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University of the Immaculate Conception

REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

Ethics Study Protocol Assessment Form and Minutes

Protocol Submission Date August 12,2021___________________________________


Study Protocol Title Illuminating the Struggles and Aspirations of Hotel
Employees affected by the Pandemic
UIC-REC Reference Number: Protocol Code XX UG – YY- 01-2021____________ ______
Principal Investigator Jhon Lloyd Laluces_________________________________
Type of Review Full board________________________________________
(full board or expedited)
Primary Reviewers _______________________________________________
Secondary Reviewers (Members) _______________________________________________
Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 1 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

Sponsor _______________________________________________
Quorum Status _______________________________________________
Conflict of Interest None___________________________________________

INSTRUCTIONS
To the Principal Investigator: Please indicate in the space provided below whether or not the
specified assessment point is addressed by your study protocol. To
facilitate the evaluation of the assessment point, indicate the page
and paragraph where this information can be found.
To the Primary Reviewer: Please evaluate how the assessment points outlined below have
been appropriately addressed by the study protocol, as applicable,

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 2 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

by confirming the submitted information and putting your comments


in the space provided under “REVIEWER COMMENTS.” Finalize your
review by indicating your conclusions under “RECOMMENDED
ACTION” and signing in space provided for the primary reviewer.

To be filled out by the PIs


Indicate if Page and
the study paragraph
protocol where it is
ASSESSMENT POINTS contains the found REVIEWER
specified COMMENTS

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 3 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

assessment
point
1. SCIENTIFIC DESIGN YES N/A PAGE #
1.1 Objectives / 02
Review of viability of expected output
1.2 Literature Review / 05-06
Review of results of previous animal/ human
studies showing known risks and benefits
1.3 Research Design / 08
Review of appropriateness of design in view of
objectives

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 4 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

1.4 Sampling Design / 09


Review of appropriateness of sampling methods
and techniques
1.5 Sample Size / 08
Review of justification of sample size
1.6 Data Analysis Plan / 11
Review of appropriateness of statistical and non-
statistical methods of data analysis
1.7 Inclusion Criteria / 08
Review of precision of criteria both for scientific
merit and safety concerns; and of equitable
selection

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 5 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

1.8 Exclusion Criteria / 08


Review of criteria precision both for scientific
merit and safety concerns; and of justified
exclusion
1.9 Withdrawal Criteria / 10
Review of criteria precision both for scientific
merit and safety concerns
2. CONDUCT OF STUDY YES N/A PAGE #
2.1 Specimen handling / 10
Review of specimen for storage, access, disposal,
and terms of use

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 6 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

2.2 PI Qualifications / 24
Review of CV and relevant certifications to
ascertain capability to manage study related risks
2.3 Duration / MOA
Review of length/ extent of the study
3. ETHICAL CONSIDERATIONS YES N/A PAGE #
3.1 Voluntary Participations / 14
Willingness of human participants to be involved
in the investigation after fully knowing the
purpose of the study
3.2 Privacy and Confidentiality / 15

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 7 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

Review of measures or guarantees to protect


privacy and confidentiality of participant
information
3.3 Informed Consent Process / 14
Review of application of the principle of respect
for persons, who may solicit consent, how and
when it will be done
3.4 Recruitment / 18
Appropriateness of identified recruiting parties
3.5 Risks / 17
Review of level of risks and measures to mitigate
these risks (including physical, psychological,

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 8 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

social economic), including plans for adverse


event management

3.6 Benefits / 14
The potential to yield generalizable knowledge
about the participants’ condition/ problem;
non0material compensation to participant (health
education or other creative benefits)
3.7 Biosafety / -
Sample collection, processing and proper disposal
of infectious and or any biological hazards
4. OTHER ETHICAL ISSUES YES N/A PAGE #

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 9 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

4.1 Plagiarism / 16
No trace/evidence of misrepresentation of
someone else’s work as his/her own (the
investigator). Use of Grammarly or Turnitin
software and/ or Plagiarism Detector is in place.
4.2 Fabrication / 16
No trace/evidence of intentional
misrepresentation of what has been done. No
making up of data and/or results, or purposefully
putting forward conclusions that are not
accurate. No inconsistency with the existing
literature among the information included in

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 10 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

manuscript.
4.3 Falsification / 16
No trace of purposefully misrepresenting the
work to fit a model or theoretical expectation. No
evidence of over claiming or exaggerations.
4.4 Conflict of Interest (COI) / 16
No trace of COI, i.e. Disclosure of COI ( COI is a
set of conditions in which a professional
judgment concerning primary interest such as
the participants’ welfare or the validity of the
research tends to be influenced by a secondary
interest such as financial or academic gains or

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 11 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

recognitions.
4.5 Focus Group Participant / 15
Identification
Addressing the fact that the information
discovered within the group becomes common
knowledge among those in attendance; thus,
there must be a provision in the consent form
reminding participants to keep the information
discussed confidential.
4.6 Deceit / 16
Evidence that the benefit of misleading the
respondents outweigh any potential harm to

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 12 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

them.
4.7 Observation / 17
Provisions to address an ethical issue when
observing people in public or quasipublic place,
e.g. to have notices placed at the entrance of the
store indicating that the researchers will be
operating in this area at specific times.
4.8 Permission from / 10
Organizational/Location
Has expressed getting a written permission from
the organization in which the research is being
undertaken or the location in which the data are

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 13 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

being collected. When getting written


permission, the person to talk to must have the
authority to give the permission sought and that
the activities are organized well in advance.

4.9 Technology Issues / 17


Provisions as to the use of online panels,
collection of data online, and how does one view
the information being communicated in an online
environment, are put in place and are made
understandable to the participants.
4.10 Authorship / MOA

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 14 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

Provisions on authorship must be made clear,


e.g. authorship qualifications, i.e. authorship
credit should be based only on substantial
contributions to conception and design, or
acquisition of data, or analysis and interpretation
of data; drafting the article or revising it critically
for important intellectual content; and final
approval of the version to be published.

RECOMMENDED ACTION:

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 15 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

□ APPROVED
□ MINOR MODIFICATIONS MUST BE IMPLEMENTED (PENDING APPROVAL A)
□ MAJOR MODIFICATIONS MUST BE IMPLEMENTED (PENDING APPROVAL B)
□ DISAPPROVED

*If in GROUP, be sure all members affix their names and signature, too.

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 16 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

Prepared by

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 17 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

Abadingo, Shameia Blaire M


Signature over Printed Name

Laluces, Jhon Lloyd Y.


Signature over Printed Name

Pardillo, Kristine Jane T.


Signature over Printed Name

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 18 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

Reyes, Paolo Rafael D.


Signature over Printed Name

Ulong, Mogrimen R.
Signature over Printed Name

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 19 of 20
University of the Immaculate Conception
REC_FO_0024
Research Ethics Committee (REC)
Bonifacio Street, Davao City, Philippines Control No.: _________

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 20 of 20

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