| Section A: Choose only one right answer |
Mean |
SD ٭ |
Minimum |
Maximum |
| 1. |
Have you been told that you can freely decide to take part in this study? |
2.86 |
0.65 |
0 |
3 |
| 2 |
Have you been told you can withdraw from this study anytime? |
2.74 |
0.83 |
0 |
3 |
| 3. |
During the study, will you know the drug you or your child is receiving? |
2.86 |
0.52 |
1 |
3 |
| 4. |
If yes, describe or mention what the drug is doing? |
2.95 |
1.10 |
1 |
5 |
| 5. |
During the study, will anyone not working with MRC know about your health information? |
2.29 |
1.23 |
0 |
3 |
| 6. |
Have you been given the name and phone number of the person to contact if you have any questions about the study? |
2.50 |
0.99 |
0 |
3 |
| 7. |
If yes, mention the name of the person? |
2.07 |
1.30 |
0 |
3 |
| 8. |
Can your participation in the study be stopped without your consent? |
1.49 |
1.49 |
0 |
3 |
| 9. |
Will you receive money for taking part in the study? |
2.52 |
0.94 |
0 |
3 |
| Section B: Answer the following questions by circling the right answer |
| 10. |
How were participants divided into different groups in this study? |
0.02 |
0.15 |
0 |
1 |
| 11. |
At what point can you leave the study? |
2.02 |
1.41 |
0 |
3 |
| 12. |
What does it mean when you sign or thumbprint the study consent form? |
2.93 |
0.46 |
0 |
3 |
| 13. |
How did you decide to participate in this study? |
1.79 |
1.49 |
0 |
3 |
| 14. |
What will you receive as a reward for taking part in the study? |
2.79 |
0.78 |
0 |
3 |
| 15. |
What will happen if you decide to stop taking part in this study? |
2.71 |
0.89 |
0 |
3 |
| SECTION C: You will need to circle more than one correct answers in this part |
| 16. |
Which of the following describes why the primaquine study is being done? |
2.95 |
1.01 |
2 |
4 |
| 17. |
Which procedures were you asked to take part in? |
3.33 |
0.95 |
2 |
4 |
| 18. |
Which activities were you asked to complete? |
2.76 |
0.98 |
2 |
4 |
| 19. |
Which describes the main benefits of taking part in the study? |
3.04 |
1.01 |
2 |
4 |
| SECTION D: In this section, you are requested to provide answers that are specific to the study you are currently participating. |
| 20. |
Please tell me what the researchers want to find out in the study? |
2.92 |
0.78 |
0 |
5 |
| 21. |
How many times do you have to come to the clinic for a visit during the study? |
3.17 |
2.17 |
0 |
5 |
| 22. |
Tell me what will be done during the study visits? |
2.92 |
1.26 |
0 |
5 |
| 23. |
How are participant assigned into different groups this study? |
0.88 |
1.13 |
0 |
3 |
| 24. |
What is the difference between taking part in this study and going to see a doctor for treatment? |
2.97 0 5 |
2.48 |
0 |
3 |
| 25. |
What are the possible unwanted effects of taking part in this study? |
4.36 |
1.21 |
0 |
5 |
| 26. |
Why do you think some of the study participants were given different medicine? |
2.98 0 3 |
2.48 |
0 |
3 |
