UCT OA
UAHuntsville Consent Form
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INFORMATION SHEET FOR CONSENT TO PARTICIPATE IN A RESEARCH STUDY  

You must be 19 or over to participate in this experiment.  You were selected as a possible participant because of your affiliation with the Lifelong Learning Lab.  Please read this information sheet.

Purpose of the Research Study: The purpose of this study is to assess your memory, evaluate various cognitive techniques, and determine to what extent these techniques affect your memory.

Procedures: If you agree to be in this study, you will be asked to view a short video, and make decisions based on the video.  We will measure the accuracy and decision time of your answers to these questions. 

Risks and Benefits: The study has the following risks: None.  The benefits include experiencing what an eyewitness experiences, which can increase your understanding of how your own memory works.  Moreover, a better understanding of how eyewitness identification works will be beneficial to society.

Voluntary Nature of the Study: participation in this study is voluntary.  Your decision whether or not to participate will not result in penalty or loss of benefits to which you are otherwise entitled.  If you decide to participate, you are free not to answer any question or discontinue participation at any time without penalty or loss of benefits to which you are otherwise entitled.

Length of Participation: 10-15 minutes

Confidentiality: The records of this study will be kept private.  In published reports, there will be no information included that will make it possible to identify you as a research participant.  Research records will be stored securely.  Your data are identified by number only and that number cannot be connected to you.  The data will be stored on password-protected computers in locked offices.  Only approved researchers will have access to the records.

Contacts and Questions: If you have concerns or complaints about the research, the researcher(s) conducting this study, please contact: Jeffrey Neuschatz, Ph.D. (neuschaj@uah.edu; 256-824-2321).  In the event of a research-related injury, contact the researcher(s).  You are encouraged to contact the researcher(s) if you have any questions, concerns, or complaints about the research or about your rights and wish to talk to someone other than the individuals on the research team, or if you cannot reach the research team, you may contact the UAHuntsville Institutional Review Board at (256) 824-2338 or irb@uah.edu. 

Please indicate below whether you agree to participate: