Informed Consent

DUQUESNE UNIVERSITY

PITTSBURGH, PENNSYLVANIA

 

CONSENT TO PARTICIPATE IN A RESEARCH STUDY

 

 

TITLE:

 

Current Beliefs of Speech-Language Pathologists regarding Lateralization Errors

 

INVESTIGATOR:

 

Magdalena DiFazio, Rangos School of Health Sciences, 304-290-6205, Difaziom@duq.edu

Megan Overby, PhD, Rangos School of Heath Sciences, 412-396-2524, overbym@duq.edu

 

 

You are being invited to participate in a research project that seeks to gather information regarding the beliefs of SLPs regarding lateralization errors.

 

In order to qualify for participation, you must:

 

·       be at least 18 years old

·       Be a certified speech-language pathologist

 

 

If you provide your consent to participate, you will be asked to complete a 10-minute (26-item) survey about your experiences and beliefs about assessing and treating clients with lateralization errors.

 

There are no risks associated with this study beyond those found in everyday life. The benefits of participating in this study include assisting speech-language pathologists by providing data about prevalence and current treatment of lateralization errors.

 

There will be no compensation for participating in this study.

 

There is no cost for you to participate in this research project.

 

Your participation in this study, and any identifiable personal information you provide, will be kept confidential to every extent possible, and will be destroyed after 3 years after the data collection is completed. Your name will never appear on any survey or research instruments.

 

All written and electronic forms and study materials will be kept secure in password protected computers in the locked office of the faculty researcher. By using Survey Monkey, your name and contact information are not available to the researchers. In addition, any publications or presentations about this research will only use data that is combined together with all subjects; therefore, no one will be able to determine how you responded. 

 

You are under no obligation to start or continue this study.  You can withdraw at any time without penalty or consequence by stopping the survey. Your data, however, will still be available to the researchers because Survey Monkey data collection method is anonymous.  

 

A summary of the results of this study will be provided to you at no cost.  You may request this summary by contacting the researchers and requesting it.  The information provided to you will not be your individual responses, but rather a summary of what was discovered during the research project as a whole.

 

Any information collected that can identify you will have the identifiers removed and be kept for use in future related studies, and/or provided to other researchers interested in speech sound disorders.

 

I have read this informed consent form and understand what is being requested of me. I also understand that my participation is voluntary and that I am free to withdraw at any time, for any reason without any consequences. Based on this, I certify I am willing to participate in this research project.

 

By continuing this survey, your consent to participate is implied.

 

I understand that if I have any questions about my participation in this study, I may contact Dr. Megan Overby, 412-396-2524, overbym@duq.edu. If I have any questions regarding my rights and protections as a subject in this study, I can contact Dr. David Delmonico, Chair of the Duquesne University Institution

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