03 · What You Need to Know
Determining Whether a Research Protocol Is Ready for Ethics and Governance Review
What Is Research Ethics Review?
Research ethics review is a process through which an authorized committee or other designated body evaluates the ethical acceptability of proposed research under an applicable governance framework.
Depending on the jurisdiction and institution, the reviewing body may be called a research ethics committee (REC), institutional review board (IRB), human research ethics committee (HREC), or another equivalent designation.
Review may address scientific justification, participant selection, informed consent, foreseeable risks, potential benefits, confidentiality, and safeguards for individuals or communities affected by the research.
Not every research activity follows the same review pathway. Some studies may qualify for exemption, expedited procedures, proportionate review, or other institutional determinations.
Researchers should not independently assume that a study is exempt merely because it appears low risk. The applicable institution or regulatory framework determines who may make that classification.
What Is the Difference Between Ethics Review and Research Governance Review?
Ethics review and governance review may overlap, but they do not necessarily serve identical purposes.
Ethics review
Evaluates the ethical acceptability of the research, including participant protection and relevant risks.
Research governance review
Examines institutional authorization, responsibilities, resources, site permissions, data access, and other organizational requirements.
Scientific or methodological review
Evaluates whether the research design and procedures can appropriately address the stated objectives.
Operational readiness assessment
Determines whether personnel, instruments, systems, and procedures are prepared for implementation.
Institutions may combine these functions or administer them through separate processes.
For example, ethics approval may be granted centrally while individual universities still require site permission before recruitment begins.
Researchers should establish which approvals are necessary and whether they must be obtained sequentially or can proceed concurrently.
What Does Submission Readiness Actually Mean?
Submission readiness means that the protocol and supporting documents contain enough information for the relevant authority to conduct the intended review.
It does not mean that reviewers will necessarily approve the study without revisions.
For example, an application may be sufficiently complete for review but still raise questions about participant recruitment, risk mitigation, or the adequacy of consent arrangements.
Reviewer requests for clarification are not necessarily evidence that the original submission was careless or fundamentally unsuitable.
However, major unresolved methodological or ethical decisions can prevent meaningful review and may lead to requests for substantial revision.
Which Components Should Be Complete Before Submission?
The following components are commonly relevant to research involving human participants. The exact requirements depend on the study and reviewing authority.
| Component |
What reviewers need to understand |
Potential readiness concern |
| Research rationale |
Why the study is scientifically justified. |
Unclear contribution or unsupported research purpose. |
| Objectives and design |
What will be investigated and how. |
Methods cannot adequately address the questions. |
| Participants or data sources |
Who or what will provide evidence and why. |
Unjustified eligibility or source selection. |
| Recruitment |
How participants will be approached and enrolled. |
Unclear recruitment authority or undue influence. |
| Consent |
How informed and voluntary decisions will be supported. |
Incomplete consent information or procedures. |
| Data collection |
What participants will experience and what information will be obtained. |
Unspecified instruments or consequential procedures. |
| Risks and safeguards |
Foreseeable harms and how they will be managed. |
Generic risk statements without appropriate controls. |
| Data management |
How confidentiality, access, storage, and retention will be managed. |
Unclear handling of identifiable information. |
| Analysis |
How the collected evidence will address the research questions. |
Incoherent or insufficient analytical planning. |
| Responsibilities |
Who is accountable for consequential activities. |
Unclear personnel authorization or oversight. |
| Supporting documents |
Materials required to assess participant-facing procedures. |
Missing or inconsistent forms and instruments. |
Researchers should use the current requirements of the relevant institution rather than treat this table as an exhaustive universal submission checklist.
1. Is the Scientific Rationale Sufficiently Established?
Ethical research requires an appropriate relationship between the burdens or risks imposed and the knowledge the study may reasonably generate.
A protocol should explain the research problem, relevant evidence, objectives, and why the proposed design is suitable.
For example, a study evaluating AI-supported formative feedback should explain what educational effect or experience it intends to investigate and why the selected methods can address that purpose.
A weakly justified design may expose participants to burdens without a reasonable prospect of producing interpretable evidence.
However, reviewers should not require researchers to guarantee positive findings or immediate practical benefits.
Scientific uncertainty is a legitimate reason to conduct research when the question and methods are appropriate.
2. Are the Research Questions and Design Coherent?
The protocol should establish a clear relationship between the research questions, design, sampling, measurement, and analysis.
For example, a study claiming to estimate the causal effect of an intervention requires a design and assumptions capable of supporting that inference.
A descriptive cross-sectional survey may provide valuable evidence but cannot automatically establish causal relationships.
Qualitative research should similarly explain how the selected methodological approach supports the intended interpretive questions.
Review readiness does not require methodological uniformity across disciplines. It requires sufficient coherence for reviewers to understand and evaluate the proposed approach.
