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Source text - English 1. Your Consent
You are invited to take part in this research project.
This Plain Language Statement contains detailed information about the research project. Its purpose is to explain to you as openly and clearly as possible all the procedures involved in this project so that you can make a fully informed decision whether you are going to participate.
Please read this Plain Language Statement carefully. Feel free to ask questions about any information in the document. You may also wish to discuss the project with a relative or friend or your local health worker. Feel free to do this.
Once you understand what the project is about and if you agree to take part in it, you will be asked to sign the Consent Form. By signing the Consent Form, you indicate that you understand the information and that you give your consent to participate in the research project.
You will be given a copy of the Plain Language Statement and Consent Form to keep as a record.
2. Purpose and Background
The purpose of this project is use a case study of the Sam Chuk market heritage revitalisation process to help policymakers in heritage organisations to develop future communitybased heritage programmes. This is a student project that will contribute towards the researcher, Luke James, achieving a Master of Cultural Heritage degree at Deakin University, Melbourne Australia.
A total of approximately 10 people will participate in this project.
Previous experience has shown that there are a range of factors relevant to the success of a heritage revitalisation process originating from a community. This has not been studied in depth in an Asian context. A case study on the Sam Chuk process may provide some useful information which can be compared with previous studies in different cultural contexts to provide information about how a successful process occurs.
You are invited to participate in this research project because you were identified by the people who submitted the UNESCO Heritage Award as a person who was involved in the revitalisation process of Sam Chuk Market.
This research is partially funded by Deakin University.
Participation in this project will involve:
An interview through an interpreter that will take between 30 minutes to 1 hour. There may need to be follow up contact to clarify any responses that may be unclear, but this will not always be the case.
The interview may be recorded if you consent for this to happen.
The research will be monitored by a supervisor, who is a member of the teaching staff at Deakin University.
5. Possible Benefits
Possible benefits include being part of a process that may lead to information being provided to cultural heritage organisations so that they may learn from the Sam Chuk heritage revitalisation process, and enable these organisations to continue improving their ability to contribute to such processes in the future. We cannot guarantee or promise that you will receive any benefits from this project.
6. Possible Risks
Possible risks, side effects and discomforts are believed to be unlikely, but include reflecting on a process that may have involved some conflict or tension in your community, and the associated discomfort of recalling any unpleasant experiences associated with this. This of course may not be the case at all.
If distress occurs, you are free to suspend or end your participation in the project at any time.
There may be additional unforseen or unknown risks.
7. Privacy, Confidentiality and Disclosure of Information
Any information obtained in connection with this project and that can identify you will remain confidential. It will only be disclosed with your permission, subject to Australian legal requirements. If you give us your permission by signing the Consent Form, we may publish the results. In any publication, information will be provided in such a way that you cannot be identified. The information will be held in safekeeping for 6 years from the date of publication, and destroyed or deleted (as the case may be) in any form it is kept, whether in physical or computerised form.
8. Results of Project
The results of the project and any publication will be in English language, and it is not feasible at this stage to translate the information into Thai. It is not proposed to make to results of the project available to you, however if you specifically request that they be made available, we will provide you with a copy in English.
9. Participation is Voluntary
Participation in any research project is voluntary. If you do not wish to take part you are not obliged to. If you decide to take part and later change your mind, you are free to withdraw from the project at any stage. Any information obtained from you to date will not be used and will be destroyed.
Your decision whether to take part or not to take part, or to take part and then withdraw, will not affect your relationship with Deakin University.
Before you make your decision, a member of the research team will be available to answer any questions you have about the research project through an interpreter. You can ask for any information you want. Sign the Consent Form only after you have had a chance to ask your questions and have received satisfactory answers.
If you decide to withdraw from this project, please notify a member of the research team or complete and return the Revocation of Consent Form attached. This notice will allow the research team to inform you if there are any health risks or special requirements linked to withdrawing.
10. Ethical Guidelines
This project will be carried out according to the National Statement on Ethical Conduct in Human Research (2007) produced by the National Health and Medical Research Council of Australia. This statement has been developed to protect the interests of people who agree to participate in human research studies.
The ethics aspects of this research project have been approved by the Human Research Ethics Committee of Deakin University.
If you have any complaints about any aspect of the project, the way it is being conducted or any questions about your rights as a research participant, then you may contact:
The Manager, Office of Research Integrity, Deakin University, 221 Burwood Highway, Burwood Victoria 3125, Telephone: 9251 7129, Facsimile: 9244 6581; email@example.com.
Please quote project number EC [number] -2008.
12. Reimbursement for your costs
You will not be paid for your participation in this project.
13. Further Information, Queries or Any Problems
If you require further information, wish to withdraw your participation or if you have any problems concerning this project, you can contact the principal researcher or Luke James.
The researchers responsible for this project are:
Principal researcher / supervisor: Student researcher:
Dr Colin Long Luke James
Faculty of Arts and Education Unit 402A, Pirom Mansion
Deakin University 510 Soi Chaophraya Sri Pipat
221 Burwood Hwy Phrasumane Road
Burwood Victoria 3125 Bowornniwes Subdistrict
Australia Phranakorn District
Ph: 61 3 9244 3938 Ph: 080 238 0876 (in Thailand, until 15 December 2009) / 61 423 982 757 (in Australia)