Introduction




Dear Participant,

You are being invited to complete a survey about remote services (also known as remote monitoring) even if you are not using it. Remote Services use electronic equipment to support and assist people with developmental disabilities in their home. This service is provided from an off-site location, typically using home and community based waivers to fund the cost and maintenance of equipment and staff.

Your answers are helpful, even if you have not used remote services. Your feedback will provide us with valuable suggestions for the improvement and expansion of remote services. 

※ You need to be at least 18 years old to participate in this study.


Project Title: University Support in Technology Evaluation and Development 

Purpose of the study: This research study aims to identify how technology, including remote services, can be used to promote independence for people with developmental disabilities. This means the technology that is identified may make it easier for an adult with developmental disabilities to have less dependence on others.

Procedures and time spent: First, you will be asked questions about yourself, including technology use. Then, you will be asked to give your opinion about remote services or identify why you have not yet used remote services. The time needed to complete the questionnaire is about 10-15 minutes.

Confidentiality: Your information will be anonymous. Unless you choose to provide contact information, no personal identifiable information will be recorded. Efforts will be made to keep your study-related information confidential. However, there may be situations where this information must be shared. For example, personal information about your participation in this study may be shared if required by state law. Also, your responses may be reviewed by the following groups (as applicable to the research): Office for Human Research Protections or other federal, state, or international regulatory agencies; The Ohio State University Institutional Review Board or Office of Responsible Research Practices; The sponsor (Ohio Department of Higher Education and Department of Development Disabilities).

Risks: We will work to make sure nobody sees your responses. However, when using the internet there is always a chance that someone could try to access information without authorization. If this happens the information could be used to identify you.

Benefits: Involvement in this study may result in an improved use of technology to promote independence for adults with developmental disabilities, including a remote service that is improved and expanded beyond the home.

Incentives: No incentives are associated with study participation.
Remember, participation in this study is optional. This means you may choose to participate or not to participate in this study without penalty or loss of benefits to which you are otherwise entitled. If you choose to participate in the study, you may stop participating at any time without penalty or loss of benefits to which you are otherwise entitled.

Contacts and Questions:
For questions, concerns, or if you have complaints about the study, or if you feel you have been harmed
as a result of study participation, you may contact the Principal Investigator, Marc J. Tassé,
PhD, The Ohio State University Nisonger Center at (614) 685-3193 or by email:
marc.tasse@osumc.edu.

For questions about your rights as a participant in this study or to talk about other study-related concerns or complaints with someone
who is not part of the research team, you may contact Ms. Sandra Meadows in the Office of Responsible Research Practices at 1-800-678-6251.

* 1. Do you agree to participate in this study?

T