3. Are Participant Eligibility and Recruitment Procedures Clear?
The protocol should identify the intended participants, eligibility criteria, recruitment sources, and procedures for approaching potential participants.
For example, recruiting students from classes taught by the researchers may create concerns about perceived pressure or unequal relationships.
The application should explain how participation will remain voluntary and whether independent recruitment personnel or other safeguards will be used.
Recruitment materials should be available for review when required.
Researchers should also establish whether they have permission to access institutional contact information or approach the intended population.
The participant recruitment plan should provide enough detail to support both ethical evaluation and implementation.
4. Are Informed Consent Arrangements Adequately Specified?
Consent arrangements should explain how prospective participants will receive relevant information and make an appropriately informed, voluntary decision.
The protocol should identify who will obtain consent, when consent will occur, and how it will be documented where required.
Relevant information may include study activities, foreseeable risks, confidentiality, withdrawal arrangements, and contact details for questions or concerns.
Different procedures may apply to anonymous surveys, interviews, interventions, secondary-data research, and studies involving participants who require additional safeguards.
Researchers should not assume that including a consent form automatically establishes an ethically adequate consent process.
Where consent is waived or modified under an applicable framework, the necessary justification and authorization should be established.
5. Are Research Instruments and Participant Activities Sufficiently Defined?
Reviewers should be able to understand what participants will be asked to do and what information will be collected.
Relevant materials may include questionnaires, interview guides, assessment instruments, observation protocols, intervention descriptions, and participant instructions.
For example, a protocol describing a survey of sensitive professional experiences should identify the topics and nature of the questions rather than promise to finalize them after approval.
However, some qualitative approaches legitimately permit responsive probing or iterative development.
The protocol should identify the approved boundaries of that flexibility and explain how consequential changes will be handled.
Researchers should verify whether the reviewing institution requires complete instruments, representative examples, or other forms of documentation.
6. Are Foreseeable Risks Identified and Addressed?
Risk assessment should consider the actual procedures and population rather than rely on a generic statement that the study presents no risk.
Potential concerns may include psychological discomfort, privacy loss, social or professional consequences, physical risks, or inappropriate influence.
For example, interviews about institutional AI policies may involve concerns about professional reputation or the disclosure of sensitive workplace information.
The protocol should explain relevant safeguards, including how participants can decline questions, withdraw, or seek assistance where appropriate.
Risk mitigation should be proportionate to the nature and likelihood of potential harms.
Reviewers should also be able to evaluate whether the proposed benefits are represented accurately and without unsupported promises.
7. Is the Data Management Plan Adequate?
The protocol should explain how research information will be recorded, accessed, stored, protected, transferred, retained, and disposed of where applicable.
For example, a study using identifiable student achievement records should specify who may access those records and how they will be linked to research assessments.
Researchers should distinguish anonymized information from pseudonymized information where re-identification remains possible.
General statements such as "all data will remain confidential" may be insufficient when they do not describe the safeguards that make confidentiality credible.
Relevant privacy laws, institutional policies, data-sharing agreements, and consent arrangements should be considered.
Data management responsibilities should also remain consistent with the intended dissemination and sharing arrangements.
8. Is the Analysis Plan Sufficiently Developed?
The analysis plan should explain how the proposed evidence will answer the research questions.
For confirmatory quantitative research, consequential decisions may include the primary outcome, analysis population, statistical model, missing-data strategy, and treatment of relevant clustering.
For qualitative research, the protocol should identify the methodological and analytical orientation while preserving appropriate iterative interpretation.
Mixed-methods protocols should explain how the quantitative and qualitative components will be integrated.
A generic statement that data will be analyzed using appropriate statistical tests or thematic analysis may leave important methodological questions unresolved.
Further guidance is available on statistical and qualitative analysis plans in research protocols.
9. Are Data Quality Assurance Arrangements Sufficient?
The protocol should establish safeguards for critical data and procedures.
Depending on the study, these may include instrument testing, standardized training, equipment checks, scoring procedures, data validation, source verification, and discrepancy management.
Not every study requires exhaustive quality control.
However, reviewers should be able to understand how important errors will be prevented or detected and how consequential problems will be resolved.
The data quality assurance plan may be summarized in the protocol and supported by detailed operational documents.
10. Are Research Personnel and Responsibilities Identified?
Research governance requires clarity about who is responsible for conducting and supervising consequential activities.
For example, the protocol should identify who oversees recruitment, consent, intervention delivery, data management, and participant protection.
Specialized procedures may require personnel with appropriate qualifications, training, or authorization.
However, not every routine administrative task requires a separately named individual in the protocol.
Role-based responsibilities may be sufficient when supported by appropriate delegation and training arrangements.
11. Are Required Supporting Documents Prepared?
Ethics and governance submissions often require documents beyond the main protocol.
