Parental Permission for Children Participation in Research
Title: Niemann-Pick Type C Patient-Focused Drug Development Meeting and Pre-Meeting Survey
Principal Investigator: Sean Kassen, Director, Ara Parseghian Medical Research Fund
Introduction
You have been invited to participate in the Niemann-Pick Type C Patient-Focused Drug Development (PFDD) Survey on behalf of your child. Read the information below and before deciding whether to participate, and please feel free to send any questions that you may have to skassen@nd.edu. Clicking “I consent” on the first page of the Niemann-Pick Type C PFDD Survey page will indicate that you agree to participate and have the data that you provide be used to support thePFDD initiative and other research.
Purpose of the Study
You have been asked to participate in a survey about your child’s experiences with Niemann-Pick Type C disease symptoms, treatments, and the impact of the disease on their daily life. The purpose of this study is to collect data that will be used to plan the Niemann-Pick Type C PFDD Meeting in spring 2019 and that will be used to inform a report on the experiences of Niemann-Pick Type C disease patients that will be shared with the U.S. Food and Drug Administration.
What is my child going to be asked to do?
If you agree to participate, you will be asked to answer a series of questions about your child’s experiences with Niemann-Pick TypeC disease. With the exception of questions about contact information and demographics, all of the survey questions are optional. The survey will likely take 30-60 minutes to complete. You may complete the survey at a time and place of your choosing using a computer, tablet, or mobile phone. Approximately 75 families have been invited to participate in this survey.
What are the risks involved in this study?
The risks involved with participation in this study are very low but some questions may cause emotional discomfort. With the exception of questions about contact and demographic information, all survey questions are optional.
What are the possible benefits of this study?
You and your child will receive no direct benefits from this survey, but this is your opportunity to provide information on your experiences with Niemann-Pick Type C disease and to make sure that the U.S.Food and Drug Administration is made aware of these experiences via the written report that will be informed, in part, by the survey data.
Does my child have to participate?
No, your participation on behalf of your child is optional. You may decide not to participate at all or, if you start the survey, you can stop at any time.
What if my child does not want to participate?
In addition to your permission, your child must agree to participate in the study. If your child does not want to participate they will not be included in the study and there will be no penalty. If your child initially agrees to be in the study they can change their mind later without any penalty.
Will there be any incentives for participation?
Neither you nor your child will receive any type of incentive for participating in this study.
How will your child’s privacy and confidentiality be protected if s/he participates in this research study?
Your child’s privacy and the confidentiality of their data will be protected by the Ara Parseghian Medical Research Fund. Each survey response will be coded with a random identifier and, if the survey data is shared with the U.S. Food and Drug Administration or any other stakeholders external to the Ara Parseghian Medical Research Fund, only these identifiers will be shared. The Ara Parseghian MedicalResearch Fund will not contact you about your responses unless you answer “Yes”to the question about your interest in serving on a panel at the Spring 2019 Niemann-Pick Type C PFDD Meeting in Hyattsville, Maryland.
If it becomes necessary, the Institutional ReviewBoard may need to review the study records. If this happens, information that can be linked to your child will be protected to the extent permitted by law. Your child’s research records will not be released without your consent unless required by law or a court order.
Whom to contact with questions about the study?
Before, during, or after you complete the survey, you can contact the Ara Parseghian Medical Research Fund to ask any questions: Sean Kassen, (574) 631-4689, skassen@nd.edu.
Whom to contact with questions concerning your rights as a research participant?
For questions about your rights or any dissatisfaction with any part of this study, you can contact, anonymously if you wish, the Notre Dame Research Compliance Office, at 574-631-1461 or by email at compliance@nd.edu.