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«The ongoing wars around the world have led to an ever increasing exodus of refugee populations for resettlement in developed countries, including the ...»

-- [ Page 21 ] --

pourra être répondue par Bellah Kiteki (numéro de téléphone : 336-340-1672 ; E-mail :

bnkiteki@uncg.edu) et Dr. DiAnne L. Borders (numéro de téléphone : 336-334-3425 ; Email : boders@uncg.edu).

193 Y’a-t-il un bénéfice lié à la participation de mon enfant à cette étude ?

Il n‟y‟a aucun bénéfice immédiat pour un enfant ou pour les autres du fait de leur participation à cette étude.

Y-a-t-il un bénéfice pour la société du fait de la participation de mon enfant à cette étude ?

Les résultats de cette étude pourront aider les conseillers d‟écoles et les enseignants dans les écoles à travailler avec votre enfant et les autres qui pourront dans les années à venir quitter l‟Afrique pour s‟installer aux Etats-Unis d‟Amérique.

Mon enfant sera-t-il payé pour avoir participé à cette étude ? Cette étude coutera-telle quelque chose à mon enfant ?

Votre enfant recevra une carte Wal-Mart d‟une valeur de 5 dollars après avoir rempli toutes les fiches nécessaires à cette recherche, cela veut dire après avoir entièrement participé à cette étude.

Comment allez-vous assurer la confidentialité de mes informations ?

Les informations reçues dans le cadre de cette étude seront conservées dans un bureau fermé à clé situé au domicile de l‟enquêteur. Aucune information nécessaire à cette étude ne sera révélée sauf si la loi l‟oblige, dans les cas de plainte pour mauvais traitement de l‟enfant par exemple.

Que se passera-t-il si je souhaite ne plus faire partie de l’étude ?

Vous avez le droit de refuser à votre enfant de participer à cette étude ou de suspendre sa participation à tout moment sans avoir aucun problème. Si votre enfant choisi à tout moment de mettre fin à sa participation à cette étude, il/elle sera libre de quitter. Si votre enfant se retire, cela n‟aura aucun effet quelconque sur lui-même ou sur vous. Si vous ou votre enfant choisissez de quitter l‟étude, vous pouvez demander que toute information reçue de vous soit détruite sauf si ces informations ne peuvent pas être aisément identifiées.

Et s’il y’a des nouvelles informations/modifications dans l’étude ?

Si une nouvelle information à propos de l‟étude est disponible pouvant avoir un lien avec votre volonté de continuer à participer, une telle information vous sera révélée.

Consentement volontaire du participant En signant cette fiche qui atteste de votre consentement, vous reconnaissez l‟avoir lu ou qu‟elle vous a été lu, que vous comprenez entièrement ce qui est écrit dans cette fiche et que vous consentez à ce que votre enfant participe à cette étude. Toutes vos questions sur cette étude ont été répondues. En signant cette fiche, vous acceptez que vous êtes le parent ou tuteur légal de l‟enfant qui souhaite participer à cette étude qui vous a été décrite par Bellah Kiteki. Vous êtes prié de conserver une copie de cette fiche de consentement dans vos archives.

________________________ _____________

Signature du parent/tuteur légal du participant Date 194

–  –  –

IDHINI YA KUMSHIRIKISHA MTOTO KATIKA UTAFITI: FOMU NDEFU

CHUO KIKUU CHA NORTH CAROLINA, GREENSBORO

Mada ya mradi: Kukabiliana na mabadiliko ya kiutamaduni, kijamii na kisaikolojia kwa vijana wakimbizi wa kiafrika: Nafasi ya msaada wa kijamii.

Mkurugenzi wa mradi: L. DiAnne Borders, PhD. na Bellah Kiteki Nambari ya mshiriki: ____ Utafiti huu unahusu nini?

Somo hili ni la kiutafiti. Lengo la somo hili ni kuangalia jinsi ambavyo vijana wa kiafrika wakimbizi wanapenda au kutopenda maisha ya hapa Marekani. Pia, vijana hawa wataulizwa maswali kuhusu marafiki wao ambao wanawasaidia kukabiliana na matatizo yanayowakabili. Mtoto wako atahusika kama mshiriki kwa kuombwa ajibu maswali kadhaa katika utafiti huu.

Kwa nini unamuuliza mtoto wangu maswali?

Mtoto wako amechaguliwa kushiriki katika utafiti huu kama mshiriki kwa sababu yeye ni kijana mkimbizi wa kiafrika na anaishi hapa Marekani.

Utamuuliza mtoto wangu kufanya nini ikiwa nitakubali ashiriki katika utafiti huu?

Mtoto wako ataulizwa kujaza hojaji nne ambazo zitachukua kama dakika 30 kumaliza.

Hataulizwa kutaja jina lake kwenye fomu zo zote atakazopewa na hakuna mtu mwingine ye yote atakayeona au kusoma watakachokuwa wameandika isipokuwa mimi na mwalimu anayenisaidia kufanya utafiti huu.

