Project Dora - Information SheetThis document is only for those selected to attend Project Dora. Please
take time to read ALL the following information carefully! You and your
child are being invited to take part in a market research study being carried
out by PPL Insights, a market research agency, on behalf of a major pain relief
product manufacturer. Before deciding whether you and your child will
participate in this study, it is important that you read this form. This
information sheet and consent form describes the purpose, procedure, benefits,
financial payment, risk and potential discomforts of the study. It also
describes your right to withdraw yourself and your child from the study at any
time. Please ask as many questions as you need to so that you can be sure you
and your child want to take part in the study. What is the purpose of this research? The
purpose of this market research study is to understand differences in taste and
parent and children's overall perceptions of pain relief products.
Approximately 200 children are expected to participate in this study (alongside
200 parents). If you and your child qualify for the study, you will both be asked to look at and taste several products over two sessions. You and your
child would only be asked to try a very small amount of carefully measured
product and never more than the recommended amount for that session time. The
products have the active ingredients of paracetamol and Ibuprofen. Two of the products you and your child will be trying during the study
are currently registered and marketed in Australia, formulated for pain and fever relief in
children. Four of the products are yet to be registered although they contain the
same ingredients as marketed products apart from the flavour. The study and products being tested have all be approved by an Australian Ethics Committee as safe to test. Who can participate? To
qualify for this study your child must meet the following requirements:
PRECAUTIONS It is
important that you tell the interviewer about past and current medical
conditions experienced by yourself and your child, even if it seems to have
little to do with the study. You and your
child should not participate if any of the following apply: - Have a history of or current gastric or duodenal
ulceration, history of asthma or are asthmatic.
Have renal, hepatic, thyroid or cardiac impairment - Have phenylketonuria - Have high blood pressure (hypertension) or history
of an overactive thyroid - Have breathing problems such as emphysema, asthma
or chronic bronchitis - Known to have diabetes mellitus or glaucoma or on a
sodium-controlled diet or Raynaud's syndrome. - Have a history of or suffer from epilepsy or
seizures. - Have gastro oesophageal reflux disease (GORD). - Any acute or chronic medical or psychiatric
condition or laboratory abnormality that may increase the risk associated with
study participation or investigational product administration as judged by the
investigator - Have taken paracetamol or ibuprofen on the day /
days of the test including cold and flu medications. Individuals who have any
sensitivity to cold and flu medications containing for example paracetamol,
phenylephrine hydrochloride, pheniramine maleate, ascorbic acid, including
flavours. - Have any actual or suspected allergy to Carmosine
(E122) or any known or suspected food allergies or food colourants. - Have any condition or are taking any drug therapy
that could affect their sense of smell or the ability to assess the study
sample. - Have any oral symptoms including lesions, sores or
inflammation including recent dental work and oral surgery. You or
your child will never be provided with any product to take home, all products
must be consumed at the location of the test, all products will be carefully
accounted for. What will you / your child have to do? If you
and your child qualify and you agree for yourself and your child to take part
in this study, this will involve the
following stages:
Tell the
interviewer if your address or phone number changes during the study. You will be given as much time as you need to make
the decision whether to permit yourself or your child to participate or not. If you do agree to yours and your child's
participation, we will ask you to sign the attached consent form. Payment You will
receive compensation of AUS $110 Eftpos card at
the end of the study for the time and effort of taking part. If a parent or child
is withdrawn from the study due to feeling unwell or experiencing symptoms
(known as an adverse event or AE) then a pro-rata payment may be made if the AE
is not a result of the study. If the AE
is as a result of the study then full payment would be made. Possible side effects and the risks of treatment You or your child are not expected to experience
any side effects whilst using these products. However the following types of
reactions (side effects) have been reported for similar products: indigestion,
heartburn, nausea, vomiting, loss of appetite, stomach pain, diarrhoea, bloating, gas, constipation; other side effects are
dizziness, headache, nervousness; mild itching or rash; or ringing in your
ears. There are sometimes signs of an allergic reaction also seen like:
sneezing, runny or stuffy nose; wheezing or trouble breathing; urticarial (a
type of skin rash); swelling of your face, lips, tongue, or throat. If you or your child feel unwell or experience symptoms during this research study, full guidance on who to contact is provided below and on the final page of this document which you will be given to take home with you.
