Univ of Minnesota IRB Change in Protocol Approval 11132013

Attach. 23 University of Minnesota IRB Change in Protocol Approval

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Revised
October 2013

Change In Protocol Request
Instructions:

FOR IRB USE ONLY:

Use this form when submitting change requests to approved IRB
protocols. This form is for use when the changes are initiated by the
PI. Do not use this form to respond when changes are requested by
the IRB. Please do not use this form when responding to changes
requested in a stipulation or deferral letter.

The UMN IRB reviewed and APPROVED this
The University
of Minnesota
IRB Human
submission
including
all a achments
listed Sub
jectsform
Commi
ee has reviewed
on this
by expedited
review.and APPROVED
this submission including all a achments listed
By Jeffery
Perkey on Nov 13, 2013
on this form.

Submit this form to the Human Research Protection Program:
U.S. Mail Address:
or
Human Research Protection Program
MMC 820
420 Delaware St. SE
Minneapolis, MN 55455-0392

Electronic Submission:
Submit to: irb@umn.edu
PI must submit request using
University of Minnesota e-mail
Account.

IRB Protocol Information
IRB Study Number:
Principal Investigator:
Primary Study Title:
Date of this Submission
Study Includes

1101S94592
Ann S. Masten
Assessment of Executive Function for the National Children’s Study
11/6/13
Drug(s) / Biologic(s)
Device(s)

Indicate the type of change(s)
Change(s) to Study
Procedures/Protocol Amendment

Additional information/requirements
Is this protocol under Masonic Cancer Center’s Cancer Protocol Review
Committee (CPRC) review?
No
Yes, CPRC #
Protocol amendments must be submitted to CPRC (CCPRC@umn.edu) prior to
review by the IRB. CPRC will forward this submission to the IRB after CPRC
approval. Submission to CPRC must meet the IRB signature requirement
(signed by the PI or sent from the PI’s x.500 UMN email account).
Protocol Version

Notice of Closure to Accrual
Recruitment
changes/Advertisements
Revised Investigator Brochure
Updated consent form
Other

, Dated

Attach a copy of the revised material (flyer, script, etc.) with the submission
Version
, Dated
Include both an updated form with changes highlighted and a “clean” version
Briefly Describe:

1. Briefly summarize the change(s). For protocol amendments, do not say “See summary of changes provided with
amendment.” Rather, summarize the nature of the significant revisions.
This project has moved administrative “homes” due to the reorganization of the National Children’s Study.
Northwestern University is the contractor and the University of Minnesota and Delve are both subcontractors (of
Northwestern) for the study.

Northwestern University will manage FISMA compliance in terms of programming computers used for data
collection and maintaining all security, servers, and processes for uploading data daily from the computers used in
data collection. The data collected on iPads will be wiped as soon as the upload occurs.
The University of Minnesota will supervise training and data scoring and analysis as required to complete the study.
Delve Marketing Research will collect a substantial portion of the data in three of their regular research
communities (Minneapolis, Philadelphia, and Phoenix are the planned sites). As a result of adding Delve and
multiple sites, the procedures will need to be changed as described further below. Delve will recruit participants
using their usual procedures and their staff will conduct the consent process and data collection. However, the
Minnesota team will train their staff on the consent procedures as well as test administration (at the Delve
Minneapolis site). Delve personnel will be added to the personnel for this project at a later time (after OMB
approval, funding, and hiring, but before any data collection for this project).
Consent forms will be retained by Delve in securely locked files in locked offices until the study is completed and
then will be destroyed. Keys linking people or contact information to ID numbers will be maintained securely by
each test site (in encrypted and password-protected computer files or locked regular files in locked offices, and
separate from any data locations) until the study is completed and then the keys will destroyed.
In the event of an audit or other necessary processes concerning consent forms by the University of Minnesota IRB,
an authorized supervisor from Delve would bring any needed consent forms to Minneapolis.
Paper measures will be scored and entered on databases in a secure FISMA environment on a secure server. The
FISMA compliant server space will be provided by Northwestern University in their role as contractor. After initial
entry, original forms will be scanned (identified only by ID numbers) into secure files on the same servers in order to
verify scoring and data entry from distant sites. Data will be entered a second time by University of Minnesota staff
with access to the scanned data on the secure server. Once these data are verified, the originals will be destroyed at
each site.
For Minneapolis data, paper forms from Delve will be transported by hand to the University of Minnesota offices for
storage in secure and locked files until they are verified.
For data collected by the University team in Minneapolis, paper forms will be stored in secure and locked files and
double-entered into the secure database. Once the data are verified, the originals will be destroyed.
More details about recruitment and data collection procedures follow below.
Session 1 (validity):
Child Session (50 to 60 minutes)
Peg-tapping (3 min)
Touchscreen tutorial (3 min)
Toolbox Picture Vocabulary (5 min)
Flanker- Dext (7 min)
Dimension Change Card Sort- Dext (7 min)
Toolbox Picture Sequence Memory (5 min)
WPPSI-IV Block Design (8 min)
Woodcock-Johnson-III Letter-Word Identification (7 min)
Woodcock Johnson-III Applied Problems (8 min)

