De La Salle University – Dasmariñas DLSU-DERC 2 D

Informed Consent
ETHICS REVIEW COMMITTEE Form

INFORMED CONSENT (ENGLISH VERSION)

Title of the Study Coping Strategies and Academic Performance of

Criminology Students in Selected HEI`s in Cavite during

the transition from online and modular learning to hybrid

learning

Name of Principal Investigator Roy Ivan V. Delos Reyes

Name of Organization

Date Submitted

This informed consent form has two parts: (1) Information Details (information about

the study and the details of participation), and (2) Certificate of Consent (certification that the

participants were given the information about the study). The informed consent form will be

translated to Filipino version. Each participant will be given copies after the researcher

discussed all pertinent information.

PART I: INFORMATION SHEET

INTRODUCTION

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
Informed Consent
ETHICS REVIEW COMMITTEE Form

I am Roy Ivan V. Delos Reyes, a candidate for Master of Science in Criminal Justice with

Specialization in Criminology at De La Salle University – Dasmariñas. This study is a

requirement to complete my master`s thesis. This is to formally seek for your participation to

be a respondent in my study entitled “Coping Strategies and Academic Performance of

Criminology Students in Selected HEI`s in Cavite during the transition from online and

modular learning to hybrid learning” to assess problems encountered during the transition

period from online and modular learning to hybrid learning and determine their coping

strategies to be correlated with their academic performance. This will require your time and

effort to participate in answering my adopted and modified research questionnaire. The

researcher will be present during the data gathering procedure to immediately respond on

Respondents who will be part of the study may choose not to participate or to withdraw from

the study at any time, without penalty involved.

If at any given time a respondent decided to discontinue his of her participation any

data from the said respondent would be discarded. The results of the study may be published,

but rest assured that any information about your name and organization will be unknown and

used. The researcher promises that all information that the respondents provided will be kept

with full confidentiality and will be following the Data Privacy Act of 2012, that all personal

information shared shall be treated with outmost confidentiality and privacy. When the result

of the study is report, it will be presented in general and shall not be described individually.

If you have questions regarding the study, you can send a private message or email

the researcher provided below.

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
Informed Consent
ETHICS REVIEW COMMITTEE Form

Roy Ivan V. Delos Reyes

+639176858850

Royivandelosreyes06@gmail.com

PURPOSE OF THE RESEARCH

This research is conducted to determine challenges encountered by the students

during the transition period from online and modular learning to hybrid learning and their

coping strategies to be correlated with their academic performance.

TYPE OF RESEARCH INTERVENTION

An adopted and modified questionnaire will be distributed to the respondents. The

instrument will identify the challenges encountered, coping strategies and the academic

performance of the students during the transition period from online and modular learning to

hybrid learning. The researcher made a set of questions to identify the challenges

encountered and adopted the Coping Strategies Inventory created by David L. Tobin and the

Academic Performance Scale of Christopher McGregory to be further correlated. The

research instrument will be validated by three (3) experts in field of education.

PARTICIPANT SELECTION

The respondents of this study will be composed of fourth year criminology students

from the selected Higher Education Institution in Cavite for the reason that the following

students started their collegiate experience with an online and modular learning and mostly

experienced the transition into hybrid learning.

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
Informed Consent
ETHICS REVIEW COMMITTEE Form

VOLUNTARY PARTICIPATION

The researcher is asking your permission to include yourself as participants

in this study. The participants will be given survey questionnaires to be answered.

Any information that is obtained in connection with this study and that can identify

with you will remain confidential and will be disclosed only with your permission.

Adequate safeguards will be used to maintain the privacy and confidentiality of all

information obtained. When the results of the study are reported, only group

results will be described, not individual results.

Therefore, participation in this study is voluntary. It is up to you to decide

whether or not to take part in this study. If you decide to take part in this study,

you will be asked to sign a consent form. After signing the consent form, you are

still free to withdraw at any time and without giving a reason.

PROCEDURES

The researcher will utilize a quantitative correlation research design. A survey

questionnaire will be administered face-to-face and will be distributed through google forms

to be answered by the respondents voluntarily. There are four (4) parts in the research

instrument, the first part collects the demographic information of the respondents, the second

identifies the challenges encountered during the transition from online and modular learning
Institutional Ethics Review Committee/
University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
Informed Consent
ETHICS REVIEW COMMITTEE Form

to hybrid learning, the third part gather the different coping strategies of the respondents, and

the last part collects the academic performance of the respondents.