If you
would like to see this information now, then please ask your interviewer. In the
unlikely event of a medical emergency, seek medical attention immediately. After
seeking medical attention, please call the phone number provided as soon as possible. Compensation for injury If you or your child experience any
adverse events as a result of your participation in this study, you may be
entitled to compensation. There are two avenues that may be available to you to
seek compensation. 1)
Sponsors of clinical trials in
Australia have agreed that the guidelines developed by their industry body,
Medicines Australia, will govern the way in which compensation claims from
injured participants are managed by sponsors. However, as guidelines, they do NOT
in any way dictate the pathway you should follow to seek compensation. The
sponsor is obliged to follow these guidelines. These guidelines are available for your
inspection on the Medicines Australia Website (www.medicinesaustralia.com.au)
under Policy - Clinical Trials - Indemnity and Compensation Guidelines. Alternatively, your study doctor can provide
you with a hard-copy of the guidelines. 2)
You may be able to seek compensation
through the courts. It is the recommendation of the
independent ethics committee responsible for the review of this trial that you
seek independent legal advice before taking any steps towards compensation for
injury. Study participation / withdrawal Yours and
your child's participation in this study is voluntary. You may withdraw your
consent and discontinue yours and/or your child's participation at any time,
without penalty or prejudice, no reason need be given. If you should decide to
withdraw you and your child's participation, please notify the study site using
the contact details provided. Should you fail to act according to study procedures, you and your child's participation may be terminated. Participant expenses You and
your child will be required to travel to the location where the test is
happening. The
compensation of AUD $110 is to be given to you at the end of the study
is expected to cover this. Study confidentiality In
signing this form you are confirming your agreement that you and your child
will keep the information that you see and any materials or items that you are
given about the study, such as information regarding the study product or the
type of study being performed confidential. You promise not to copy or
photograph any part of the study materials provided. You are of course free to
discuss your participation in the study or when discussing your present or
future healthcare with your family. In
addition, you confirm that neither you nor anyone else in your household /
family are employed in any part of the pharmaceutical industry, healthcare
profession, sales and marketing, advertising or the market research industry. We take
this agreement seriously and ask that you do so as well. To avoid
any potential confusion here are some examples of activities that are
considered a breach of confidentiality and will result in removal from the
study
Will the information provided by me be kept
confidential? Yes. If
you consent for you and your child to take part in this study, the information
collected during the study will be stored by Your Source in accordance with the
Australian Privacy Act and the sponsor in accordance with the UK data
protection act. Participants should note that, some
data derived from your participation in this study will be sent overseas; the
regulatory regimes governing data access and use in other countries may not be
the same as those that are in place in Australia. If you have any questions
about this direct them to the Your Source. The
sponsor may also wish to use any comments that you or your child writes in your
respective questionnaires (e.g. things you or your child like or dislike about
the product you/they are trying) in future marketing materials. However, please
be assured that the comments will be anonymous (not attributed to either you or
your child) if used. Only Your Source/Chit Chat Research
and their staff will know that the information is related to you and your
child and this information is kept confidential. We
promise to keep yours and your child's information secure and confidential, and
ask that you promise to do the same with the information and product you will
see during this test. We value your time and opinions. New findings You will
be told about any significant new finding about the study products. This
information can help you decide if you and your child wish to continue your
participation in the study. Contact during the study If you
agree for you and your child to participate in this study, you will be given
contact details for both your interviewer, plus a voicemail where you can leave
details should any issues occur during usage. At the
end of this interview, your interviewer will give you the back page of the
questionnaire, which contains full information on contact during your
participation in the study; however you can read through this information now
if you would like Questions about your participation in this study If you
have questions about this study, please refer to the contact details
information sheet for information on contacting your interviewer. If you do
not want to talk to the study staff, if you have concerns or complaints about
the research, or want to ask questions about the rights of study participants
you may contact Bellberry Limited which has responsibility for scrutinizing
proposals for research on humans. The study was given a favourable ethical opinion for conduct. You are free to contact the Bellberry Limited for any further questions you may have on your rights. Their contact details are provided in the contact sheet, which you will be given. |