,g,. "I understand that")
should not be put into
the mouths of the subjects.
One of the most common
forms of misunderstanding
is supposing that one
understands when one does not,
and requiring subjects to attest
to their understanding
of a particular point
is thus at best a meaningless
exercise. Furthermore, the phrase
can carry an exculpatory
weight that is quite
at odds with the nature of
a consent form. Finally,
because consent documents
must not state, suggest
or imply that subjects
give up any legal rights,
or have entered into
contractual obligations abridging
their rights, phrasings of
this sort, which occur in contracts
and waivers, have no
place in the subject's statement
of a consent form.
EXCEPTIONS TO CONFIDENTIALITY
If
you intend to make exceptions
to confidentiality, state
them clearly and directly
in lay terms. Statements
like "as provided
by law", or "in accordance
with law",
or worse, statements citing specific
statutory provisions, have no place
in a consent form, unless knowledge
of the relevant statutes is one
of the eligibility requirements.
The purpose of a consent form is
to be informative. Such phrases
and citations are not informative
to anyone who does not have a thorough
grounding in the relevant law and
precedents. Except under unusual
circumstances, no consent form
containing such statements can
be approved.
QUESTIONS
Statements like, "You
don't have to answer any
question that makes you feel
uncomfortable" should
be avoided. Subjects are
always free not to answer
any question (or questions)
at any time, for any reason
whatsoever, and must not
be told otherwise, or subjected
to the insinuation that
their refusal to answer will
be taken as a sign of special
sensitivity to the subject
of the question. "You don't
have to answer any questions
you don't want to answer," is
more accurate.
STANDARD
SUBJECT'S STATEMENT
The
standard subject's statement
text contains a bracketed
statement consisting of a
sentence and instructions
on when to include that sentence.
That bracketed statement
appears just below.
[If relevant, add: I give permission to use my medical records as
described in this consent form.]
This bracketed statement should never be included as
it appears in the standard consent forms. Instead,
- If medical records are being used,
omit the brackets and the instructional
clause, but retain the main embedded
sentence
- If confidential records (e.g., academic
records or counseling records) other
than medical records are being used,
omit the brackets and instructional
sentence, and retain the embedded
sentence, but replace the qualifier "medical" with
one appropriate to the study (e.g., "academic").
- If no confidential records of any
sort are being used, omit the entire bracketed
passage -- and the brackets as well.
- If some other combination of circumstances
pertains (e.g. both medical and academic
records are being used), it is that
particular configuration of circumstances
and no other that should be described.
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