APPENDAGE 1A: ENGLISH INFORMED CONSENT
INTRODUCTION
I am Mohamed Faisal Mohamed, a student at SJCHAS, researching the Prevalence Of Depression And Anxiety Among Undergraduate Medical Students. I will give the information about my research and invite you to be part in this research. You have a decision to participate or not to participate. The consent form may contain words that you do not understand. You can ask and I will take time to provide more precise information.
PURPOSE OF THE RESEARCH
The purpose of this research is to assess the Prevalence of Depression And Anxiety Among Undergraduate Medical Students. Your participation in this research is entirely voluntary. You will answer the questions provided. If you do not wish to answer any of the questions included in the research, you can skip and move to the next question.
TYPE OF RESEARCH INTERVENTION
This research will involve your participation in answering a questionnaire. It will last only 5 to 10 minutes.
PARTICIPANT SELECTION
I invite you to take part in this research because I think your experience can contribute more information concerning the Prevalence Of Depression And Anxiety Among Undergraduate Medical Students.
VOLUNTARY PARTICIPATION
Participation in this research is entirely voluntary. It is your decision whether to participate or not. You are free to change your decision and stop participating even if you agreed earlier.
RISKS AND DISCOMFORTS
You may share some of your personal or confidential information by chance, or you may feel uncomfortable talking about some of the topics. However, I do not wish for this to happen.
BENEFITS
No direct benefit to you, although your participation is likely to help me find out more on Prevalence Of Depression And Anxiety Among Undergraduate Medical Students.
CONFIDENTIALITY
The information that will be collected in this research will be kept confidential. It will not be shared with or given to anyone. Nothing that you tell me will be shared or attributed by your name.
RIGHT TO REFUSE OR WITHDRAW
This verify that participation is voluntary and you have the right refuse or withdraw. You can decide not to participate in this research if you do not wish to do so, and choosing to participate will not affect your job or job-related activities in anyway.
CONTACT INFORMATION
Investigator: Mohamed Faisal
Phone: +255 768 853 515
Email: mofas199@gmail.com
Supervisor: Prof Asiia Baigildina
Address: P.O Box 11007
Phone: +255 683 053 066
Email: baigildinaasia@mail.ru
CERTIFICATE OF CONSENT
I have read the foregoing information, and I ask questions which have been answered to my satisfaction. I consent voluntarily to be a participant in this study and understand that I have the right to withdraw at any time.
