APPENDIX C: INFORMED CONSENT DOCUMENTTitle of Study: Video
StudyInvestigators:Ashley H. Hackler, M.S.David L. Vogel,
Ph.D.Asale Hubbard, B.A.This is a research study. Please take your
time in deciding if you would like toparticipate. You are
encouraged to ask questions at any time during this study. Youmay
wish to delay participation until your questions have been
answered. For furtherinformation about the study, please contact
the Principal Investigator, Ashley H.Hackler, M.S. at
[email protected]. You may also contact the supervising
facultymember, Dr. David Vogel, at [email protected] or
294-1582.INTRODUCTIONThe purpose of this study is to examine
perceptions of mental illness and therapy.You are invited to
participate in this study because you are a student in
thePsychology department at Iowa State University and you
participated in thePsychology Departments Mass Testing in the Fall
of 2010.DESCRIPTION OF PROCEDURESThis is a completely online study
designed to better understand your perceptions ofmental illness.
For the first part of the study, you will watch a brief online
video aboutpeoples experiences with mental illness followed by an
online survey about yourreactions to the video. This part of the
study should take about 1.5 hours and is worthtwo research
credits.One week later, you will be emailed with the opportunity to
take a follow-up surveyfor more research credit. This part of the
study should take 30-40 minutes and isworth one research
credit.RISKSWe do not anticipate that these procedures will cause
you any harm, but if youexperience discomfort you may talk to the
investigators about your concerns. You arefree to skip any question
that you do not wish to answer or that makes you feeluncomfortable.
You are also free at any time to choose to end your
participation.There will be no negative effects if you choose to
skip a question or discontinue yourparticipation in the study. If
you choose to end your participation all data collectedwill be
erased.
BENEFITSIf you decide to participate in this study there will be
no direct benefit to you otherthan learning about psychological
research from a participants perspective. Yourparticipation in this
project may help the researchers develop a better understandingof
how people perceive those who have a mental illness.COSTS AND
COMPENSATIONYou will not have any costs from participating in this
study. In addition, there is nomonetary compensation for your
participation. Rather, you will be compensated byreceiving research
credit in your undergraduate psychology course for participating
inthis study. If you agree to participate in this study, you can
earn up to 3 researchcredits. It involves two online sessions
distributed over 2 weeks. For the first part,you will watch a brief
online video followed by an online survey (2 research credits).For
the second part, you will be emailed two weeks later and asked to
take anotheronline survey (1 research credit). If you choose not to
participate, you may contact theCourse Information Office
(515-294-8065) for alternative research options in order toearn
research credit for your class.PARTICIPANT RIGHTSYour participation
in this study is completely voluntary and you may refuse
toparticipate or leave the study at any time. If you decide to not
participate in the studyor leave the study early, it will not
result in any penalty or loss of benefits to whichyou are otherwise
entitled.CONFIDENTIALITYRecords identifying participants will be
kept confidential to the extent permitted byapplicable laws and
regulations and will not be made publicly available.
However,auditing departments of Iowa State University, and the
Institutional Review Board (acommittee that reviews and approves
human subject research studies) may inspectand/or copy your records
for quality assurance and data analysis. These records maycontain
private information.To ensure confidentiality to the extent
permitted by law, the following measures willbe taken to protect
your privacy including: (a) assigning you a unique code numberthat
will be used instead of your name; (b) combining your data with the
datacollected from other participants so that no individual
information will be identifiable.If the results are published, your
identity will remain confidential
QUESTIONS OR PROBLEMSYou are encouraged to ask questions at any
time during this study. For furtherinformation about the study, you
can contact the Principal Investigator, Ashley H.Hackler, M.S. at
[email protected]. You may also contact the supervising
facultymember, Dr. David Vogel, at [email protected] or
294-1582.If you have any questions about the rights of research
subjects or research-relatedinjury, please contact the IRB
Administrator, (515) 294-4566, [email protected], orDirector, (515)
294-3115, Office for Responsible Research, Iowa State
University,Ames, Iowa
50011.********************************************************************PARTICIPANT
SIGNATUREBy clicking yes below, you are indicating that you
voluntarily agree to participatein this study, that the study has
been explained to you, that you have been given thetime to read the
document and that your questions have been satisfactorily
answered.You may wish to print a copy of this informed consent
document for your files sincethis is an online study.
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