Statement of Informed Consent
A. PURPOSE AND BACKGROUND
Researchers from the Pacific Graduate School of Psychology at Palo Alto University are conducting a study to learn about the impact of losing a pet. The investigators are Wendy Packman, JD, PhD, Nigel Field, PhD, and Rama Ronen, PhD. In this work, the researchers are collaborating with Dr. Betty Carmack, Professor Emerita, University of San Francisco School of Nursing. It is hoped that the information they learn will assist in providing comprehensive care for grieving individuals and families.
You are being asked to participate in this study because you have lost a pet. You are eligible to participate in this study if you are 18 years or older and are English-speaking.
If you agree to be in the study, you will complete 7 questionnaires concerning your experiences of the death of your beloved pet, your psychological adjustment and your experiences in close relationships. It should take approximately one hour (50-60 minutes) to complete these questionnaires.
1. Completion of the measures about your companion animal who has died may be upsetting and bring up painful memories. Please note that the majority of questions require an answer. On those questions that are optional, you are free to answer, or not to answer the questions. You have the right to decline to participate or to withdraw at any point in this study. If you should experience discomfort beyond a level that you are able to handle, you are encouraged to use the referral resources offered on this website.
2. Confidentiality: Your research records will be handled as confidentially as is possible within the law. Special precautions will be taken to protect the identities of participants in the study and the confidentiality of all information provided. You WILL NOT be asked to reveal any type of personally identifying information, such as your name, social security number, phone number, or email address. No other identifying information, such as your computer's IP address will be recorded or stored. Only the study investigators will have access to your responses. The survey does include "open-ended" questions, which encourage participants to discuss some of the topics addressed in this study more broadly. Participants are strongly encouraged not to reveal any information that could be personally identifying in the open-ended portions of the study. No individual identities will be used in any reports or publications resulting from this study, and should you reveal any personally identifying information in an open-ended question, this information will be removed in any reports or publications. Brief quotations from open-ended questions may be used in reports or publications, otherwise, data from this survey will be reported in aggregated form.