Parent
Demographic questionnaire (Changes have been made – described below) (7 min)
Children’s Behavior Questionnaire with EF extension (10 min)
Ages and Stages - Social Emotional (10 min)
Q-ABC (Quick Assessment of Behavior in Children) (3 min)
Strengths and Difficulties Questionnaire (5 min)
Session 2 (reliability):
Child (30 min)
Peg-tapping
Touchscreen tutorial
Toolbox Picture Vocabulary
Flanker- Dext
Dimension Change Card Sort- Dext
Toolbox Picture Sequence Memory
Parent
Children’s Behavior Questionnaire with EF extension
Q-ABC (Quick Assessment of Behavior in Children)
Test Administrator
Behavior Rating Form
Description of newly proposed tasks:
NIH Toolbox Picture Vocabulary Test
This is a computerized measure of receptive vocabulary that is similar to and validated against the Peabody Picture
Vocabulary Task, which was approved in the original IRB submission. We propose including this version of the task
because it is a shorter and more adaptive measure of verbal skills. This measure is part of the standard battery of
cognitive tests included in the NIH Toolbox.
NIH Toolbox Picture Sequence Memory Test
This task, also part of the standard NIH Toolbox battery of cognitive measures, is designed to measure episodic
memory. It involves recalling increasingly longer series of pictures of objects and activities that are presented in a
particular order on a computer screen. Participants are asked to recall the order of the pictures.
Strengths and Difficulties Questionnaire
This measure is a brief behavioral screening questionnaire. There are 25 items regarding children’s emotional
symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and prosocial behaviors. We
propose including this measure to study concurrent validity for the Children’s Behavior Questionnaire with EF
extension. The questionnaire is available in English and Spanish. Both versions accompany this change of protocol.
Behavior Rating Scale
This is a 10-item report about how well the session with the child flowed, which we have often used in our other
approved studies with child assessments. Five of the items come from a brief measure that is used in preschool
screening by multiple school districts in the Twin Cities, including Minneapolis. Five additional items we have used in
the past to assess the validity of a session are included.

Changes to Procedure
Participants
Delve will collect data for 240 children (and 240 parents/guardians) in English and 60 children in Spanish (and their
60 parents/guardians) at 3 locations, divided approximately equally across sites. A random subsample of children
will be retested after 1 to 2 weeks to test reliability, including 90 in English and 24 in Spanish (30/8 at each site).
The University of Minnesota team will collect data as planned and approved for very disadvantaged children
residing in shelters or attending community preschools for disadvantaged children. The goal is to assess 60 children
(60 parents/guardians) with a random subset of approximately 30 retested for reliability.
Given the possibility of children deciding to stop mid-assessment or being unable to continue for any reason (e.g.,
tired or becoming ill), we have included a 10% larger sample in our request for approval of participant numbers.
These numbers are as follows. We expect that the children will be about equally divided by sex. We expect the
parents/guardians to be primarily female.
396 children (approximately 50% male and 50% female; ages 2.5 to 5.5) - sampling recruitment will aim for balanced
age and sex within six 6-month age brackets: 2.5 (older than 2.5) -2.9 (younger than 3.0); 3.0-3.4; through…5.0-5.4
(younger than 5.5).
396 adult parents/guardians (approximately 80% female and 20% male)
Thus, the number of participants for this protocol should be changed to a total of 810, which includes the original 9
families (9 children and 9 parents) already completed plus the numbers listed above.
Recruitment and Testing Procedures
University of Minnesota sample
Recruitment will proceed as planned and approved, recruiting children from the People Serving People shelter and
The Family Partnership preschool. Our team has years of experience working with these community partners.
Changes have been made in the consent form to reflect protocol measures.
The oral assent process for children has been simplified and shortened to accommodate younger children.
Greater flexibility will be allowed for sex/age balance within age brackets in the University sample as families in
these community programs for disadvantaged families tend to be sensitive to exclusion from research
opportunities.
Delve
Delve will randomly select participants from its database of potential participants. Delve uses an "opt-in" database
from sources such as booths at community engagements, newspaper ads, Mommy-n-Me groups, social media, and
word of mouth. These families have previously agreed to be contacted for future research studies, and the
databases of its contractors, which, similarly, contain contact details of subjects interested in taking part in
research.
Potential participants will be contacted by telephone and asked a series of questions to confirm their eligibility.
Once the eligibility is confirmed, an appointment will be scheduled at the site office for testing. A Delve technician

