TREC Ethics Application TURFLOOP RESEARCH ETHICS COMMITTEE (TREC) Application Form

Guidelines To Completing this form 1. All sections must be completed and all information must be included in the eform. 2. Before completing this application please consult the checklist section at the end for documents to be included. 3. The application must be written simply and briefly, providing adequate information for expert review but also at the same time being understandable to lay persons. 4. The application should be submitted before deadline dates as published on the website of the Research Development and Administration Department (RDSD). 5. Please note that all fields marked with a red asterisk (*) are mandatory. 6. Remeber to save after every section 7. After Clicking on any of the links in this eform right click and select back to navigate from the link back to the eform 8. Fields that are not mandatory and are not applicable can be left blank 9. In the case of fields that are mandatory but are not applicable to your application you must type in the words “Not Applicable” as your answer 10. Sentences in red, highlight things you need to know or consider when completing a question 11. Sentences in blue, provide instructions on how to use the form 12. Please summarize the information entered in the University of Limpopo Standard Research Proposal section of this form. General enquiries on TREC related matters may be directed to Mrs Noko Shai-Ragoboya at +27 15 268-2212 or [email protected] To view the TREC submission and meeting dates click here for TREC

1. ETHICAL CONSIDERATIONS [only for research involving human or animal subjects which require ethical clearance] 1. The clearance applications forms must be attached. 2. It must be clearly stated that a clearance certificate from TREC will be obtained before commencing with the study. 3. When human participants are used, a consent form must be included 4. When human participants are used, and the study is an experimental one using medication (allopathic, homeopathic, naturopathic, traditional) / vaccines / etc, a consent form and a patient information leaflet must be included. 5. The protocol must explain the process of obtaining informed consent. 6. In non-experimental studies using human participants, an edited version of the consent form is acceptable. 7. In experimental studies using human participants, both the consent form and the patient information leaflet must comply with all the elements of informed consent outlined in the Helsinki Declaration. 8. Patient information leaflets and consent forms must be free from grammatical errors and spelling mistakes, and must be written in a language that is able to be clearly understood by the prospective research participants. Nothing should be included that may be insensitive to all known cultural and religious beliefs. 9. In experimental studies where animals will be subjected to undue stress, injury, harm or killing, approval from the Animal Research Ethics Committee must first be obtained. 10. In studies using animals, full justification must be given for using animals as opposed to cell lines or humans. Lack of expertise or equipment is not an acceptable justification for this.

*Please indicate that you have read and understand the Ethical Considerations required for ethics approval.

Yes

No

Investigator Declaration I, the applicant (Prinicipal Investigator)hereby apply for approval to execute the experiments described in the attached research proposal and declare that:

*I am fully aware of the guidelines and regulations for ethical research and that I will abide by these guidelines and

Yes

regulations as set out in documents (available from the Secretary of the Ethics Committee); and

*I undertake to provide every person who participates in this research project with the relevant information. *PI/Project Leader Qualifications Masters in Physcology

When you get here remember to click on Save 1/3

Yes

No

No

Personnel Personnel - Review

(Add Personnel - Review)

ABOLIO, BOLUKAOTO B Personnel - Click the + to add additional personnel. Please indicate Supervisor and Co-Workers by selecting Role . Name ABOLIO, BOLUKAOTO B Primary Investigator

Role PI

NB: Please request the Supervisor to forward CV to Mrs Noko Shai-Ragoboya at +27 15 268-2212 or [email protected]

Please use Research and Technical Staff Section to indicate external personnel Lekalakala, Ramakgolo I Personnel - Click the + to add additional personnel. Please indicate Supervisor and Co-Workers by selecting Role . Name Lekalakala, Ramakgolo I Primary Investigator

Role Supervisor

NB: Please request the Supervisor to forward CV to Mrs Noko Shai-Ragoboya at +27 15 268-2212 or [email protected]

Please use Research and Technical Staff Section to indicate external personnel ABRAHAM, VEENA V Personnel - Click the + to add additional personnel. Please indicate Supervisor and Co-Workers by selecting Role . Name ABRAHAM, VEENA V Primary Investigator

Role Co-Worker

NB: Please request the Supervisor to forward CV to Mrs Noko Shai-Ragoboya at +27 15 268-2212 or [email protected]

Please use Research and Technical Staff Section to indicate external personnel ABEDI, CELESTIN SELEMANI C Personnel - Click the + to add additional personnel. Please indicate Supervisor and Co-Workers by selecting Role . Name ABEDI, CELESTIN SELEMANI C Primary Investigator

Role Co-Worker

NB: Please request the Supervisor to forward CV to Mrs Noko Shai-Ragoboya at +27 15 268-2212 or [email protected]

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University of Limpopo Standard Research Proposal

Research Type and Design *Indicate the type of research you plan to do Postgraduate Research *Indicate Research Focus Social and Behavioral *Indicate type of Research Design: Experimental or longitudinal or repeated- measures Without a control group-Time series-Crossover /With a control group

When you get here remember to click on Save Researchers and Technical Staff List the name(s) of all persons involved with the project and identify their role(s) in the conduct of the experiment Full Name

Institution

Shaun Naicker

NRF

Role C Coo--Worker Worker

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Details *1. Full Proposal Title: Title of Research Proposal

*2. RESEARCH PROBLEM (Please summarize information) o The research problem should briefly describe the identified problem / hypothesis / research question (s) / rational and motivation for this particular research.

