Professional Documents
Culture Documents
Please complete the following research application. Provide all information requested as part of
this application. Do not simply refer to other documents or grant applications. Once completed,
send this form, with the attached Research description, and all supporting documents (email
preferred) to the Institutional Review Board chair: Dr. Kristen Thompson, (7122); irb@loras.edu
Ethics Certification: In submitting this review request, you agree to conduct this research as
described in the attached documents. You agree to request and wait to receive approval from the
IRB for any changes to the research proposal. You will comply with the policies for conducting
ethical research as outlined in the Belmont Report (at
http://www.hhs.gov/ohrp/policy/belmont.html .) and other applicable professional ethical
standards.
Please watch the video The Belmont Report: Basic Ethical Principles and Their Application
from the Office for Human Research Protections of the U.S. Department of Health &
Human Services, from the beginning of the program to minute 13, available at
www.youtube.com/watch?v=Up09dioFdEU . Your electronic signature in the space below
affirms that you have watched the video and understand the ethical principles presented:
Sophia Muzzarelli
Email: Sophia.Muzzarelli@loras.edu
Phone: 8152189777
Lucas Sedlacek:
Email: Lucas.Sedlacek@loras.edu
Phone: 3192134601
Allie Serres:
Email: allie.serres@loras.edu
Phone: 6087326487
Trevor Heying:
Email: trevor.heying@loras.edu
Phone:5633290677
2. Title of Project:
Investigating the effects of technology use in the classroom
__ Adults, Non-student
X Loras College students
__ Other college students
__ Minors (under age 18)
__ Persons with cognitive or psychological impairment
__ Persons with limited civil freedom
__ Persons with HIV+/AIDS
__ Pregnant women
6. Special considerations: (Mark all appropriate)
No special materials
__ Videotaping
__ Audio taping
X Use of deception (explain in attachment)
__ Use of alcohol or drugs
__ Other (explain):
Blasiman, R. N., Larabee, D., & Fabry, D. (2018). Distracted students: A comparison of multiple
types of distractions on learning in online lectures. Scholarship of Teaching and Learning
in Psychology, 4(4), 222-230. doi:http://dx.doi.org.ezproxy.loras.edu/10.1037/stl0000122
Grinols, A. B., and Rajesh, R. (2014). Multitasking with smartphones in the college classroom.
Business and Professional Communication Quarterly, 77(1) 89-95.
Weißbecker-Klaus, X., Ullsperger, P., Freude, G., & Schapkin, S. A. (2017). Impaired error
processing and semantic processing during multitasking. Journal of Psychophysiology,
31(4), 167-178. doi:http://dx.doi.org.ezproxy.loras.edu/10.1027/0269-8803/a000178
2. Participants
Recruitment:
● How will you recruit the participants?
First we plan to approach the professors of introductory level courses across different
disciplines at Loras.We will also being using peers from our own convenience sample. If they
allow us to use their students for our research we will then send an email to the professor to be
forwarded to the class containing a brief explanation of our research.
Consent:
● How will you obtain consent?
Once our students enter the reading room we will have them sit down and we will
provide a paper copy of our informed consent for them to read and sign prior to participation the
study
● If, due to the nature of your research, a formal consent document cannot be used,
justification for this must be given.
Collaboration:
● If you will be collaborating with other institutions in order to recruit participants and
conduct the research, please attach approvals that have been or will be obtained (e.g.,
school districts, hospitals, other colleges). Preferably these will be letters on the
cooperating institution’s letterhead, stating willingness to participate.
5. Data Handling
● How will the data be kept anonymous or confidential?
Only the researchers will have the data.
We have one person in the group with no roommates so she can keep the
information with her when it is not being used.
We will also make sure that any paper surveys we use will be kept in one place. We will
not take pictures of any of the data
● Where will data be stored and for how long? Who will have access to the data?
Only the researchers will have access to the data. Dr. Grinde will have access to
the data because she is our professor and she also has more research experience.
This being said, we will only have the information for the duration of the semester
in the form of our consent forms and the paper surveys. After the data has been
analyzed and presented the paper copies will be shredded.
● ·Include specific details on the use and storage of any audio or video tapes.
We are not planning on using audio or video recording for this study
● Do you plan to share the results of this research in a class? If so, how?
Yes. At the end of the semester we are planning to host an in-class symposium.
We will be creating posters and presenting to other members of the class as well
as other senior students and faculty who choose to attend
● Do you plan to share the results of this research outside of your class? If so, how?
No. We do not plan on sharing this information with anyone outside of the
classroom.
8. Consent Forms. Please attach one of the following options related to obtaining consent:
● Written Consent – Attach copy of all consent & assent forms. See Informed Consent
Checklist on the IRB website
(https://lorasedu.sharepoint.com/Academics/AcademicCommittees/IRB/default.aspx).
● Oral consent – Provide justification for not obtaining written consent and the text of the
script you will use to obtain oral consent.
● Waiver of consent – Provide written justification for waiving consent process. This is
rare and usually granted only if consent process itself adds substantial risk to the
research.
IRB APPLICATION CHECKLIST
Use this Checklist to ensure you have included all required information in your IRB application.
Please check online for IRB meeting dates. To ensure timely review, please submit research
requiring full review at least 4 business days prior to the meeting date.
o You have read and understand the Ethics Certification.