These may include recruitment materials, participant information sheets, consent forms, instruments, investigator qualifications, site permissions, and data management documentation.
Some institutions also require conflict-of-interest disclosures, funding information, safety arrangements, or other administrative forms.
Requirements vary, so researchers should consult the current submission instructions of the reviewing authority.
Documents should be internally consistent. For example, the recruitment invitation should not promise confidentiality arrangements that differ from those described in the consent form.
Version numbers and dates should be used where required to identify the materials submitted and approved.
How Can Researchers Check Consistency Across Documents?
Document inconsistency is a common source of avoidable review questions.
For example, the protocol may state that an assessment takes 30 minutes, while the participant information sheet estimates 60 minutes.
Another inconsistency may arise when the protocol promises anonymous participation but the data management plan describes collecting directly identifying information.
Researchers should compare documents for consistency in eligibility, recruitment, procedures, duration, risks, compensation, withdrawal, confidentiality, and data retention.
Where a difference is intentional, it should be explained rather than left ambiguous.
Must Every Operational Detail Be Finalized Before Submission?
No. Reviewers generally need sufficient information to evaluate the scientific and ethical implications of the proposed research, not instructions for every routine technical action.
For example, a protocol may identify the approved achievement assessment, administration conditions, scoring rules, and responsible personnel while leaving software-specific navigation instructions to a controlled SOP.
However, details affecting participant experience, measurement, risk, or eligibility should not be omitted merely because they are operational.
The distinction is addressed in determining how much operational detail a research protocol should provide.
Can an Exploratory or Qualitative Protocol Be Ready With Some Decisions Still Open?
Yes. Some methodologies require decisions to develop through engagement with participants, field settings, or emerging evidence.
For example, theoretical sampling may be informed by developing analysis, while semi-structured interviewing permits responsive follow-up questions.
These features do not automatically make a protocol incomplete.
However, the application should explain the methodological rationale, ethical boundaries, and procedures for managing consequential changes.
Flexibility should be distinguishable from unresolved planning caused by inadequate preparation.
What Is the Difference Between Submission Readiness and Approval?
Submission readiness means that the application contains enough information for review.
Approval means that the relevant authority has authorized the research or specified activities under applicable conditions.
A protocol may be ready for submission yet require revisions before approval.
Similarly, an approved protocol may still require site authorization, contracts, training, instrument testing, or other operational preparations before implementation.
Researchers should not interpret acknowledgment of submission or administrative completeness as ethics approval.
What Are the Main Stages From Protocol Preparation to Data Collection?
The sequence varies across institutions, but the following progression illustrates common decision points.
| Stage |
Principal activity |
What it establishes |
| Scientific preparation |
Develop research questions, design, methods, and analysis. |
Methodological coherence. |
| Ethics preparation |
Develop participant protections and supporting materials. |
Reviewable ethical arrangements. |
| Submission |
Provide the required application and documents. |
Entry into the applicable review process. |
| Review and revision |
Address reviewer questions and required changes. |
Resolution of identified concerns. |
| Authorization |
Obtain applicable ethics and governance approvals. |
Permission for specified research activities. |
| Operational preparation |
Complete training, testing, site arrangements, and readiness checks. |
Capacity to implement approved procedures. |
| Research initiation |
Begin activities within authorized conditions. |
Implementation of the approved study. |
Some stages may overlap, but activities requiring prior authorization should not begin before the necessary approval is obtained.
What If the Ethics Committee Requests Major Revisions?
Major revision requests may concern scientific design, participant protections, data management, or insufficiently specified procedures.
Researchers should address the substance of each concern rather than merely revise wording to satisfy the appearance of compliance.
For example, if reviewers question the voluntary nature of recruitment conducted by teachers, the response should establish appropriate safeguards rather than simply repeat that participation is voluntary.
Changes to one document may require corresponding revisions elsewhere.
The team should maintain version control and submit revised materials through the prescribed process.
Can Research Begin While Ethics Review Is Pending?
Activities requiring prior ethics authorization should not begin while the relevant approval remains pending.
However, some preparatory activities may be permissible before approval, depending on institutional rules and whether those activities themselves constitute regulated research involving participants or protected information.
For example, preparing instruments, developing analysis code, or testing software with synthetic data may be permitted without beginning participant research.
Pilot activities involving real participants or identifiable records may require approval.
Researchers should verify the applicable rules rather than assume that labeling an activity as a pilot exempts it from review.
Do Studies Using Existing Data Require Ethics Review?
Requirements depend on the nature of the information, identifiability, intended use, institutional policies, and applicable law.
Some analyses of publicly available or appropriately de-identified information may qualify for exemption or another review pathway.
Other secondary-data studies may involve identifiable, sensitive, or restricted information requiring additional safeguards and authorization.
