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Updated Research Assistant Confidentiality Agreement

This document outlines expectations for research assistants to maintain confidentiality of research studies. It begins by instructing research assistants to carefully read the form before signing. It then lists types of confidential information related to human subjects and expectations for research assistants to keep all research information secure, not share it with others, and return or destroy it after completing duties. The final section requires research assistants to sign acknowledging they understand and will adhere to the expectations.

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Ilya Ch
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301 views2 pages

Updated Research Assistant Confidentiality Agreement

This document outlines expectations for research assistants to maintain confidentiality of research studies. It begins by instructing research assistants to carefully read the form before signing. It then lists types of confidential information related to human subjects and expectations for research assistants to keep all research information secure, not share it with others, and return or destroy it after completing duties. The final section requires research assistants to sign acknowledging they understand and will adhere to the expectations.

Uploaded by

Ilya Ch
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Institutional Review Board


Grants and Research Office

Research Assistant Confidentiality Agreement

A. INSTRUCTIONS

Please read through the entirety of this form carefully before signing.

Electronic signatures are not valid for this form. After completing the required fields, please print and sign this
form in blue or black ink. After this form has been signed by the research assistant, it should be given to the principal
investigator of the research study for submission. After receiving the Research Assistant Confidentiality Agreement,
the principal investigator should scan and upload the signed form to their IRBNet project package.

The research assistant should keep a copy of the Research Assistant Confidentiality Agreement for their records.

This agreement is for research assistants only. If you are a transcriber, please fill out the Transcriber
Confidentiality Agreement. If your duties as a research assistant include transcription, you will also need to review,
sign, and submit a Transcriber Confidentiality Agreement in addition to the Research Assistant Confidentiality
Agreement. Confidentiality agreements can be found in the document library in IRBNet.

B. CONFIDENTIALITY OF A RESEARCH STUDY:

Confidentiality is the treatment and maintenance of information that an individual has disclosed in a relationship of
trust and with the expectation that it will not be divulged to others in ways that are inconsistent with the
understanding of the original disclosure (the consent form) without permission. Confidential information relating
to human subjects in a research study may include, but is not limited to:

 Name, date of birth, age, sex, address, and contact information;


 Current contact details of family, guardian etc.;
 Medical or educational history and/or records;
 Sexual lifestyle;
 Personal care issues;
 Service records and progress notes;
 Assessments or reports;
 Ethnic or racial origin;
 Political opinions, religious or philosophical beliefs.

As a research assistant you will have access to confidential information pertaining to the research study. Many
participants have only revealed information to investigators because principal investigators have assured
participants that every effort will be made to maintain confidentiality. That is why it is of the upmost importance to
maintain full confidentiality when conducting a research study. Below is a list of expectations you will be required to
adhere to as a research assistant. Please carefully review these expectations before signing this form.

Revised: 06/27/16
2

C. EXPECTATIONS FOR A RESEARCH ASSISTANT

In order to maintain confidentiality, I agree to:

1. Keep all research information that is shared with me (e.g. flash drives, notes, transcripts, data, etc.) confidential
by not discussing or sharing this information verbally or in any format with anyone other than the principal
investigator of this study;

2. Ensure the security of research information while it is in my possession. This may include:
 Keeping all documents and/or data related to the research study on a password protected computer
with password protected files;
 Closing any programs, documents, or data files related to the research study when away from the
computer;
 Keeping any printed documents and/or data related to the research study in a secure location such
as a locked filing cabinet;
 Permanently deleting any digital communication containing documents and/or data related to the
research study.

3. Not make copies of documents and/or data related to the research study unless specifically instructed to do so by
the principal investigator;

4. Give all research information/data and research participant information/data back to the principal investigator
upon completion of my duties as a research assistant;

5. After discussing it with the principal investigator, erase or destroy all research information that cannot be
returned to the principal investigator upon completion of my duties as a research assistant.

Name of Research Assistant:

IRBNet Tracking Number:

Title of Research Study:

Name of Principal Investigator:

By signing this form I acknowledge that I have reviewed, understand, and agree to adhere to the expectations
for a research assistant described above. I agree to maintain confidentiality while performing my duties as
a research assistant and recognize that failure to comply with these expectations may result in disciplinary
action.

Signature of Research Assistant Date

Print Name
Revised: 06/27/16

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