Kuna hatari gani kwa mtoto wangu?

Kuna hatari za viwango vya chini sana kwa mtoto wako kushiriki katika sutafiti huu kama vile woga wa kujulikana kama washiriki ikiwa wataandika majina yao kwenye fomu. Kuzuia jambo hili kutokea, jina la mtoto wako halitawekwa kwenye fomu. Pia baadhi ya maswali huenda yasimfurahishe mtoto wako. Ikiwa mtoto wako atahitaji kupata msaada kwa sababu hii, mtafiti atapanga ili apate ushauri. Hakuna hatari yo yote kwa mtoto wako kwa kushiriki katika somo hili. Hata hivyo, kama una wasiwasi wo wote kuhusu haki za mtoto wako, jinsi mtoto wako anavyotendewa/shughulikiwa katika utafiti huu au kama una swali lo lote, unahitaji maelezo zaidi au una maoni yo yote, tafadhili wasiliana na Eric Allen katika Ofisi ya Kukabiliana na Utafiti iliyopo UNCG kwa simu (336)-256-1482. Maswali yo yote kuhusu mradi huu, marupurupu au wasiwasi kwa mtoto wako kushiriki katika mradi huu, wasiliana na Bellah Kiteki (kwenye nambari ya simu: 336-340-1672 au barua pepe: bnkiteki@uncg.edu na Dkt. DiAnne L. Borders (kwenye nambari ya simu: 336-334-3425 au barua pepe: boders@uncg.edu).





Kuna faida yo yote kwa mtoto wangu kushiriki katika utafiti huu?

Hakuna faida ya moja kwa moja kwa mtoto wako au wengine wanaoshiriki katika utafiti huu.

195 Kuna faida yo yote kwa jamii kutokana na mtoto wangu kushiriki katika utafiti huu?

Matokeo ya utafiti huu yanaweza kuwasaidia washauri na walimu shuleni kujua jinsi ya kufanya kazi na mtoto wako na wengine ambao watakuwa wanatoka Afrika kuishi hapa Marekani miaka ya baadaye.

Mtoto wangu atalipwa kwa kushiriki katika utafiti huu? Je itanigharimu cho chote kwa mtoto wangu kushiriki katika utafiti huu?

Mtoto wako atapewa zawadi ya kadi ya $5 kutoka Wal-Mart kwa kushiriki na kujaza fomu zote zinazohitajika katika utafiti huu. Haitakughraimu kitu cho chote kwa mtoto wako kushiriki katika utafiti huu.

Je, utahifadhi vipi kwa siri habari zinazomhusu mtoto wangu?

Habari kuhusu utafiti huu zitahifadhiwa kwa siri mahali palipofungwa kwa kufuli nyumbani kwa mtafiti. Habari zote zinazohitajika katika utafiti huu hazitatolewa kwa mtu ye yote isipokuwa kisheria, kama vile kuripoti wakati mtoto anadhulumiwa au kama amekwishadhulumiwa. Habari hii itaharibiwa baada ya miaka mitatu.

Na je, kama mtoto wangu hataki kuendelea kushiriki katika utafiti au kama nitamhitaji asiendelee?

Una haki ya kukataa mtoto wako kushiriki katika utafiti huu au kumtoa katika utafiti huu wakati wo wote bila adhabu yo yote. Kama mtoto wako ataamua wakati wo wote kutoshiriki katika utafiti huu, atakuwa huru kufanya hivyo. Kama mtoto wako atajiondoa kwenye utafiti huu, unaweza kuuliza habari zo zote ambazo zimekusanywa kuharibiwa isipokuwa pale ambapo ni vigumu kuzitambua.

Na habari mpya/mabadiliko katika utafiti huu?

Kama habari zo zote mpya kuhusu utafiti huu zitatokea zitakazohusu kuendelea kwako kushiriki katika utafiti huu, utaambiwa.

Idhini ya hiari ya kushiriki:

Kwa kuweka sahihi kwenye fomu hii ya idhini, unakubali kwamba umeisoma idhini hii au imesomwa kwako, unaelewa vizuri kilichoandikwa kwenye fomu hii, na unakubali mtoto wako kushiriki katika utafiti huu. Maswali yako yote kuhusu utafiti huu yamejibiwa. Kwa kuweka sahihi, unakubali kwamba wewe ni mzazi halali au mlezi halali wa mtoto ambaye angependa kushiriki katika utafiti huu ulioelezewa na Bellah Kiteki.

Utahifadhi nakala moja kwa ajili ya kumbukumbu zako.