Ethics Certification: In submitting this review request, you agree to conduct this research as
described in the attached documents. You agree to request and wait to receive approval from the
IRB for any changes to the research proposal. You will comply with the policies for conducting
ethical research as outlined in the Belmont Report (at
http://ohrp.osophs.dhhs.gov/humansubjects/guidance/belmont.htm.) and other applicable
professional ethical standards.
o All cover sheet information is filled out (page 1 of application). Double-check dates,
special circumstances, etc.)
o You have explained the purpose, hypotheses and expected outcome of your study.
o Reference citations (if appropriate) are included.
o Participants and recruitment procedures are described.
o Procedures for consent are described or justification given for waiving informed
consent
o Consent form is included at end of document
o Details on what, when, where, how of procedure.
o Rationale for all materials to be used is described.
o Questionnaires and other stimuli to be used are included at end of document.
o Risk is explained – please do not simply say “no risk”
o Direct benefit to participants is not confused with compensation – both, if any, are
described.
o Steps to protect participants from risk are described.
o Details on storage of data are included – where, what access, and for how long
o Description of how confidentiality or anonymity of participants will be protected
o Justification for use of minors (if needed.)
o STUDENTS ONLY: Description of research training & sponsor supervision.
o STUDENTS ONLY: Faculty Sponsor has reviewed and emailed the IRB chair
o STUDENTS ONLY: Watched the required video about the Belmont report and signed
that you have viewed it
o All attachments have been pasted into single document
o Check IRB meeting dates
https://lorasedu.sharepoint.com/Academics/AcademicCommittees/IRB/default.aspx
o Email review application to IRB chair. Kathrin Parks, irb@loras.edu
INFORMED CONSENT CHECKLIST
Your consent form should be written in language that your participants can read and understand.
You can use any format you wish, and the form can be brief. The statement should be addressed
directly to the participant, (i.e. “You are being asked to participate in research.”) It should
include all of the elements below that pertain to your study.
Opening statements
o Loras College letterhead OR statement in first paragraph that the project is being
conducted by people affiliated with Loras College
o Name(s) of the principal researcher(s) and faculty sponsor (if student research).
o Statement that the individual is being asked to participate in research
Description of research
o Description of the purpose of the research
o What participant will be asked to do
o How long the procedure will take
o Location of the procedure
o Approximate number and type of participants being recruited
o Any exclusionary criteria for participants
Risk/Benefit
o Description of any foreseeable risks (a study may have “minimal risk” or “risk no greater
than that of everyday life” but it is very rare that a study would have “no risk.”)
o If more than minimal risk, an explanation of medical or psychological assistance that
would be available if injury occurred and how subjects would access that assistance.
o Description of any possible direct benefit to subject from the research. If there is no
direct benefit to the subject, the investigator may explain how the study might benefit the
larger population.
o Explanation of any compensation to participants and how that compensation will be
distributed to participants; conditions under which no, or partial, payment will be made
Participant Protections
o How confidentiality of the data will be maintained
o Statement that participation is voluntary and that subjects may skip questions or
withdraw from the study at any time without penalty
o If participants are drawn from a classroom or special program, statement as to how
participation will or will not affect the participant’s grade or status in the class or program.
Contact information
o The name and contact information of persons to contact if they have questions about the
study
o Contact information for the person to contact if they have questions or concerns about
their rights as research subjects, (IRB Chair).
o Space for signature & date. Language for signature: Your signature indicates that this
research study has been explained to you, that your questions have been answered, and that you
agree to take part in this study. You may request a copy of this form.
INFORMED CONSENT FORM
We invite you to participate in a student led research project investigating the effects of technology use in
the classroom. This project is being conducted as part of the Research Methods and Statistics II course at
Loras College. This study aims to determine whether or not using technology in the classroom interferes
with student’s abilities to remember lecture information. The student researchers are Sophia Muzzarelli,
Lucas Sedlacek, Allie Serres and Trevor Heying. The faculty sponsor is Dr. Lisa R Grinde.
We are asking that 45-60 students from introductory level courses across all disciples at Loras to come to
Hennessey hall to participate in our research. You will be assigned to one of three levels (each of the
levels will have 15-20 student).: the control level (no technology), the laptop level, or the cell phone level.
If you are assigned to the Cell Phone or Laptop group we are asking that you watch an eleven minute
TED (Technology, Entertainment and Design) Talk while scrolling through as you normally would on
your assigned device. When the video is over you will be asked to complete a short survey. Your
participation in this study should take no longer than 30 minutes.
Participation in this research project involves a small risk that you will feel possible embarrassment due to
performance on the survey or possible anxiety due to the fact that you have to complete a survey taking
place after the experiment.
For participation in our study you may receive compensation in the form of extra credit through the
discretion of professors teaching your introductory course.
Participating in this research project is completely up to you and you may exit from it at any time without
penalty– even after you have started it. Participating in this research project or declining to participate in
it will have absolutely no effect on any form of grades or test scores within any courses.
After the data has been analyzed all files containing data will be deleted off of computers and the surveys
will be cut up and put through a paper shredder.
If you have any questions about this research study, please feel free to ask Sophia Muzzarelli, Luke
Sedlacek, Trevor Heying, or Allie Serres in person or to contact them at Sophia.Muzzarelli@loras.edu,
lucas.sedlacek@loras.edu, trevor.heying@loras.edu, or allie.serres@loras.edu if you have any questions
or concerns about your rights as a research subject, contact Dr. Kristen Thompson, chair of Loras
College’s Institutional Review Board, at irb@loras.edu, tel. 563 588-7122.
__________________________________ ______________________________
Signature Date
_________________________________________
Print name
Your signature indicates that this research study has been explained to you, that your questions have been
answered, and that you agree to take part in this study. You may request a copy of this form.
The Video we will be using
https://www.ted.com/talks/caro_verbeek_the_historical_significance_of_smell
Debrief Statement:
The purpose of our study was to determine the influence technology has on our ability to pay
attention to an outside stimulus. The recording device at the front of the class was not being
used. We are simply using the scores from the questionnaire to analyze your ability to retain
information from the video while being distracted.