Researchers should distinguish ethics review from permission to access the dataset.
Even when formal ethics review is not required, contractual, privacy, intellectual property, or institutional conditions may still govern data use.
How Do Multisite Studies Manage Ethics and Governance Approval?
Multisite studies may require coordination among a central reviewing body, participating institutions, and relevant local authorities.
Some jurisdictions or systems permit reliance on a designated reviewing committee, while others require separate or additional local review.
Researchers should not assume that approval at the coordinating institution automatically authorizes activities at every participating site.
Site permissions, data-sharing arrangements, personnel authorization, and local operational requirements may remain necessary.
The protocol should identify how these responsibilities will be coordinated and how approved changes will be communicated across sites.
What About Research Conducted in the Philippines?
Researchers conducting studies in the Philippines should follow the applicable institutional research ethics procedures and relevant national requirements.
The Philippine Health Research Ethics Board and the Philippine Health Research Ethics Guidelines provide important guidance within the Philippine health research ethics system.
However, the precise requirements for educational, social science, institutional, and health-related research may differ according to the nature of the study and the authority responsible for review.
Research involving personal information should also consider applicable data protection obligations, including the Data Privacy Act of 2012 (Republic Act No. 10173) and relevant implementing rules and guidance.
Researchers should verify the applicable institutional requirements rather than assume that every educational study is subject to the same review or accreditation arrangements as a clinical investigation.
How Should AI-Related Research Be Presented for Ethics Review?
Research involving AI systems may require additional explanation when the technology affects participants, processes personal information, or influences consequential decisions.
For example, a study using an AI-supported feedback platform should explain what information the system receives, whether participant data are transmitted to external providers, and how outputs are used.
Reviewers may also need to understand whether participants are informed about AI involvement, whether automated outputs are subject to human oversight, and how foreseeable errors or inappropriate outputs will be managed.
However, not every study that uses AI requires the same safeguards. Risks depend on the system's function, data flows, participant population, and research procedures.
Researchers should avoid relying on generic assurances that an AI system is secure, accurate, or unbiased without relevant evidence or safeguards.
Should the Dissemination Plan Be Ready Before Ethics Submission?
The protocol should generally identify the intended communication of findings and any consequential plans for sharing data, quotations, or research materials.
For example, participants may need to know whether identifiable interview quotations could appear in publications.
Similarly, a plan to share research data should be consistent with consent and confidentiality arrangements.
The exact publication venue need not necessarily be fixed.
Further considerations are addressed in including dissemination plans in research protocols.
How Can Researchers Conduct a Pre-Submission Readiness Review?
A useful approach is to review the protocol from the perspective of the people affected by the research and the authorities responsible for evaluating it.
First, determine whether the scientific design can answer the stated questions.
Then trace the participant's experience from recruitment through consent, data collection, withdrawal, and relevant communication.
Next, examine how personal information will be protected and how critical research procedures will be implemented.
Finally, compare the main protocol with supporting documents and verify the current institutional submission requirements.
This review should identify substantive gaps rather than merely confirm that every heading contains text.
What Are Common Signs That a Protocol Is Not Yet Ready?
A protocol may require further development when consequential decisions remain ambiguous.
Examples include undefined eligibility criteria, missing participant-facing materials, unresolved primary measurements, inadequate risk assessment, inconsistent consent arrangements, or an analysis plan that cannot address the research questions.
Other warning signs include contradictory documents, unclear data access arrangements, and uncertainty about who is responsible for participant protection.
Not every unresolved administrative detail prevents submission.
The important distinction is whether the missing information prevents meaningful scientific or ethical evaluation.
Does a Complete Protocol Guarantee Ethics Approval?
No. A complete submission allows meaningful review but does not guarantee that the study will be considered ethically acceptable.
Reviewers may identify risks, methodological weaknesses, consent concerns, or governance requirements that need further attention.
Approval decisions depend on the applicable standards and the specific characteristics of the proposed research.
Researchers should treat review as substantive evaluation rather than an administrative confirmation that the required documents have been uploaded.
When Is the Study Actually Ready to Begin Data Collection?
Data collection readiness requires scientific coherence, applicable authorizations, and operational preparation.
The research team should verify that the current approved protocol and participant materials are available, instruments and systems are ready, and personnel understand their responsibilities.
Relevant site permissions, data access arrangements, training, and critical quality controls should also be completed.
For example, ethics approval does not automatically establish that an assessment platform is functioning correctly or that research assistants can implement the approved procedures competently.
Similarly, technical readiness does not authorize recruitment when required ethics approval remains outstanding.
These conditions should be evaluated separately before the relevant activities begin.
Watch Out
Do not confuse submission, administrative acceptance, ethics approval, and permission to begin research. These may represent different stages with different requirements. A protocol should not be implemented merely because it has been submitted or because the research team believes approval is likely.