–  –  –

UNIVERSITY OF NORTH CAROLINA AT GREENSBORO

INFORMED CONSENT FOR RESEARCH STUDY

CONSENT FOR A MINOR TO ACT AS A HUMAN PARTICIPANT: LONG FORM

Project Title: Acculturation and Psychosocial Adjustment of African Adolescent Refugees: The role of Social Support Project Director: L. DiAnne Borders, PhD. & Bellah Kiteki Participant's Code: ____ What is the study about?

This study is a research study. The purpose of the study is to look at how African adolescents/teenagers like or do not like the way of life here in the United States. Also they will be asked about their friends who help them solve problems they may have. Your child will be involved as a participant by being asked to answer some questions in this study.

Why are you asking my child?

Your child has been selected as a participant because he or she is an African adolescent refugee from Africa living in the United States.

What will you ask my child to do if I agree to let him or her be in the study?

Your child will be asked to complete four questionnaires which will take about 30 minutes to complete. He or she will not be required to provide their name on any of the forms and no one else will be able to see or read what they have said except me and the faculty member helping me in this study.

What are the dangers to my child?

There are very minimal risks for your child‟s participation in the study, such as fear of being known if they write their names on the forms. To avoid this, your child‟s name will not be included on the form. Also, some questions may cause some discomfort for your child. If your child becomes upset or asks for help, I will make a referral for him or her to get counseling. There are no dangers to your child by participating in this study.

However, if you have any concerns about your child‟s rights, how your child is being treated or if you have any questions, want more information or have any suggestions, please contact Eric Allen in the Office of Research Compliance at UNCG at (336)-256Any questions about this project, benefits, or concerns associated with your child being in this study can be answered by Bellah Kiteki (phone number: 336-340-1672 or email: bnkiteki@uncg.edu and Dr. L. DiAnne Borders (phone number: 336-334-3425 or email: boders@uncg.edu).

Are there any benefits to my child as a result of participation in this research study?

There are no direct benefits to your child or others for participating in this study.

Are there any benefits to society as a result of my child taking part in this research?

197 The results of this study may help school counselors and teachers in schools on how to work with your child and others who may be coming from Africa to live in the United States in the coming years.

Will my child get paid for being in the study? Will it cost me anything for my child to be in this study?

Your child will get a $5 Wal-Mart gift card after they complete all forms needed for this research, which means after they fully participate in this study. You will not pay anything for your child to be in this study.

How will my child’s information be kept confidential?

The information from this study will be kept in a locked cabinet at the investigator‟s house. All information required in this study will not be revealed to any person unless required by law, such as reporting when a child is or has been mistreated. This information will be destroyed after three years.

What if my child wants to leave the study or I want him or her to leave the study?

You have the right to refuse your child to participate or to withdraw him or her at any time without any problems. If your child chooses at any time not to continue in the study, he/she will be free to leave. If your child does withdraw, it will not affect you or your child in any way. If your child chooses to withdraw, you may request that any information which has been collected be destroyed unless it is in not easy to identify.

What about new information/changes in the study?

If any new information relating to the study becomes available which may relate to your willingness for your child to continue to participate, this information will be provided to you.

Voluntary Consent by Participant:

By signing this consent form, you are agreeing that you have read it or it has been read to you, you fully understand what is written in this form, and you agree to your child taking part in this study. All of your questions concerning this study have been answered. By signing this form, you are agreeing that you are the legal parent or guardian of the child who wishes to participate in this study described to you by Bellah Kiteki. You will keep one copy of the form for your records.

–  –  –

CONSENTEMENT EN VUE DE FAIRE AGIR UN MINEUR COMME

PERTICIPANT

HUMAIN : LONGUE FICHE

UNIVERSITÉ DE LA CAROLINE DU NORD - GREENSBORO

Titre du projet: Acculturation et adaptation psycho-sociale des adolescents refugiés Africains: Le rôle de l‟appui social.

Directeur du projet: L. DiAnne Borders, PhD., & Bellah Kiteki Code du participant : ________ Sur quoi porte l’étude ?

Il s‟agit d‟une étude de recherche dont le but est de comprendre comment les adolescents Africains aiment ou n‟aiment pas les le mode de vie ici aux Etats-Unis. Ils seront également interrogés sur leurs amis qui les aident à résoudre les problèmes qu‟ils pourraient rencontrés. Votre enfant sera impliqué dans cette étude en tant que participant et sera appelé à répondre à certaines questions liées à l‟étude.

Que demandez-vous à mon enfant ?

Votre enfant a été désigné comme participant parce qu‟il/elle est adolescent(e) refugié(e) de l‟Afrique vivant aux Etats-Unis.

Que me demanderez-vous de faire si j’accepte participer à cette étude ?

Il sera demandé à votre fils/fille de remplir quatre questionnaires qui prendront environs 30 minute. Il ne lui sera demandé de porter son nom sur aucune des fiches et personne d‟autre que moi et les membres de la faculté qui m‟aident dans cette étude ne sera en mesure de voir ou de lire les informations qu‟il/elle aurait données.

Quels sont les risques pour mon enfant ?



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