Research Involving
Human Subjects

DEBRIEFING FORM DESCRIPTION

You will find a description of a DEBRIEFING FORM below. Following the description you will find an example. The bold, italicized words on the example are meant as a guide and are not be to included on an actual debriefing form. The participant will have a copy of the debriefing form to take with him/her. Please follow the format as identified.


Debriefing Form

Title of project (clear and concise)

Date of ethics approval

Identity of researchers (name, department, affiliation, role in research project, supervisor's name and contact number)

Description of research ( a description of the procedures that all participants engaged in, any hypotheses about what you expect to find and why you expect to find them)

Reference (one or two references where participants can find out more information on the topic under study; these references should be easily accessible for the participants)

Dissemination of results (provide information concerning the dissemination of results; how can they access the results of the study; provide an approximate completion study date, name and phone number or e-mail address participants can contact)

Contact number (provide the participants with a contact number should they have any further questions or concerns; for those studies that are highly sensitive and could pose potential harm, contact numbers of services that meet the needs of those who might suffer harm need to be provided).


DEBRIEFING FORM (Example)

"FACTORS ASSOCIATED WITH ACADEMIC SUCCESS"

Slade Grade,
Psychology Student,
Malaspina University-College
Lloyd Freud, Ph.D., Supervisor
Department of Psychology
Malaspina University-College
(250) 753-3245, local 0000

(Description) During this study, all participants were asked to complete a number of brief questionnaires concerning their personal experiences with factors such as perceived social support, financial situations, family responsibilities, and past academic performance. The purpose of this study was to look at the relationships between academic success and the various factors asked about.

A pilot study conducted prior to this study asked students to generate factors they thought would have a relationship with academic success. One's past academic performance was suggested as one of the strongest factors. However, based on past research it is expected that the factor that will prove to have the strongest relationship with academic success will be how satisfied people are with their networks of social support (name of author of past research and date).

(Reference) If you would like more information on this issue, the following references may be of interest to you (reference and location to be found).

(Dissemination of results) If you are interested in the results of this study, you may contact Dr. Lloyd Freud (753-3245, local 0000) at the completion of this study (April, 2000). Please note that only global results, not individual results, will be disclosed.

(Contact number) If you have any questions or concerns about this study, please contact Dr. Lloyd Freud at 753-3245, local 0000.

Thank you for your participation.


Updated November 2001