IRB Protocol Form A Example Student - USI

1 Revised 10-27-2014 Page 1 of 11 IRB Application for TYPE 1 Research (Exempt) form A Office of Sponsored Projects and Research Administration Wright Administration Room 104 812-465-5149 / This form shall be used if there is minimal risk to human subjects and one or more of the exempt categories apply (on page 2). If there is more than minimal risk associated with the research (none of the categories on page 2 apply) or if the research utilizes a special population (children, prisoners, institutionalized individuals, etc.)

2 , please IRB form B. Basic Protocol Information Project Title: Second Language in Academic Settings and its Impact on Academic Learning Principal Investigator Name: Title: Undergraduate Student at USI Department: Liberal Arts Email: Phone: College or Division: College of Business College of Liberal Arts College of Nursing & Health Professions College of Science, Engineering, & Education Academic Affairs Student Affairs Outreach & Engagement Other_____ Role at USI: Faculty Staff Undergraduate Student Graduate Student Other - specify: If there are additional Investigators, please attach list Students only -- Name of Faculty Sponsor: EXPECTED DATES OF RESEARCH Start (month/date/year): October 20th, 2014 or upon IRB approval End (month/date/year): December 17th, 2014 HUMAN SUBJECTS RESEARCH TRAINING CITI Training Reference number: 12776515 Date completed: 4/18/14 Collaborative Institution Training Initiative (CITI) training must be completed prior to requesting a review of your IRB Protocol .

3 CITI (Collaborative Institution Training Initiative) training certification is good for 3 years. To complete the CITI training go to Please upload a copy of your CITI Training Certification to IRBNet. DISSEMINATION OF RESULTS How are you intending to disseminate the results of the research? (Check all that apply) Journal article Conference presentation Academic white paper Thesis / Dissertation USI course paper or presentation Other- specify: FUNDING OF RESEARCH Is your research part of an external grant or contract? Yes Attach copy of the grant application or contract No Revised 10-27-2014 Page 2 of 11 SECTION 1 REVIEW CATEGORY AND JUSTIFICATION 1a.

4 Please read carefully the following categories and indicate which category or categories best describe your research by checking the appropriate box. Research in Educational Settings (Category 1) Research conducted in established or commonly accepted educational settings, involving normal educational practices, such as: (a) research on regular and special education instructional strategies; or (b) research on the effectiveness of, or the comparison among, instructional techniques, curricula, or classroom management methods. Tests, Surveys, Interviews, Observation of Public Behavior Part 1 (Category 2) Research involving the use of educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures, or observation of public behavior.

5 NOTE: If the information obtained is recorded in such a manner that the human participants can be identified, directly or through identifiers linked to the participants; and any disclosure of the human participants' responses outside the research could reasonably place the participants at risk of criminal or civil liability or be damaging to the participants' financial standing, employability, or reputation. Please complete USI IRB form B for Type 2 instead. Tests, Surveys, Interviews, Observation of Public Behavior - Part 2 (Category 3) Research involving the use of educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures, or observation of public behavior that is not exempt under Category 2 above if: (a) the human participants are elected or appointed public officials or candidates for public office; or (b) federal statute requires without exception that the confidentiality of the personally identifiable information will be maintained throughout the research and thereafter.

6 Use of Existing Records (Category 4) Research involving the collection or study of existing data , documents, records, pathological specimens, or diagnostic specimens, if these sources are publicly available or if the information is recorded by the investigator in such a manner that subjects cannot be identified, directly or through identifiers linked to the participants. Public Benefits/Service Programs (Category 5) Research and demonstration projects which are conducted by or subject to the approval of department or agency heads, and which are designed to study, evaluate, or otherwise examine: (a) public benefit or service programs; (b) procedures for obtaining benefits or services under those programs; (c) possible changes in or alternatives to these programs or procedures; or (d) possible changes in methods or levels of payment for benefits or services under those programs.

7 Consumer Acceptance (Category 6) Taste and food quality evaluation and consumer acceptance studies: (a) if wholesome foods without additives are consumed; or (b) if a food is consumed that contains a food ingredient at or below the level and for a use found to be safe, or agricultural chemical or environmental contaminant at or below the level found to be safe by the Food and Drug Administration or approved by the Environment Protection Agency or the Food Safety and Inspection Service of the U. S. Department of Agriculture. Revised 10-27-2014 Page 3 of 11 explain in layman terms why you believe your research Protocol meet(s) the categories you selected: My data will be collected through the completion of 3 different surveys.

8 - A Motivation Scale created by Robert J. Vallerand, Luc G. Pelletier, Marc R. Blais, Nathalie M. Bri re, Caroline B. Sen cal, and velyne F. Valli res, which assesses what kind of motivation brings the participant to college. - The VARK Questionnaire assessing what is the Learning Style of the participant. - A demographic and academic background survey created by myself. SECTION 2 RESEARCH QUESTION AND DESIGN 2a. RESEARCH QUESTION In layman terms, state the research question to be answered by this project Does studying in a second language impact the learning ability in unrelated disciplines? Underlying questions will be answered as well: How does the type of motivation students have affect their learning ability?

9 How does students learning style affect their learning ability? 2b. RESEARCH DESIGN Provide a brief summary of the research design The research design of this study will include two groups. One group will be the second language speakers (the participants native language will be Spanish) and will consist of 20 to 25 USI students. The second group will be the first language speakers (the participants native language will be English) and will consist of 20 to 25 USI students. The total participants will be between 40 and 50 participants. Each group will be met at different place and time due to the different method of recruitment used for those two groups.

10 For the Spanish speaking group, I will attend one of the Hispanic Union s meeting occurring each Monday at 1:00 (recruitment script I will say to them is attached). I will recruit the English speaker participants through SONA (the psychology department s online experiment management system, SONA template is attached). I will assign them with a time and location when they volunteer. All participants will be asked to complete 3 surveys: The VARK Questionnaire, the Motivation Scale, and a demographic /academic background (all 3 attached as separate documents). The latter has been created by the (me). With the data from the three different surveys I will be able to conduct a Linear Regression which will show trends between the three variables (first language, learning style, and motivation style).