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CRE ICF APPENDIX L

This document is an informed consent form for a research study investigating the relationship between values, spiritual well-being, and suicidal ideation among Filipino Generation Z in Capiz. Participants aged 18-27 will complete three standardized questionnaires, taking approximately 15 minutes, with confidentiality assured and the right to withdraw at any time. The study aims to generate valuable insights for academic and societal benefit, with no compensation provided for participation.

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Raphah
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13 views

CRE ICF APPENDIX L

This document is an informed consent form for a research study investigating the relationship between values, spiritual well-being, and suicidal ideation among Filipino Generation Z in Capiz. Participants aged 18-27 will complete three standardized questionnaires, taking approximately 15 minutes, with confidentiality assured and the right to withdraw at any time. The study aims to generate valuable insights for academic and societal benefit, with no compensation provided for participation.

Uploaded by

Raphah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Informed Consent Form for Filipino Generation Z of Capiz

UNIVERSITY OF ST. LA SALLE


MASTER OF ARTS IN PSYCHOLOGY
SPIRITUAL WELL-BEING, VALUES, AND SUICIDAL IDEATION AMONG FILIPINO GENERATION Z

PART I: INFORMATION SHEET

INTRODUCTION
I am Raphah Cortel, a Masters in Psychology students from the University of St. La Salle-Bacolod City
who intend to gather data for my thesis. We are inviting you to be one of our research participants. If
you have any questions regarding this invitation, we would be glad to answer them.

PURPOSE OF THE RESEARCH


This study aims to investigate the relationship among the values, spiritual well-being, and suicidal
ideation of Filipino Generation Z.

TYPE OF RESEARCH INTERVENTION


This study will require you to answer three standardized instruments and will approximately take 15
minutes to in all to answer.

PARTICIPANT SELECTION
Inclusion criteria for this study include participants aged 18-27 years old to ensure they are within the
Gen Z demographic. Additionally, participants must reside in Capiz to focus on the specific region of
interest. Filipino nationality is required to target participants from the Filipino culture.

VOLUNTARY PARTICIPATION
Your involvement in this research activity is entirely voluntary. If you prefer not to participate, you may
do so. If at any time you wish to terminate your participation or withdraw the information you have
provided us with, you may also do so.
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PROCEDURES
You will be asked to answer a series of questions through completing 3 survey questionnaires. Data
gathering will be conducted in a quiet, private location. The 3 survey questionnaires are: Portrait Values
Questionnaire, Spiritual Wellbeing Scale, and Columbia Suicide Severity Scale. Portrait Values
Questionnaire (PVQ) assesses an individual's core values by asking participants to rate how closely they
identify with various life goals and behaviors, such as loyalty, independence, and conformity.
The Spiritual Well-Being Scale (SWBS) measures two dimensions of spiritual health: Religious Well-Being
(RWB), which focuses on one's connection to a higher power, and Existential Well-Being (EWB), which
assesses feelings of purpose and life satisfaction. Finally, the Columbia Suicide Severity Rating Scale (C-
SSRS) evaluates the severity of suicidal ideation and behaviors, ranging from passive thoughts of death
to active plans or past attempts.

Before participating in the study, participants will be fully informed about its objectives, procedures,
potential risks and benefits, and their right to withdraw at any time without penalty. They will receive a
written informed consent form, which will be explained to ensure comprehension, and it will be
provided in their preferred language if necessary. After reviewing the consent form, participants will sign
it to indicate their voluntary agreement to participate. They will be assured that their responses will
remain confidential, with no identifying information linked to the data; only a unique number will
identify them, and the results will be accessible only to authorized personnel, such as the research team.
Participants will also be informed that they may skip any questions they do not wish to answer.

For the survey administration, the research instruments—Portrait Values Questionnaire (PVQ), Spiritual
Well-Being Scale (SWBS), and Columbia Suicide Severity Rating Scale (C-SSRS)—will be distributed in a
quiet, private setting. Participants may answer the questionnaire on their own or have the questions
read aloud to them by a research team member, with responses written down. A registered
psychometrician will oversee the process, ensuring the procedure is smooth and ethical. The survey will
take approximately 15 minutes, with 5 minutes allocated for each questionnaire. A mental health
professional will be on standby to address any potential concerns or adverse reactions. The data will
undergo quality control checks for consistency and accuracy, and all consent forms and responses will
be securely stored, following ethical and data protection guidelines.

DURATION
Your participation in this study will approximately take 15 minutes, 5 minutes per survey questionnaire.
We will contact you in case there are additional data that we need to ask from you.
RISKS
There are no known risks for you if you decide to participate in this research activity. However, you may
refuse to answer any question or take part if you feel that the question is too personal or if talking about
them makes you uncomfortable.
BENEFITS
The information that will be generated through your participation in this research activity will greatly
help the academe and the society in general. The data that will be gathered will potentially provide
information that will be used in schools as well as program implementers. Please be informed that you
will not receive any remuneration for your participation or reimbursements for expenses incurred as a
result of your participation.
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CONFIDENTIALITY
Be assured that the data you will provide the research team will be held with utmost confidentiality. The
data will be stored in secure files and will be disposed of after three years.
SHARING THE RESULTS
The findings of this study will be presented to a panel of experts in our school. There may also be
opportunities for publications or presentation in conferences.

RIGHT TO REFUSE OR WITHDRAW


Your participation is this research activity is purely voluntary and you have the right to withdraw if you
think you need to do so. Please review your responses, and feel free to make the necessary changes to
your responses, if you think it is necessary.

WHO TO CONTACT
For any questions or concerns regarding the study, participants can contact Raphah Cortel at 0956-071-
1974 or via email at [email protected] to provide assistance and address any inquiries.

PART II: CERTIFICATE OF CONSENT


I have read the foregoing information, or it has been read to me. I have had the opportunity to ask
questions about it and any questions I have been asked have been answered to my satisfaction. I
consent voluntarily to be a participant in this study.
Print Name of Participant: _______________________________________________________________
Signature of Participant: ________________________________________________________________
Date: _____________ [MM/DD/YYYY]
If the participant is not able to read or write, a witness must sign (if possible, this person should be
selected by the participant and should have no connection to the research team). Participants who are
incapable of reading or writing should include their thumb print as well.
I have witnessed the accurate reading of the consent form to the potential participant, and the
individual has had the opportunity to ask questions. I confirm that the individual has given consent
freely.
Print name of witness____________ Thumb print of participant:
Signature of witness _____________
Date: ______________ [MM/DD/YYYY]
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STATEMENT BY THE RESEARCHER OR PERSON TAKING THE CONSENT


I have accurately read out the information sheet to the potential participant, and to the best of my
ability made sure that the participant understands that the following will be done:
1. He/She will answer the survey instrument by the researcher.
2. He/She had been informed, and had consented to participate in this research activity.
I confirm that the participant was given an opportunity to ask questions about the study, and all the
questions asked by the participant had been answered correctly to the best of my ability. I confirm that
the individual has not been coerced into giving consent, and the consent has been given freely and
voluntarily. A copy of this Informed Consent Form has been provided to the participant.

Print Name of Researcher or Person taking the consent:


_____________________________________________
Signature of Researcher or Person taking the consent:
_____________________________________________
Date: ____________________ [MM/DD/YYYY]

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