1. Informed Consent Form

You are invited to participate in a study of “Family Engagement: Does Provider Identity Matter?” The study will examine what factors, if any, influence family engagement. You were selected as a possible participant in this study because you are a parent or a caregiver of a child who is deaf or hard of hearing and have a child who is currently receiving early intervention services or have in the past ten years. 

The survey will take approximately 20-25 minutes to complete. In addition to completing the survey, you may be chosen to participate in a phone interview. We will come up with an agreed upon time that is convenient for both of us. The interview should take approximately 30 minutes. The interview will be audio recorded. All data collected will be stored on a password-protected computer and phone.

If you decide to participate in the survey, you will be entered into a drawing for a $100.00 gift card to Amazon. If you are chosen to also participate in an interview, you will receive a $25.00 gift card to Amazon. 

There are certain potential benefits and risks associated with your participation in this research. The benefits are contributing to emerging research and allowing your voice to be shared. The risks might include being inconvenienced or feeling uncomfortable answering questions.

Any information obtained in connection with this study that can be identified with you will remain confidential and will be disclosed only with your permission. All data will be reported as aggregate (as a group). In any written reports or publications, you will not be identified or identifiable. 

Your decision whether to participate will not affect your future relations with Fontbonne University or the researcher in any way.  If you decide to participate, you are free to discontinue participation at any time without affecting such relationships.

If you have any questions, please ask me. If you have any additional questions later, please contact Nichole Bosas at nbosas00618@fontbonne.edu or Jamie Doronkin at JDoronkin@Fontbonne.edu and we will be happy to answer them. Questions relating to IRB approval of this study should be directed to Dr. Joanne Fish, IRB Chair at jfish@fontbonne.edu. IRB approval FBUIRB110521-CB.

By clicking on "Next", you are hereby confirming that you have read the above information, agree to the terms of consent, and have decided to participate.

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