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Backup rater work as delegated on study visits

A delegated backup rater may complete protocol assessments when assigned, trained, and listed for that task by the study site.

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Transcranial magnetic stimulation (TMS) education

A backup rater may conduct a protocol assessment during a study visit when the research site has assigned that person to the task, documented the assignment, and completed the required training. The study protocol still defines the assessment and how it is completed. A backup rater helps the site maintain planned assessment coverage when the primary rater is unavailable.

A rater is a study team member who conducts specified assessments. 'Backup' describes a coverage role, not a less formal version of the work. The delegation log is the site record that identifies which study responsibilities have been assigned to which team members. It helps the study team show that the person completing an assessment has been delegated for that task.

If a backup rater joins your visit, you can ask which assessment they will conduct and where it fits in the day's schedule. You can also ask who can answer questions about visit timing, scheduling, and the next study contact. The research team is responsible for explaining the study procedures through its established participant communication process.

Study visits may include questions, observations, rating scales, or other activities specified by the protocol. The site follows the protocol and its research procedures rather than changing the assessment based on a general public description. If you are unsure why a task is happening, it is reasonable to ask the study team during the visit for an explanation of what to expect.

A clinical provider may serve as a backup rater when delegated by the study team. Research responsibilities are assigned and overseen within the site's study structure. For questions about a planned visit, contact the research team through its published channel. Use that channel for scheduling and study questions rather than sharing health details through Mood Guide or general contact fields.

If a different rater conducts an assessment than you expected, you can ask whether that changes the rest of your visit schedule. The study team can explain the rater's role, identify the next planned activity, and direct scheduling questions to the right contact. This helps you understand the day without needing to interpret study staffing arrangements yourself.

Sources: Columbia Lighthouse Project — C-SSRS public informationNIH — Clinical Research Trials and You

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