You will be asked to (provide a very brief description of the research activities. For example, “participate in an interview about”; “complete a survey about”). This will take (state the expected duration of the study procedures. For example, “This will take 1 hour per day, 4 times per week, for 8 weeks.) This may cause (provide a brief description of all risks. For example, “This may cause you to feel frustrated and your confidentiality may be at risk”). Although you may not benefit, it will help to understand (describe how the research may benefit society or the field).
Purpose: (Provide a lay language description of the study explaining why you are conducting this study and what you hope to accomplish. For example, The purpose of this study is to…)
Provide a detailed, lay language description of the procedures/tasks that the participant will be asked to do. In your description please include a statement to indicate the expected duration of the subject’s participation and identify any procedures that are considered experimental. If a study includes multiple sessions/visits, explain how many sessions will occur, how long each session will take, how many days or weeks participation will last.
Example, “During this study, you will be asked to meet with me to answer questions regarding your daily tasks. This will take 1 hour per day, 4 days per week, for 8 weeks.”
Risks to Participants: Provide a complete description the perceived/potential and known risks associated with study participation. Risks may be physical or non-physical such as emotional risks. Describe the measures that will be taken to manage or minimize those risks. This information should be harmonized with the information noted in the Q&A Form Risks of the Research section. If research involves emotional risks, please consider inserting mental health resources or referrals.
Example, “The risks of study participation are frustration and loss of confidentiality. These risks will be minimized by…”
Benefits to Participants: Describe any benefit to the participant or to others that may reasonably be expected from the research.If the participant will not benefit from study participation state, “You will not benefit from this study. However, we hope the information learned from this study may benefit society in our understanding of how __________________________.” Note compensation/remuneration cannot be listed as a benefit to study participation.
Alternatives to Participation: Describe any commonly used alternative therapies, if applicable. If there are no alternatives therapies, please state “Participation in this study is voluntary. You may withdraw from study participation at any time without any penalty.”
Confidentiality: During this study, information will be collected about you for the purpose of this research. This includes __________________________ (Include all of the information listed in the “Confidentiality” section of the Q & A form.)
(Describe the steps taken to guard the anonymity of the subjects and/or the confidentiality of their responses and personal information. In addition, please state research materials will be kept for a minimum of five years after publication per American Psychological Association (APA) guidelines.)
(Describe any potential limits to confidentiality.)
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