Informed Consent Form

INFORMED CONSENT FORM

Introduction
The title of this research study is Differences in Full-Range Leadership Attributes among Occupational Therapy Practitioners.

My name is James Carroll, a doctoral student at Grand Canyon University. I am under the supervision of Dr. Damond in the College of Doctoral Studies. The purpose of this study is to examine the perceived levels of leadership attributes from the Full-Range Leadership Model of occupational therapy leaders.

Key Information
This document defines the terms and conditions for consenting to participate in this research study.

How do I know if I can be in this study?
- You can participate in this study if you:
· You are an occupational therapy practitioner.
· You are supervised by another occupational therapy practitioner.
· You work in New Mexico, Texas, Arizona, Nevada, or California.
· Willing to answer demographic questions about your supervisor.
· Willing to answer questions your supervisor’s leadership traits.

What am I being asked to do?
If you agree to be in this study, you will be asked to:

o What?
Complete a demographic survey about your supervisor. (3-5 minutes).
Complete the Multifactor Leadership Questionnaire. (30-45 minutes).
o When?
The study will be online until 350 complete responses are received.
o Where?
All activities are completed online on Survey Monkey.
o How?
Completing a survey online on SurveyMonkey.

Who will have access to my data/information?
I will have access to all of your data and information. In addition, my dissertation chair, committee members, and all College of Doctoral Studies Reviewers may view your information and your answers. This is done as part of the dissertation review process.
Am I required to participate in this study?
Participation in this study is voluntary. After reading this informed consent, you can decide whether to participate in this study or not. Also, if you choose to participate and change your mind, you can leave the study at any time. You may do so even if you have not finished the survey. There is no penalty or loss of benefits to which you are otherwise entitled. If you decide to leave the study, close your internet browser. No information collected before you chose to stop will be used.

Any possible risks or discomforts?
There are no foreseeable risks or discomforts associated with this study.

Any direct benefits for me?
No.

Any paid compensation or incentives for my time?
There will be an opportunity to participate in a drawing for one of two digital $50 Amazon Gift Cards.

Presentation of Information Collected
The research data will be presented by publication in a doctoral dissertation. The data may also be presented in other occupational therapy related journals. The data will be presented in summary format. There will be no specific surveys presented.

Privacy and Data Security

Will other researchers ever be able to link my data/responses back to me?
No.

Will my initial data include information that can identify me. (names, addresses, or other identifying material, such as audio, specific demographics, etc.).
Initial data will include the demographic data of your direct supervisor. This includes age, biological gender, professional education level, and state of practice.

Will researchers assign my data/responses a research ID code to use instead of my name?
No
How and where will my data be protected (electronic and hardcopy)?
All electronic data will be stored on a laptop belonging to the researcher. The computer is password protected. This data includes the completed survey responses. Any paper copies will be stored in a locked safe.

Will artificial intelligence (AI) software be used?
No.

How long will the data be kept in the protected space?
All data must be kept for three years.

Who will have access to the protected data?
I will have access to all of your data and information. In addition, my dissertation chair, committee members, and all College of Doctoral Studies Reviewers may view your information and your answers as part of the dissertation review process.

What is the privacy policy for the survey platform?
The privacy policy for SurveyMonkey can be found at:
https://www.surveymonkey.com/mp/legal/privacy/

Where and how will the signed informed consent forms be secured?
The informed consent is the first question of the questionnaire. They will be secured with the rest of the digital data.

Future Research
Once identifiers are removed from the data collected for this study, the de-identified information could be used for future research studies. The data may be distributed to other investigators for future research studies. This can be done without additional informed consent from you or your legally authorized representative.

Study Contacts
Any questions you have about the study or your participation in the study, before or after your consent, will be answered by James M. Carroll. I can be reached at jcarroll42@my.gcu.edu or (518)-860-2191.

If you have questions about your rights as a subject/participant in this research, or if you feel you have been placed at risk, you can contact the Chair of the Human Subjects Institutional Review Board through the College of Doctoral Studies at IRB@gcu.edu; (602) 639-7804.

Question Title

* Voluntary Consent

Participant Rights
  • You have been given an opportunity to read and discuss the informed consent and ask questions about this study;
  • You have been given enough time to consider whether or not you want to participate;
  • You have read and understand the terms and conditions and agree to take part in this research study;
  • You understand your participation is voluntary and that you may stop participation at any time without penalty.

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