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Curtin University
School of Physiotherapy

Appendix A (Checklist)

If you answer YES to any of the questions below, you will be required to submit an application for ethics approval. Even if all questions are answered NO, your school or division may still require that an ethics application be submitted.

Does your research involve - (Please circle)

1 Any novel procedure in the therapy or management of patients in a clinical setting? YES
NO
2 Any form of physically invasive procedure on patients such as blood collection, exercise regimens or physical examination, and which is not part of their clinical management? YES
NO
3 Any form of physically invasive procedure on volunteer participants such as body fluid collection (eg blood, urine, semen), exercise regimens or physical examination? YES
NO
4 The administration of any form of drug, medicine (other than in the course of standard medical procedure) or placebo? YES
NO
5 Physical pain, beyond mild discomfort? YES
NO
6 Obtaining and storage of blood, body fluid or tissue samples from the participants? YES
NO
7 The participation of minors (under 18 years), other than in the observation of normal school activity? YES
NO
8 Participants who are in a dependent situation, such as students or residents of an institution (such as a hospital, nursing home or prison or patients highly dependent on medical care), other than those who are being observed in their normal environment where such observation is considered innocuous? YES
NO
9 Participants who may be unable to give or incapable of giving informed consent? YES
NO
10 The participation of Aboriginal or Torres Strait Islanders, or other peoples from identifiable cultural, ethnic or minority groups? YES
NO
11 Acquisition of data about organisations or individuals through any form of database and in which those organisations or individuals are directly or indirectly identifiable? YES
NO
12 Use of questionnaire or interviews which may be linked either directly (eg through recording of names) or indirectly (eg through a cross-linked code) to the individual? YES
NO
13 Use of questionnaire, interview, or procedure irrespective of the recording of the individual's identity, which might be reasonably expected to cause discomfort, embarrassment, or psychological or spiritual harm to the participants? YES
NO
14 Processes that potentially exclude and/or disadvantage a person or group, such as the collection of information which may expose the person/group to discrimination or misrepresentation? YES
NO
15 Collection or disclosure of personal information by a Commonwealth, State or Territory agency that might involve a breach of an Information Privacy Principle (as defined by the Commonwealth Privacy Act 1988 and the Australian Standard)? YES
NO
16 Collection or disclosure of personal information by a private sector organisation [that might involve a breach of a National Privacy Principle (as defined by the Commonwealth Privacy Act 1988)]? YES
NO
17 Payments or inducements, other than reasonable recompense, to participants for their participation? YES
NO
18 Deception of the participants including concealment and covert observation? YES
NO
19 Disclosure of the response outside the research which could place the participants at risk of criminal prosecution or civil liability or be damaging to their financial standing, employability, professional or personal relationships? YES
NO
20 Any other ethical issue of the study which has not been addressed in this Checklist? YES
NO

Survey Guidelines

Ethics Procedures for Research