will also confirm participant’s mailing address and inform them that a packet – a consent form and directions to the
testing site – will be mailed to that address shortly. When a child is selected, the telephone screening interview will
be conducted with a parent or legal guardian.
The consent form(s) will only be mailed to potential participants as a source of additional information about the
study. Participants will be formally consented by a trained Delve technician once they arrive at the testing site.
Once (a) consent forms have been signed (and children have orally assented), the parent and child will begin
assessments simultaneously, either in the same room or in separate rooms near each other. Parents or legal
guardians will be allowed to remain with their children in the testing room but not encouraged to do so. Having
other people in the room can be distracting for a young child completing EF tasks; on the other hand, young
children or their parents may prefer to be in the same room.
Videotaping
Sessions will no longer be videotaped to check fidelity of administration. Periodic live observation of test
administrations will be done instead.
Payments
Parents who complete the parent session will be paid $50 (debit or gift card) if they travel to the test site ($25 plus a
$25 travel allowance) or $25 if examiners travel to them or if the study pays for transportation. All Delve families
will travel to central test sites. Families in the emergency shelter are usually tested on site in testing space
dedicated for use by the University of Minnesota team. Parents from the Family Partnership are likely to be tested
at their preschool community site, some traveling on their own, and some needing transportation, and thus may be
compensated $50 or $25. Parents/guardians will be asked to sign a payment receipt when they are compensated.
Delve routinely uses debit card for compensation. The University of Minnesota routinely uses Target or Walmart
cards in similar studies, which have worked well with disadvantaged families.
Children recruited by Delve who participate will receive a $25 debit card (given to the parent) by Delve (this is their
standard compensation for children). Children recruited by the U of M will receive one or more gifts (toys, books,
etc.) valued around $25 (the standard approach of the faculty researchers in our department and for research in the
same settings).
Changes to Measures
Please note that we will provide Spanish translations of all relevant measures and forms at a later time.
Demographic Form – the demographic form has been streamlined, made more structured, and shortened to
simplify administration, reduce time burden, and simplify data entry. One question was added about whether a
parent is in the military.
2.

Does the protocol amendment affect study design and/or change the study endpoint(s)?
Yes
No

3. Describe the rationale for the change(s):
Data collection on this study has been on hold after completing assessments of 9 families as we awaited OMB
clearance. While waiting, the initial contract period ended. In addition, the new EF measures were partially
validated in a separate study (IRB #1206S15442). Now, a new contract to complete the goals of this formative
project for the National Children’s Study is pending. Thus, we have updated the goals of this study and the
following changes of protocol reflect the goals of the new contract.

First, we propose discontinuing the pilot phase since the goals of that pilot were met in another study using the
new measures. We have established feasibility of administration and preliminary construct validity. Therefore,
we propose proceeding with the second phase of the study, which is focused on validation (construct validity
and test-retest reliability). In the newly designed phase 2, described below, we would collect a larger sample in
multiple states, both in English and Spanish, with a large portion of the testing conducted by Delve Marketing
Research, the firm that collected the national norming study data for the original NIH Toolbox measures. The
University of Minnesota team will still coordinate the study and collect data for the subsample of
disadvantaged children as previously planned.
For this phase of the study, we propose still including both parent and child sessions, with neither lasting
longer than an hour (parent session estimated to take 45 minutes; child session estimated to take 1 hour).
Teacher reports will no longer be needed due to other studies that have or will provide validation data
pertinent to teacher reports (IRB #: 1204S12361, 1105S99892, 1206S15442). A summary of the session
protocol is listed below, including already-approved measures in the current and earlier versions of this IRB
submission. The design reflects what we learned from the initial pilot cases of this study and our related work
on executive function in other studies. This experience helped us determine which measures were best for the
age group and diverse samples of children. New measures proposed for this study (in bold italics) are described
below.
4.

How will these changes affect the overall risk to subjects in this study?
There are no changes to risk.

5.

Do the changes to the study prompt changes to the consent form(s)?
No.
Yes. If yes:
Attach a copy of the revised consent form(s) with changes tracked or highlighted as well as a clean copy.
5.1 Will currently enrolled subjects will be notified of the changes?
No
Yes, explain below how they will be notified (i.e. subjects will be re-consented with the updated
form once approved, subjects will be provided with an information sheet, subjects will be told of
changes at next study visit, etc.).

6.

List and attach all documents included with this request, including version dates:
Delve screening script, 11/6/13 version
Consent form for U of M families (without 2nd session, with changes highlighted), 11/6/13 version
Consent form for U of M families (without 2nd session, clean copy), 11/6/13 version
Consent form for U of M families (with 2nd session), 11/6/13 version
Consent form for Delve participants (without 2nd session), 11/6/13 version
Consent form for Delve participants (with 2nd session), 11/6/13 version
Child assent script for all participants, 11/6/13 version

Family Information Questionnaire (demographic form), 11/6/13 version
Strengths and Difficulties Questionnaire (SDQ; ages 3-4)
Strengths and Difficulties Questionnaire (SDQ; ages 4-10)
Behavior Rating Scale, 11/6/13 version

______________________________
Principal Investigator’s Signature

_____________________
Date

Cancer Protocol Review Committee (CPRC) Use Only: