Att M - IRB approval

Graduate and Research Affairs
Division of Research Affairs
San Diego State University
5250 Campanile Drive
San Diego CA 92182•1933
Phone: 619•594•5938
Fax: 619•594•4109

Expedited Approval
Reg: 45 CFR 46.110(6)(7) – minimal risk

Submit Report of Progress by: 6/30/14
July 30, 2013
Faculty Researcher: Dr. Moshe Engelberg
Department: Public Health
Contract/grant number: Federal- 200-2010-M-35680
vIRB Number: 1397090
Re: Older Adult Mobility Assessment Tool
Dear Dr. Engelberg:
The above referenced protocol was reviewed and approved as expedited in accordance with
SDSU's Assurance and federal requirements pertaining to human subjects protections within the
Code of Federal Regulations (45 CFR 46). This approval applies to the conditions and procedures
described in your protocol. Please notify the IRB office if your status as an SDSU-affiliate changes
while conducting this research study (you are no longer an SDSU faculty member, staff member or
student). This approval expires July 30, 2014.
 The following approved consent form(s) have been uploaded to your protocol file within
the vIRB system, within the Supporting Documents section as one consolidated document,
the requirement to obtain signature has been waived per 46.116 as the IRB has found
that: (1) The research involves no more than minimal risk to the subjects; (2) The waiver
or alteration will not adversely affect the rights and welfare of the subjects; (3) The
research could not practicably be carried out without the waiver or alteration; and (4)
Whenever appropriate, the subjects will be provided with additional pertinent
information after participation :
o Engelberg_focus group-interceptscreener and surveyscreener consents_IRB STAMPED
2013.pdf

For questions related to this correspondence, please contact the IRB office ((619) 5946622 or e-mail [email protected]).
Sincerely,

Ramona Pérez
Chair, Institutional Review Board

Choya Washington
Regulatory Compliance Analyst

THE CALIFORNIA STATE UNIVERSITY • BAKERSFIELD • CHANNEL ISLANDS • CHICO • DOMINGUEZ HILLS • EAST BAY • FRESNO • FULLERTON • HUMBOLDT • LONG BEACH • LOS ANGELES
MARITIME ACADEMY • MONTEREY BAY • NORTHRIDGE • POMONA • SACRAMENTO • SAN BERNARDINO • SAN DIEGO • SAN FRANCISCO • SAN JOSE • SAN LUIS OBISPO • SAN MARCOS • SONOMA • STANISLAUS

Graduate and Research Affairs
Division of Research Affairs
San Diego State University
5250 Campanile Drive
San Diego CA 92182•1933
Phone: 619•594•5938
Fax: 619•594•4109

Important information for ALL expedited and Full Committee studies:
Report of Progress:
Please note your expiration date. To request continued recruitment, data collection and/or data
analyses, a Report of Progress must be submitted prior to the expiration date of your study. A
lapse in approval requires that all research with human subjects be suspended until approval is
obtained and may result in a temporary hold on funds, if your study is funded. The investigator
will be out of compliance with federal regulation and university policy if human subjects continue
to be involved in this project without a valid IRB approval.
The approved consent form has been uploaded to your protocol file within the vIRB
system, within the Supporting Documents. This document bears the SDSU IRB's stamp of
approval. Print a copy of this stamped form to use when documenting informed consent
from research participants. Changes may not be made to the consent document without
prior review and approval of the IRB. You are required to keep signed copies of the
consent document for three years after your project has been completed or terminated.
To submit a request to extend IRB approval:
 log in to your WebPortal account and access the protocol
 On the protocol Main Page, click on "Progress Reports"
 under Protocol Maintenance and enter a report
 Once you have filled in your responses on the report form, click "submit".
 You should receive an automated email verifying IRB receipt of your Report of
Progress.
REQUIREMENT! Within the description box of the Report of Progress form, indicate which,
if any, consent form(s) you are requesting to renew. Refer to the Consent Form
Development section of the protocol and provide the IRB with the specific file names and
date(s) of upload of the consent document(s) you are requesting to renew.
Modifications:
If any changes to your study are planned, you must submit a modification request and
receive IRB approval prior to the implementation of study changes. To submit a
modification request, please follow the necessary steps below:
Modification steps:
 Access the protocol via the Webportal
(https://sunspot.sdsu.edu/pls/webapp/web_menu.login/)
 Protocol main page click on “Modifications” to enter a report
 Once the report has been fill out completely, click “submit”
 Make sure to email the IRB ([email protected]) notifying them that a
modification has been submitted.

THE CALIFORNIA STATE UNIVERSITY • BAKERSFIELD • CHANNEL ISLANDS • CHICO • DOMINGUEZ HILLS • EAST BAY • FRESNO • FULLERTON • HUMBOLDT • LONG BEACH • LOS ANGELES
MARITIME ACADEMY • MONTEREY BAY • NORTHRIDGE • POMONA • SACRAMENTO • SAN BERNARDINO • SAN DIEGO • SAN FRANCISCO • SAN JOSE • SAN LUIS OBISPO • SAN MARCOS • SONOMA • STANISLAUS

Graduate and Research Affairs
Division of Research Affairs
San Diego State University
5250 Campanile Drive
San Diego CA 92182•1933
Phone: 619•594•5938
Fax: 619•594•4109

Requirements:
 To document your modification in detail, access your currently approved protocol in the
“Full Document Viewer.”
 Copy and paste the document into Word and use “track changes” to document revisions
to your protocol.
 Save the file (Name_Modification_Date) and upload it to your protocol file.
 When approved by the IRB, this document will be the current version of your approved
protocol.
Please note the following:
a) For studies requiring consent translation: The SDSU Institutional Review Board (IRB)
does not verify the accuracy of the translated document. IRB approval of this document
for use in subject recruitment is based on your assurance that the translated document
reflects the content of the IRB approved English version of the document.
b) If recruitment will take place through an outside agency or organization, confirm with
that institution that you have permission to conduct the study prior to initiation of any
study activities.
c) Approval is contingent upon the completion of the SDSU human subjects tutorial
(found at: http://www-rohan.sdsu.edu/~gra/login.php) by all members of the research
team. This certification must be renewed every 2 years.
d) The SDSU IRB requires investigators to report any problems that arise during the course of an
IRB approved research study. Serious adverse events or unanticipated problems that are lifethreatening or have resulted in serious injury or death must be reported to the IRB immediately
whenever possible or within at least 48 hours from the onset of the incident. All other problems
must be reported to the SDSU IRB within 5 days. To complete and submit an adverse event
report, go to the Protocol Main Menu, click on “Adverse Events” under “Protocol Maintenance”
and follow the instructions. For more information and consultation, contact the IRB office directly
via Email at: [email protected] or telephone: 619-594-6622, Monday through Friday from
8:00AM to 4:00PM.

THE CALIFORNIA STATE UNIVERSITY • BAKERSFIELD • CHANNEL ISLANDS • CHICO • DOMINGUEZ HILLS • EAST BAY • FRESNO • FULLERTON • HUMBOLDT • LONG BEACH • LOS ANGELES
MARITIME ACADEMY • MONTEREY BAY • NORTHRIDGE • POMONA • SACRAMENTO • SAN BERNARDINO • SAN DIEGO • SAN FRANCISCO • SAN JOSE • SAN LUIS OBISPO • SAN MARCOS • SONOMA • STANISLAUS