Research Proposal

Health Research Center

Saudi Commission for Health Specialties

Research Application Proposal Form – Saudi Commission for Health Specialties

This form must be completed and submitted to the Health Research Center of the Saudi Commission for Health Specialties. All fields in the application form are compulsory; processing of application forms not duly completed may be delayed.

Important: This IRB reviews studies related to SCFHS data and health practitioners. Randomized Controlled Trials (RCTs), and studies involving clinical or interventional procedures are outside the scope of review.

For inquiries please contact irb@scfhs.org.sa
Research proposals will be reviewed only if the Principal Investigator (PI) is a healthcpractitioner or an SCFHS employee.
Are you as Principal Investigator (PI) a healthcare practitioner or an employee of the Saudi Commission for Health Specialties (SCFHS)?*

Health practitionerEmployee of the Saudi Commission for Health Specialties (SCFHS)BothNeither
Not eligible to submit a research proposal.
Health Practitioner Registration Number*
SCFHS Employee ID Number*
Principal Investigator E-mail *
example@example.com
What is the reason for requesting ethical approval from the Saudi Commission for Health Specialties (Survey distribution, Data sharing, Research partnership, etc): *
Please select the total number of research team members to be included in this study.*
Researcher 1 Name :*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 2 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 3 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 4 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 5 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 6 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 7 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 8 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 9 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 10 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 11 Name:*
Role*
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 12 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 13 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 14 Name:*
Role*
Department *
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 15 Name:*
Role*
Department *
Institution*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Researcher 16 Name:*
Role*
Department *
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Please Download, Complete, and Re-upload Signed Researchers Form

Researchers' Signatures
Upload the Signed Form for All Researchers*

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Declaration of Conflict of Interest:

All investigators must declare any potential conflict of interest with respect to this research proposal. The presence of such conflict of interest must be explained (see below) The lack of such a declaration by investigators involved with this proposal is taken as evidence of the absence of any conflict of interest.
Conflict of interest

Methodology
Research Design*
Explain the design approach for the study; is it interventional or non-interventional study? Is it cross-sectional or longitudinal study? Is it prospective or retrospective/case-control study?
Research Population *
Demographic profile, target population, accessible population, recruitment process.
Setting*
Describe where the study will take place. This can include community-based locations, or electronically via online surveys. Include a brief description of the facilities and the health personnel involved.
Sample size*
Mention the formula or software applied for sample calculation, with statistical Justification
Inclusion Criteria*
Exclusion Criteria*
Data collection method*
Please clarify the data collection method (e.g., online survey distributed through official channels using the Qualtrics platform), specify the person(s) responsible for distribution, and should describe the validity and reliability of the instrument, where applicable.
Data analysis method*
Describe data cleaning, what type of statistical analysis software will be used.
Data protection measures*
Describe how is the confidentiality of Participants maintained (when Participantsare involved in the study directly), how is the confidentiality of the data collected maintained (when the study involves collection or retrieving of data).
Duration of Study*
Expected results*
References*
All references must be written in Vancouver citation style

NCBE COURSE "Protecting Human Research Participants” Or equivalent for every researcher *

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All investigators’ CVs *

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Any research tool used in the study, whether a questionnaire, interview guide, observation sheet, or other instrument, must be attached, along with evidence of its validity and reliability (if applicable)

All instruments used to collect data from participants must be submitted for ethical review.
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Previous IRB approval

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Download the informed consent here
Informed consent if applicable

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We, the undersigned researchers, hereby confirm that all the information provided in this application is accurate, complete, and truthful to the best of our knowledge. We are fully responsible for the ethical conduct of this study and commit to adhering to the policies and guidelines of the Saudi Commission for Health Specialties (SCFHS).
Primary Investigator Name*
Date*

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Date
Primary Investigator Signature*

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Health Research Center

Research Application Proposal Form – Saudi Commission for Health Specialties

Research Project