Relationship Schema Scale AAW
 

1. Informed Consent to Participate in Research

 
“AFRICAN AMERICAN RELATIONSHIP SCHEMA SCALE:
DEVELOPMENT AND VALIDATION”
Informed Consent to Participate in Research
Department of Psychology
Eastern Michigan University

We are conducting internet based research study to assess the way African American women think about relationships. You will be asked to complete a series of online questionnaires. The questionnaires will cover your background information, your feelings and attitudes about yourself and your relationships, your sexual history, racial attitudes and self esteem. We ask that you complete these forms as thoroughly and honestly as possible—there are no right or wrong answers. Please try to be as honest as you can. All information obtained from this survey will be treated with strict confidentiality, and all other responses will be kept anonymous. We only ask names of Eastern Michigan University Students who are interested in receiving course credit for their participation. Names will not be directly connected to any responses. Only a code number will identify questionnaire responses. Also, data from this project may be disseminated not only through conference presentations and publications in peer reviewed journals, but also in the form of a thesis; however it will not disclose any identifying information about any individual participants. It is estimated that you should be able to complete your participation in this study within approximately 45 minutes. You will be exposed to very minimal risk by participating in this study; however, answering questions of a sexual nature can sometimes be uncomfortable or anxiety provoking. Please only continue if you feel comfortable with the sexual nature of this study. Although you may not directly benefit from participating in this study, your responses may help to benefit society at large by furthering our understanding of relationship issues for African American women.

If you are an EMU student, some faculty allow students to earn extra credit for participating in research (though the experimenter has no control over how faculty choose to allot this, or even if they give any credit at all). If your instructor allows you to earn extra credit we will provide you with a credit form indicating your participation in this research study. This credit slip will only indicate that you have participated in a research project and will disclose nothing about your individual responses to any of the questions specifically addressed by the study; thus, your responses shall remain anonymous. If you are not an EMU student, we do not ask your name.
Your decision whether or not to participate is completely voluntary and will not prejudice your future relations with Eastern Michigan University. At anytime you have the right to refuse to participate or discontinue your participation without penalty or loss of benefits of any type. At the conclusion of this study’s data collection phase, a brief letter explaining some of the main hypotheses of this study shall be disbursed to all participants who desire such material.
In the unlikely event that distressing personal concerns arise for you during or after your participation in this study, EMU students are eligible for free counseling services at 313 Snow Health Center, Eastern Michigan University, Ypsilanti, Michigan 48197 (Telephone: 734.487.1118; Email: Counseling.Services@emich.edu). The EMU Psychology Clinic, Ypsilanti, Michigan 48197 (Telephone: 734-487-4987) can also provide services or referral information to the general public.

For questions about this study, please contact the primary investigator, Syreeta Scott, at sscott21@emich.edu, or the thesis committee chair, Stephen Jefferson, at sjeffer2@emich.edu. His address is 504 Mark Jefferson Hall, Eastern Michigan University, Ypsilanti, MI 48197. His telephone number is (734) 487-0097.

If you have any questions concerning this study or wish to learn more about its findings, please feel free to contact the principle investigator (see contact info. above). We expect to complete this project by April 30th, 2009.

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1. Consent to Participate: I have read or had read to me all of the above information about this research study, including the research procedures, possible risks, side effects, and the likelihood of any benefit to me. The content and meaning of this information has been explained and I understand. All of my questions, at this time, have been answered. I hereby consent and do voluntarily offer to follow the study requirements and take part in the study.

This research protocol and informed consent document has been reviewed and approved by the Eastern Michigan University Human Subjects Review Committee for use from 7/30/09 to 7/29/10. If you have questions about the approval process, please contact Dr. Deb de Laski-Smith (734.487.0042, Interim Dean of the Graduate School and Administrative Co-chair of UHSRC, human.subjects@emich.edu