Dear Participant—Thank you for taking the time to complete this survey. It should take approximately 15-20 minutes to complete. You will be asked to answer questions about your community and your perception of substance abuse treatment. I appreciate your help in collecting this important data. Please review the informed consent information. If you are interested please choose to consent below, if not choose I do not consent and you will be exited out of the survey. 

INFORMED CONSENT
Study Title: Understanding the Barriers to Substance Abuse Treatment: College Students’ Perspective 

Researcher: J. Catherine Taylor

Faculty Advisors: Erin Stevenson and Lynn Squicciarini

Email Addresses: Jerri_Taylor181@eku.edu, Erin.Stevenson@eku.edu,
Lynn.Squicciarini@eku.edu

INTRODUCTION
I invite you to participate in a research study that will take approximately 10 minutes of your time. I am a student in the Social Work Program at Eastern Kentucky University. I am conducting this survey as part of a McNair Scholarship project. I am conducting this research to investigate your experiences and perception of barriers to substance abuse treatment in the state of Kentucky. This form will help you decide if you want to participate in my research. Participation in this research is voluntary.

If you have questions about the research, please ask. Please let me know if you would like more time to think about your participation. You may also want to discuss your participation with people close to you.

WHAT IS THIS STUDY ABOUT?
I would like to learn more about student perceptions of access to substance abuse treatment in the state of Kentucky.

WHY WOULD YOU WANT TO PARTICIPATE?
You might want to participate because it will help collect data on the challenges and opportunities available to people living in Kentucky who are experience substance abuse issues and who might benefit from treatment services.

WILL PARTICIPATION HELP YOU OR OTHERS?
Participation in this study will not directly help you. Information from this study might help researchers or others in the future.

WHY WOULD YOU NOT WANT TO PARTICIPATE?
You might not want to participate because you do not feel it is helpful to collect this data on this topic.

ARE THERE RISKS TO YOU IF YOU PARTICIPATE?
This is a minimal risk study. Any discomfort should not be greater than discomfort you experience in daily life or in routine tests. You can stop participation at any time.

ARE YOU ELIGIBLE FOR THE STUDY?
You can participate in the study if you:

· Are a student enrolled in a technical school, college or university in the state Kentucky

· If you are 18 years of age or older

WHAT WILL HAPPEN DURING THIS STUDY?
If you participate, you will complete the following activities:

· A 15 minute survey.

WHAT KINDS OF PERSONAL DATA WILL I COLLECT FROM YOU?
Age, Gender, County of residence

HOW LONG WILL YOU BE IN THE STUDY?
If you decide to be in this study, your total participation will last approximately 10 minutes

WILL YOU GET PAID?
You will not be paid for your participation.

IS PARTICIPATION VOLUNTARY?
Your participation in this study is voluntary. You can say no or stop participation at any time. There will be no penalty to you. You will not lose benefits or services to which you are otherwise entitled. If you want to stop participation, please close your browser to discontinue answering survey questions.

ARE THERE ANY COSTS TO YOU IF YOU PARTICIPATE?
There are no additional costs to you if you participate.

Question Title

* 1. Do you consent to participate in this research study

0 of 52 answered
 

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