1
IRB Application
Your Name:
Research start date: Research end date:
Will you be collecting, reviewing, or No. There will be no collection, review, or
receiving Protected Health Information? receipt of Protected Health Information (PHI)
during this study.
Will your subjects be deceived or No. Before giving consent, participants will
incompletely informed? be given full information on the purpose and
procedures of the study. No one will be
deceived in any way during the study.
How will you keep the identities of your All responses that are given by participants
participants confidential? will be kept anonymous. No names of
participants or identifying information will be
collected or recorded. All responses will be
given unique participant numbers, so an
individual’s information will not be
identifiable.
What are the benefits to the participants or Participants will learn how myths and
society from completing this research? misinformation influence their beliefs.
Society benefits from understanding how to
combat misinformation, an urgent problem in
education, public health, and media literacy.
What are the potential risks to the Risks are minimal. It is a small possibility that
, 2
participants? a participant might experience discomfort or
embarrassment if he/she realizes that he/she
had a false belief.
How will you minimize these risks to the It will be stressed that contributions are
participants? anonymous and that every answer has equal
value. Also, participants will be informed that
they are free to withdraw from the study at
any point without any penalties.
How will you collect, store, and protect the Participants will fill out the survey using an
participants’ data? online platform that requires password
protected access. The gathered data will be
secured by a password-protected system in a
secure computer. The raw data will be left in
the hands of the researcher and will be deleted
after the study is completed and the results are
analyzed.
IRB Application
Your Name:
Research start date: Research end date:
Will you be collecting, reviewing, or No. There will be no collection, review, or
receiving Protected Health Information? receipt of Protected Health Information (PHI)
during this study.
Will your subjects be deceived or No. Before giving consent, participants will
incompletely informed? be given full information on the purpose and
procedures of the study. No one will be
deceived in any way during the study.
How will you keep the identities of your All responses that are given by participants
participants confidential? will be kept anonymous. No names of
participants or identifying information will be
collected or recorded. All responses will be
given unique participant numbers, so an
individual’s information will not be
identifiable.
What are the benefits to the participants or Participants will learn how myths and
society from completing this research? misinformation influence their beliefs.
Society benefits from understanding how to
combat misinformation, an urgent problem in
education, public health, and media literacy.
What are the potential risks to the Risks are minimal. It is a small possibility that
, 2
participants? a participant might experience discomfort or
embarrassment if he/she realizes that he/she
had a false belief.
How will you minimize these risks to the It will be stressed that contributions are
participants? anonymous and that every answer has equal
value. Also, participants will be informed that
they are free to withdraw from the study at
any point without any penalties.
How will you collect, store, and protect the Participants will fill out the survey using an
participants’ data? online platform that requires password
protected access. The gathered data will be
secured by a password-protected system in a
secure computer. The raw data will be left in
the hands of the researcher and will be deleted
after the study is completed and the results are
analyzed.
