| Section A: Choose only one right answer |
Mean |
SD* |
Minimum |
Maximum |
|
1.
|
Have you been told that you can freely decide to take part in this study? |
2.86 |
0.65 |
0 |
3 |
|
2
|
Have you been told you can withdraw from this study anytime? |
2.74 |
0.83 |
0 |
3 |
|
3.
|
During the study, will you know the drug you or your child is receiving? |
2.86 |
0.52 |
1 |
3 |
|
4.
|
If yes, describe or mention what the drug is doing? |
2.95 |
1.10 |
1 |
5 |
|
5.
|
During the study, will anyone not working with MRC know about your health information? |
2.29 |
1.23 |
0 |
3 |
|
6.
|
Have you been given the name and phone number of the person to contact if you have any questions about the study? |
2.50 |
0.99 |
0 |
3 |
|
7.
|
If yes, mention the name of the person? |
2.07 |
1.30 |
0 |
3 |
|
8.
|
Can your participation in the study be stopped without your consent? |
1.49 |
1.49 |
0 |
3 |
|
9.
|
Will you receive money for taking part in the study? |
2.52 |
0.94 |
0 |
3 |
|
Section B: Answer the following questions by circling the right answer
|
|
|
10.
|
How were participants divided into different groups in this study? |
0.02 |
0.15 |
0 |
1 |
|
11.
|
At what point can you leave the study? |
2.02 |
1.41 |
0 |
3 |
|
12.
|
What does it mean when you sign or thumbprint the study consent form? |
2.93 |
0.46 |
0 |
3 |
|
13.
|
How did you decide to participate in this study? |
1.79 |
1.49 |
0 |
3 |
|
14.
|
What will you receive as a reward for taking part in the study? |
2.79 |
0.78 |
0 |
3 |
|
15.
|
What will happen if you decide to stop taking part in this study? |
2.71 |
0.89 |
0 |
3 |
|
Section C: You will need to circle more than one correct answers in this part
|
|
|
16.
|
Which of the following describes why the primaquine study is being done? |
2.95 |
1.01 |
2 |
4 |
|
17.
|
Which procedures were you asked to take part in? |
3.33 |
0.95 |
2 |
4 |
|
18.
|
Which activities were you asked to complete? |
2.76 |
0.98 |
2 |
4 |
|
19.
|
Which describes the main benefits of taking part in the study? |
3.04 |
1.01 |
2 |
4 |
|
Section D: In this section, you are requested to provide answers that are specific to the study you are currently participating. |
|
|
20.
|
Please tell me what the researchers want to find out in the study? |
2.92 |
0.78 |
0 |
5 |
|
21.
|
How many times do you have to come to the clinic for a visit during the study? |
3.17 |
2.17 |
0 |
5 |
|
22.
|
Tell me what will be done during the study visits? |
2.92 |
1.26 |
0 |
5 |
|
23.
|
How are participant assigned into different groups this study? |
0.88 |
1.13 |
0 |
3 |
|
24.
|
What is the difference between taking part in this study and going to see a doctor for treatment? |
2.97 |
2.48 |
0 |
3 |
|
25.
|
What are the possible unwanted effects of taking part in this study? |
4.36 |
1.21 |
0 |
5 |
|
26.
|
Why do you think some of the study participants were given different medicine? |
2.98 |
2.48 |
0 |
3 |
