Study Information & Consent to Participate

UNIVERSITY OF GEORGIA -- CONSENT TO PARTICIPATE IN RESEARCH

Dear Participant,

My name is Emily Herring and I am a student in the Population Health Department at the University of Georgia under the supervision of Brandy Burgess.  I am inviting you to take part in a research study.

We are doing research on behaviors that may be associated with COVID-19 test results (e.g., test positive or negative) with the intent of refining prevention efforts within the UGA campus community.

Through the use of an on-line survey, we aim to accomplish the following: 1) Characterize risk behaviors that may be associated with COVID-19 surveillance test-positivity; 2) Determine the impact vaccination may have on risk behaviors; and 3) Based on these results, develop targeted educational campaigns and preventive measures to decrease COVID-19 transmission among UGA faculty, staff, and students.

We are looking for UGA faculty, staff, or students that are at least 18-years of age and have had a COVID-19 test in the previous 14-days.

If you agree to take part in this study, you will be asked to participate in an on-line survey that will take approximately 15-mintues to complete. This survey will ask questions about your COVID-19 test results, vaccination status, and level of compliance with COVID-19 precautions on and off campus. The survey will not collect direct identifiers including name, email address or IP address. You can skip questions you do not want to answer and only summary statements will be reported.

Your participation is voluntary, and you may withdraw your consent and stop participation at any time without penalty. If you decide to stop or withdraw from the study the data collected from or about you up to the point of your withdrawal will be kept as part of the study and may continue to be analyzed.

Your decision to participate will have no impact on your employment or academic status. Your confidentiality will be maintained to the degree permitted by the technology used. Specifically, no guarantees can be made regarding the interception of data sent via the Internet by any third parties.

The collection and use of this summary data will benefit our campus community by refining prevention efforts and allowing for targeted education to promote awareness and policy compliance.

If you have questions about this research, please contact Brandy Burgess (brandy.burgess@uga.edu; 706-542-3598), or the graduate student assisting with this project, Emily Herring (echerring@uga.edu). If you have any complaints or questions about your rights as a research volunteer, contact the IRB at 706-542-3199 or by email at IRB@uga.edu.

Please print a copy of this information for your records.

Thank you for your time and consideration,

Emily Cook Herring, DVM
Graduate Research Assistant
College of Veterinary Medicine, University of Georgia

Brandy A. Burgess, DVM, MSc, PhD, DACVIM, DACVPM
Associate Professor and Director of Infection Control
College of Veterinary Medicine, University of Georgia

Question Title

* 1. I have read the study information and agree to participate in this research.

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