Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

Request for assessment to the Ethics Committee | Institute of Interdisciplinary Research

Por favor, escolha a língua desejada acima | Please, select your language above.

This questionnaire is for submission of projects to the Ethics Committee of the Institute for Interdisciplinary Research. The information collected will be evaluated by the Ethics Committee of this Organic Unit.

Thank you!

TRATAMENTO DE DADOS | DATA PROCESSING

O responsável pelo tratamento dos dados é a Universidade de Coimbra, através do Instituto de Investigação Interdisciplinar, Casa Costa Alemão, Polo II, Rua Dom Francisco de Lemos, 3030-789 Coimbra, Portugal, tel. +351 239 247 800, email iii@uc.pt. Os dados pessoais recolhidos neste formulário não serão comunicados a entidades terceiras. Serão conservados durante o tempo em que sejam necessários para cumprir as finalidades mencionadas no primeiro parágrafo, findo o qual os dados serão eliminados, no prazo máximo de 2 anos. Serão recolhidos apenas os dados necessários para manutenção de base de dados que permita organizar o evento, bem como para a análise de resultados e elaboração de relatórios, tendo em conta estatísticas de diversidade nas equipas.

DATA PROCESSING

The data controller is the University of Coimbra, through the Institute of Interdisciplinary Research, Casa Costa Alemão, Polo II, Rua Dom Francisco de Lemos, 3030-789 Coimbra, Portugal, tel. +351 239 247 800, email iii@uc.pt. The personal data collected in this form will not be communicated to third parties. They will be kept for as long as they are necessary to fulfil the purposes mentioned in the first paragraph, after which the data will be eliminated, within a maximum period of 2 years. Only the data necessary for the maintenance of the database that allows the organization of the event, as well as for the analysis of results and reporting, taking into account diversity statistics in the teams, will be collected.

---

 

Before submitting your Request for Ethical Appraisal, please note the information below.

The CEIIIUC analyzes:

IIIUC doctoral projects;

Other projects with evidence of interdisciplinarity. This interdisciplinarity must be clearly explained in the work plan.

CEIIIUC only analyzes projects for which data collection has not yet begun.

A Declaration proving the interdisciplinary nature of the project must be included with the documents to be submitted.

1. Identity of the project
1.1 Name of the project
2. Proponent Identification
Identification of the researcher proposing this request for an opinion to the Ethics Committee.
2.1 Name
2.2 E-mail
2.3 Mechanistic number
2.4 Research and Development Unit at UC
2.5 Organic unit /Services at UC:
Curriculum Vitae (CV) of the Proponent
  Upload file
  Title Comment File name
2.6 Are you the responsible researcher of the project?
2.6 Name of the Principal Investigator
2.8 E-mail 
2.9 Mechanistic number
2.9 Research and Development Unit at UC
2.11 Organic unit /Services at UC
3. Scope of the project
3.1 Main scope of the project
3.1.1 Name of supervisor
3.1.2 Doctoral Student's Name

3.1.2.1 Are you part of a iiiUC PhD Programme?

3.1.2.2 iiiUC PhD Program:
3.1.2.2 Other UC Doctoral Programme
3.1.1 Funding Entity:
3.1.1 Please specify
4. Project Description
4.1 Summary (research question, relevance and main objectives)

Maximum 2500 characters with spaces

 

4.2 Project start date

 

 

4.3 Project end date
4.4 Planned date for the start of data collection

4.5 Description of the methodology should include:

  • Research plan and respective steps/schedule
  • Procedures for data collection and recording
  • Tasks required from participants and their duration
  • Interventions to be performed, if applicable
  • Instructions and instruments to be used.

Maximum 3000 characters with spaces

4.6 Attached files
Files it considers useful for this request for an opinion from the iiiUC Ethics Committee
  Upload files
  Title Comment File name
4.7 Project Interdisciplinarity Statement
Applicable to projects that are not from IIIUC PhD or do not belong to the CEIS20 and CIEC R&D Units.
  Upload file
  Title Comment File name
5. Participants and recruitment
5.1 Number of participants expected
N/A when not applicable
5.2 Characteristics of participants (e.g. age, gender, medical, social, educational status, etc.)
5.3 Are participants at risk and/or vulnerable persons (e.g. children, prisoners, legally non-responsible persons, with a cognitive impairment/disability, or other risk/vulnerable condition)?
5.3.1 Please explain the need for inclusion of people at risk and/or vulnerable
5.4 Incentives offered to participants for their participation
5.4.1 Payments to participants
5.4.2 Time of payment/amount
5.4.3 Other incentives (please specify)
5.5 Necessity to  obtain authorizations from other institutions for recruitment (e.g. municipalities, companies, schools, hospitals, etc.)
5.5.1 Please explain the need and how they will obtain the necessary permits
5.6 Sensitive data collection from participants
5.6.1 Please explain these data and the reason for collecting them (e.g. clinical, professional, school, economic-financial data)
6. Informed Consent of Participants
The signing of the informed consent statement by the participant must ensure the independence of this document from all others that said participant completes. 
6.1 Information given to participants about the study and the form(s) of consent. 
In any of the options, the respective documents/information must be attached to this Request.
6.1.1 Attach the informed consent forms applied in the study
  Upload files
  Title Comment File name
6.2 Discriminate all groups/professional categories of persons or entities from whom informed consent is to be obtained
6.3 Participation by persons not legally competent to give informed consent
6.3.1Attach the information document on the characteristics of this study to be provided to the legal guardians and the respective consent
  Upload files
  Title Comment File name
6.4 Participation of persons without full autonomy to give informed consent, due to their social, educational, professional, institutional or other status
6.4.1 Please indicate the way(s) in which the risk of inappropriate influence or coercion to participate in the study is minimised
6.4.2 Form of explanation that participation in the study by persons without full autonomy is voluntary
6.5 Language barriers that can affect informed consent
6.5.1 Please indicate way(s) to overcome these barriers
7. Possible risks for participants (alignment with 5.3 required):
7.1 Risks to participants (e.g., physical, psychological, legal, educational, economic, social)

7.1.1 Explain and justify why its disposal is not possible

 

7.1.2 Indicate any procedures to minimize risks and monitor the safety of the participants

7.2 Measures foreseen to manage possible negative consequences for participants 
8. Intentional Deception
Submitting false or misleading information; omitting information that may be relevant to the decision to participate, or about relevant actions in the context of the investigation

8.1 Intentional Deception 

Example: In a study on food consumption where the aim is to understand the participants' eating habits, the purpose of the study is hidden or false information is given so that the participants' answers are not influenced.

8.1.1  Briefly describe the form of deception

 

8.1.2 Indicate whether there are other ways of conducting the study without resorting to deception, explaining the reason for rejecting these ways

8.1.3 Present the explanation given to the participants about the deception, following their participation

9. Protection and privacy of participants
9.1 Ways to ensure the protection and privacy of participants (e.g., not questioning unnecessary personal/institutional information)
10.Confidentiality and/or anonymity
10.1 Ways to ensure confidentiality and/or anonymity
10.2 What format will be used to collect the information?
10.2.1 If the study is online, indicate which platform will be used
10.3 Please indicate the host site and confidentiality/anonymity guarantees
11. Post-study information
11.1 Way(s) to communicate this information to participants, organizations, entities involved
11.2 Other relevant information of the study
12. Submission of other requests for ethics assessment
Have you submitted requests for ethics assessment of this project to other Ethics Committees (at the UC or other institutions)? 
Which ones and why?
13.Term of Responsibility
I declare on my honour that the information provided in this survey is true
 
Close