*Proposed Project Start Date: 0 1 - M a y - 2 0 1 5 *3. LITERATURE REVIEW

*Proposed Project End Date: 0 1 - Jun- 2 0 1 6

o The literature review is a critical and analytical overview studies relevant to the research topic. The researcher is required to demonstrate sufficient acquaintance with existing literature on the topic to justify the study. o Sources should be acknowledged in the literature review, using either the Vancouver or Harvard referencing style. The chosen style must be clearly specified and consistently applied throughout the proposal / protocol.

*4. PURPOSE OF THE STUDY (Please summarize information) o This refers to the aim and objectives of the study. These should be clearly stated, and should coherently flow from the research problem. o An aim is a general statement of intent, a broad goal that the researcher hopes to achieve with the study.

5. RESEARCH QUESTION [Optional, include only where the discipline specifically requires this in addition and separate from the Research Problem]

6. METHODOLOGY( Please summarize information) 6.1 Research Design *The proposal / protocol must clearly specify the specific research design, the rational and motivation for the design, and methods / techniques / procedures which will be used to investigate the research problem.

Studies aimed at establishing relationships are of two research design types: descriptive and experimental (Table 1). In a descriptive study, no attempt is made to change behaviour or conditions - you measure things as they are. In an experimental study you take measurements, try some sort of intervention, then take measurements again to see what happened.

*6.2. Sampling o The study population must be described. o The sampling procedure must be described, and it must be appropriate for the study. It is not always necessary (or appropriate) to name the sampling procedure, but when it is named, the procedure must fit the name (eg., if random sampling is named as the sampling procedure, the process described must be true random sampling).

*6.3. Data Collection o The data to be collected must address the aim and objectives of the study. o Describe the type of data that will be collected or measurements which will be made, and the methods and instruments (eg., measurement equipment, laboratory tests to be performed, through observations (eg., , taking video recordings photographs) interviews, or questionnaires) which will be used.

*6.4. Data Analysis o Data analysis must address the aim and objectives of the study. o Describe the type of analysis which will be performed on the data. Where the data is of a qualitative nature from which generalisations are to be drawn from then the statistical tests which will used must be named (eg. Student- t test or muti- variance test) and described.

*6.5. Reliability, Validity & Objectivity o In certain studies, external measures are taken to ensure reliability, validity, and objectivity. Thus in these studies, the type of methods / approacheo In certain studies, external measures are taken to ensure reliability, validity, and objectivity. Thus in these studies, the type of methods / approaches eg., pilot studies, triangulation, etc., must be described.s eg., pilot studies, triangulation, etc., must be described.

*6.6. Bias o If the researcher has taken steps to minimise bias, this should be mentioned, but not necessarily as a separate section (eg: if sampling bias has been minimised by using random sampling, this can be mentioned under sampling).

*7. SIGNIFICANCE OF PROPOSED RESEARCH Include amongst others explanations of how important the research problem is in the context of current global, regional and national challenges. To what extent will the proposed research advance relevant knowledge and / or benefit humans and / or nature? Is the proposed research clearly and adequately justified in terms of its potential to address community needs, contribute to policy development and / or intervention strategies, or derivation of new systems or products, whatever is applicable to the study.

When you get here remember to Save Checklist Please indicate the documents availble with the attached research proposal for Ethical Review 1. Proof of Proposal Approval and recommendations to TREC

Yes

1.2 Memo from School Director if not Chairperson of SRC Yes

1.1 Recommending memo from Chairperson of SRC Yes

1.3 Recommending memo from Executive Dean

Yes No

Yes

5. Questionnaires, or data collection sheets to be used

7. Synoptic current CV of the researchers/supervisor

No

Yes

4. Documents and description of compensation, if any

Yes

No No

*3. Participant information leaflet and the consent forms

6. Available safety information, if applicable

No

No

No Yes

No Yes

8. Request letter or granted permission to access research premises 9. Request letter to conduct research from an institution 10. Request letter to assess records from an institution 11. Request letter to relevant authority to conduct research

Yes Yes

No

No No

Yes

No

12. Section 71 (Written consent for parent or guardian for research with children).

Yes

No

13. Any other documents the ethics committee may need to fulfil its responsibilities (See TREC SOP)

Yes

No

Submiting this application Please remember that in order to complete this form you must complete all the mandatory sections and questions, tick the complete box and then Click on Save. This form can then be closed. To save a copy of this application click on the PDF icon on the top left of the form. For further instructions on this please consult Research Office Homepage or contact Mrs Noko ShaiRagoboya at +27 15 268-2212 or [email protected]

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