Informed Consent (continued)
After completing the study, if you elect to participate in the optional lottery drawing for an Amazon e-gift card, you will be required to provide a working email address and a pseudonym (any first name other than your actual first name) in order for the e-gift card to be delivered. It is recommended that the email address provided does not contain personal information to reduce the likelihood of breaches in confidentiality. This information will be gathered through a separate SurveyMonkey.com link and will not be linked to your study responses in any way, thus your identity will not be matched to your responses.
Only the primary investigator will have access to your email address and pseudonym and this information will be saved into a document on a password protected computer. Because the surveys are administered through a third party (SurveyMonkey), your confidentiality will only be protected to the degree that technology permits. The use of a pseudonym, rather than an actual first name, as well as an email address that does not contain your personal information is highly suggested to reduce the risk of breached confidentiality. The primary investigator will not contact you after the study, other than to send an e-gift card if you are selected through the lottery.
Aside from the above mentioned risk of using web-based survey links, no personal information shall be disclosed to anyone without your permission or unless required by law (i.e., court-ordered release of information, duty to protect against imminent danger to self or others, and suspicion of child, dependent, or elder abuse). Information obtained in this research project may be published in journals or presented at meetings, but no identifying information shall be revealed.
Individuals participating in this study are not expected to receive any direct physical or psychological benefits for their participation. However, answering survey questions may lead you to reflect on your individual experiences and may be valuable toward understanding your substance use, relationships, and twelve-step programs.
In addition, study results have the potential to benefit twelve-step members and individuals who have abused substances, at large, as well as individuals receiving psychological treatment who may benefit from referrals to twelve-step programs. Results may also enhance clinicians’ understanding of twelve-step member’s experiences and their ability to provide effective treatment interventions.
There are no alternatives to this study.
You will not be paid for participating in this study. However, you will have the opportunity to enter into a lottery drawing for an Amazon e-gift card. The gift cards range in amount from $25- $50 and may be used for purchases at Amazon.com.
This study has been explained to you in the sections above. If you have any other questions, you may contact Amy Wytiaz by email (email@example.com).
Questions about your rights as a participant in this study may be presented to the Institutional Review Board Chair by mail at IRB, Palo Alto University, 1791 Arastradero Road, Palo Alto, CA 94304 or by phone at 650-433-3827.
Please print copies of the consent form for your records at the time of the study. Once you have completed the study, if you wish to receive a copy of this consent form, you may obtain one by sending an email request to firstname.lastname@example.org.
PARTICIPATION IN RESEARCH IS VOLUNTARY. You have the right to decline to participate or to withdraw at any point in this study without any consequences.
Clicking on the “Proceed” button at the bottom of the Informed Consent page indicates that you have read and understood this consent form, and consent to participate in this study.
If you wish to participate, please click the “Proceed” button and continue on to the study.