Informed Consent Form

 
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INFORMED CONSENT FORM

Peer Support Specialists in the Workplace: A Survey Research Study

My name is Dr. Kristen Abraham and I am a faculty member in the Department of Psychology at the University of Detroit Mercy. I am inviting you to participate in a research study called Peer Support Specialists in the Workplace: An Survey Research Study. Information regarding this study is provided below in question and answer format.

What is the purpose of the study? (Explanation of the Purpose)
The purpose of the research study is to understand the work experiences of peer support specialists. The study is specifically designed to better understand peer support specialists’ experiences of supervision.

Who is eligible to participate in the study?
In order to participate, you must be:
• At least 18 years of age
• Currently working as a peer support specialist in an agency or organization

What will I be doing if I participate in the study? (Explanation of Procedures)
As a participant in this study, you will be asked to complete an online survey of questions about yourself, your job experiences, and your feelings about your work. The survey is expected to take about 1 hour to complete. In approximately two years, you may be contacted again by Dr. Abraham’s research team to again share your work experiences.

Am I at risk if I participate in the study? (Expected Risks)
Thinking about difficult work experiences may result in some minor discomfort. This discomfort is not expected to be greater than what would be routinely encountered in daily life. No other risks are expected.

Can I benefit if I participate in the study? (Expected Benefits and Compensation)
As a token of appreciation for taking the time to participate in this study, you will have the opportunity to be entered in a raffle to win one of five American Express gift cards valued at $50. The odds of winning a gift card depend on the number of people who participate in the research study. Other than the opportunity to be entered in this raffle, there is no compensation for participating in this survey research study.

There are no particular benefits which reasonably might be expected to accrue to you or to others as a result of participating in this study. However, sharing the findings from this study with the scientific community and policymakers could inform policies regarding peer support specialists in the workplace and the training of peers’ supervisors.

Who will have access to the information I provide? (Confidentiality)
All information that you provide will be kept confidential. Your name and contact information is being collected so that we can link your current responses to responses you may provide in the future. All survey information will be stored on a secure server hosted by SurveyMonkey. Once the survey data are downloaded, your survey responses will be de-identified and your name and contact information will be stored separately from your survey responses. A research ID code will be assigned to your responses so we can re-link them with your name if you provide additional responses in the future. When information regarding this study is presented or published, your name will never be associated with your responses. All information that is published and presented will be in aggregate or summary form.

Only the researcher (Dr. Kristen Abraham) and research assistants will have access to this information.
The confidentiality of records will be maintained by Dr. Abraham. The confidentiality of the records will be maintained unless the law requires disclosure. (NOTE: In certain cases the FDA may inspect the records, the sponsor (UDM) may inspect the records, and/or the IRB may inspect the records.)

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