For questionnaire surveys:

Based on the agreement between the researcher and the concerned

institution, the researcher will be present face-to-face to distribute survey

questionnaires which will be sent via google form link to the respondents. After

answering the survey, it will be submitted to the researcher protect the

confidentiality of information and anonymity of the participants.

DURATION

The survey will only take 20 to 30 minutes to complete answering the form. This will

be given during the agreed scheduled between the researcher and the institution ensuring that

no academic hour will be interrupted for the said activity.

RISKS

The survey questionnaire that will be sent focuses on the challenges, coping

strategies, and academic performance of the respondents during the transition

period from online and modular learning to hybrid learning only. There are no

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
Informed Consent
ETHICS REVIEW COMMITTEE Form

known risks associated with this research. Permissions to conduct surveys will be

obtained first before you are surveyed and may withdraw anytime.

BENEFITS

The research will have no direct benefit as participant of the study.

However, researcher hope that the information obtained from this study could aid

in the design and development of programs and strategies in addressing the

problems in the transition period from online and modular learning, and might as

well help the respondents on what are the effective coping strategies that could

help their academic endeavor.

REIMBURSEMENTS

The research entitles no monetary compensation for participation in this

study. However, the researcher will provide treats for the respondents for the time

and effort given during the participation in the said research.

CONFIDENTIALITY

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
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ETHICS REVIEW COMMITTEE Form

All information obtained from the study will be coded to protect each

respondent. No names or other identifying information will be used when

discussing or reporting data. Every effort will be made by the researcher to

preserve the anonymity and confidentiality of the participant by assigning code

names/numbers to each participant that will be used on all research documents.

The researcher will safely keep all files and data collected in a secured locked

cabinet in the personal possession of the researcher. Once the data has been fully

analyzed it will be destroyed.

SHARING THE RESULTS

During the research, information from this study will be kept in locked files

that only the researcher and adviser can open. Any personal information that could

reasonably identify you will be removed or changed before files are shared with

other researchers or results are made public. The result of this study may be shared

through research presentation and a copy of the result may be sent to the institution

for program development.

RIGHT TO REFUSE OR WITHDRAW

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
Informed Consent
ETHICS REVIEW COMMITTEE Form

Participation in this study is voluntary. It is up to you to decide whether or

not to take part in this study. Withdrawing from this study will not affect your

relationship with the researcher or the institution. If you withdraw from the study

before data collection is completed, the data will be returned to the you or

destroyed.

WHO TO CONTACT

If you have questions at any time about this study, you may contact the

following persons:

Name Involvement Contact Numbers

Roy Ivan V. Delos Reyes Researcher 09176858850

Dr. Elizabeth B. Villa Research Adviser

If you have questions regarding your rights as a research participant, or if

problems arise which you do not feel you can discuss with the researcher, you can

email dlsud_ierc@dlsud.edu.ph_ of the DLSU-Dasmariñas Ethics Review

Committee at (865) 354-3000, ext. 4822

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
Informed Consent
ETHICS REVIEW COMMITTEE Form

PART II: CERTIFICATE OF CONSENT

I have read the entire information sheet (or have been read to me) and I

voluntarily agree to participate in the study. I had enough time to ask further

questions about the possible benefits and consequences of joining in the study and

all had been answered to my satisfaction. I also understand that I may ask

additional questions at any time. Further, I understand that I have the right to

withdraw at any moment in this survey without justifying my decision to do so and

without affecting my medical care.

Respondent Code Number:

Name of Participant Signature of Participant Date of Signature

Name of Witness Signature of Witness Date of Signature

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph
 De La Salle University – Dasmariñas DLSU-DERC 2 D
Informed Consent
ETHICS REVIEW COMMITTEE Form

I certify that I have completely explained to the above individual the nature

and purpose of the survey, potential benefits and disagreeable discomforts in

participating. Also, I have answered all the participant’s questions and concerns

and have witnessed the above signature.

Roy Ivan V. Delos Reyes

Name of Investigator Signature of Investigator Date of Signature

Institutional Ethics Review Committee/

University Research Office
(046) 4164531 / 2) 8447832 local 3103
www.dlsud.edu.ph