1. INFORMED CONSENT

Thank you for participating in our survey. Your feedback is important.

INFORMED CONSENT

Thank you for participating in our survey. Your feedback is important.

You are being asked to participate in a research study.  However, before you consent to be a volunteer, we want you to read the following to be sure that you understand what your participation will involve.

INVESTIGATOR

The name of the student conducting this research is Rachel Kulas, MA.  The faculty member who is supervising the research is John Mehm, PhD.

PURPOSE OF THE RESEARCH

The purpose of this study is to gain a better understanding of people’s responses to various life stressors and how that stress may impact a soldier who was going to be deployed to a combat zone.  In response to life stress, individuals may experience various feelings of anxiety and depression as they attempt to cope with their life circumstances.  The goal of this study is to identify the amount of stress individuals are exposed to and examine the relationship of stress and mental health, particularly in the context of a pending deployment.

DURATION OF PARTICIPATION IN THE RESEACH AND NUMBER OF PARTICIPANTS

If you agree to participate, it will take around 20 minutes of your time and you will not need to do anything further unless you would like to speak with the primary investigator about your experience in the study.

PROCEDURES TO BE FOLLOWED DURING THE RESEARCH

If you choose to participate in this study, you will first be asked to fill out several questionnaires.  Most of these are very brief and will not take long.  The first one involves some demographic information, and the second asks about stressful events in your life. The third questionnaire asks about traumatic experiences that you may have had in the past.  Filling out these questionnaires may bring up upsetting or disturbing memories for those that have experience traumatic events in the past.  You will also be asked to fill out a questionnaire related to symptoms of depression, another related to anxiety, and lastly one related to substance use.

RISKS

The risk in this study is that these questionnaires ask about stress and traumatic experiences from the past.  These questions may bring up unwanted memories or feelings related to the event.  You may stop the experiment at any time without any penalty.

BENEFITS OF RESEARCH AND COMPENSATION

There may not be any direct benefit to you from this study, but the investigators hope to learn more from this study that may help other individuals (particularly those in the military) later on.  As compensation for your participation in this study, you have a chance to win a $20 Amazon.com gift card upon completion of the survey.  If you win the gift card you will be notified by e-mail. 

ALTERNATIVES TO THIS RESEARCH

If you choose to participate in this research, there is no other alternative procedure other than what is described.  You do not have to participate in the research and you may choose to withdraw your participation at any time without any consequence.  

CONFIDENTIALITY

You have a right to privacy, and all information identifying you will remain anonymous.  Your answers on all questionnaires will be coded with numbers, and no identifying information will appear on any material.  Your e-mail address will be used to record participation in the study in order to be eligible for the $20 gift card.  If you are selected as the winner, then you will be notified by e-mail.  Any information obtained in connection with this research that can be identified with you (i.e e-mail address), will remain confidential and will not be disclosed without your permission or as required by law.  Your e-mail address will only be used to contact you if you win the gift card.
QUESTIONS ABOUT THE RESEARCH

Take as long as you like before making a decision. We would be happy to answer any questions you have about the study.  If you have any further questions about this project you may contact Rachel Kulas, by email, at rramey@hartford.edu by telephone at (203) 841-6688.  You may also contact Dr. John Mehm by email at mehm@hartford.edu  or by telephone at (860) 768-5224.  If you have any questions concerning your rights as a research subject, you may contact Barbara Crane, Chair of the University of Hartford Human Subjects Committee at (860) 768-5371 or at bcrane@hartford.edu.  A Human Subjects Committee is a group of people that reviews research studies and protects the rights of people involved in research.

PARTICIPATION RIGHTS AND RESEARCH WITHDRAWAL

Your participation in this study is voluntary.  You may refuse to participate or withdraw once the study has started.  We have tried to explain all of the important details about the study to you.  If you have any questions that are not answered here, the researcher will be happy to give you more information via telephone or e-mail.

SIGNATURE AND ACKNOWLEDGEMENT

By checking “I Agree” below indicates that I have read the above information and I agree to participate in the study until I decide otherwise.  I have been informed that by signing this consent form I am not giving up any of my legal rights.

* 1. CONSENT TO PARTICIPATE
By checking “I Agree” below indicates that I am 18 years of age or older  AND if previously deployed has been in the United States for for a period of 6 months following demobilization.

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