Please read the following information and click agree at the bottom to participate in the survey.
Alliant International University, San Diego Campus
10455 Pomerado Road
San Diego, CA 92131
Informed Consent Agreement
Laura Dorko, M.A., Doctoral Candidate
DEVELOPMENT OF A WEBSITE FOR EDUCATORS ADDRESSING HOW TO UNDERSTAND, RECOGNIZE, AND RESPOND TO STUDENT SELF-INJURY
You are being asked to participate in a research study. However, before you give your consent to be a volunteer, we want you to read the following and ask as many questions as necessary to be sure that you understand what your participation will involve.
INVESTIGATOR
Laura Dorko, M.A. Doctoral Candidate
Steven G. Fisher, PsyD Dissertation Chair
PURPOSE OF THE RESEARCH
Currently, educators are not confident in how to recognize, understand, and respond to self-injury. The purpose of the current study is to create a website which will provide educators with the information they need to respond with confidence to this difficult student behavior.
DURATION OF PARTICIPATION IN THE RESEARCH
You will be contacted via email and will be given a 1-2 week period in which to respond.
PROCEDURES TO BE FOLLOWED DURING THE RESEARCH
You will be asked to read the email in which you received this Informed Consent Agreement and the Subject’s Bill of Rights. The email will provide you with information regarding the doctoral project entitled, “DEVELOPMENT OF A WEBSITE FOR EDUCATORS ADDRESSING HOW TO UNDERSTAND, RECOGNIZE, AND RESPOND TO STUDENT SELF-INJURY.” The email will also provide you with a link to the beta version of this website. You will be asked to review the website. After reviewing the contents of the website, be sure to re-read the copy of this informed consent form on the website and click on “agree” if you choose to participate in the research project. When you click on “agree” you will be routed to a nine question survey regarding the website. The investigator’s contact information is contained in both the email and on the website. If you have any questions or concerns, you are encouraged to contact the researcher.
RISKS
This study poses minimal risk to you and consists of exposure to information about self-injury.
BENEFITS OF THE STUDY
This study will benefit you and educators of all kinds by providing you with information about self-injury and how to recognize, understand, and respond to it in the school setting.
CONFIDENTIALITY
Only anonymous demographic information will be obtained during the survey and your identity will not be linked to your survey answers. However, you must be provided with the following confidentiality information:
You have the right to privacy and information identifying you will remain confidential, unless otherwise required by law. The results of this study may be published in scientific journals or be presented at professional meetings as long as you are not identified and cannot be reasonably identified from it. However, it is possible that under certain circumstances data could be subpoenaed by court order. It also not guaranteed that efforts to disguise identifying information with regard to specific responses will keep your identity anonymous.
PSYCHOLOGICAL TREATMENT OR QUESTIONS ABOUT THE RESEARCH
If you need assistance related to the study or have any questions about the research or any additional concerns, please contact Laura Dorko at 858-705-3808 during normal working hours.
MANDATORY REPORTING OF CHILD OR ELDER ABUSE
California law mandates the filing and reporting of reasonable suspicions of child or elder abuse. Participation in this research could result in the investigator being required to report child or elder abuse.
SUBJECT RIGHTS AND RESEARCH WITHDRAWAL
Your participation in this study is voluntary. You may refuse to participate or withdraw. You will not be penalized.
We have tried to explain all the important details about this study to you. If you have any questions that are not answered here, the investigator will be happy to give you more information.
CLICK “AGREE” TO AGREE TO PARTICIPATE
By clicking agree below the informed consent form on the website, it indicates that you have read the above information and that you have had a chance to ask questions to help you understand what your participation will involve. You agree to participate in the study until you decide otherwise. You acknowledge that you have received a copy of this agreement and a copy of the Subjects Bill of Rights. You have been told that by clicking “agree” to participate you are not giving up any of your legal rights.
Subject Bill of Rights
As a participant in a research study you have certain rights and responsibilities. It is important that you fully understand the nature and purpose of the research and that your consent be offered willingly and with complete understanding. To aid in your understanding, you have the following specific rights:
- To be informed of the nature and purpose of the research in which you are participating.
- To be given an explanation of all procedures to be followed.
- To be given a description of any risks or discomforts which can be reasonably expected to occur.
- To be given an explanation of any benefits which may be expected to come to the subject as a result of this research.
- To be informed of any appropriate alternative procedures and of their relative risks and discomforts.
- To be informed of any assistance or treatment which will be made available to the subject if complications should arise from this research.
- To be given an opportunity and encouraged to ask any questions concerning the study or the procedures involved in this research.
- To be made aware that consent to participate in the research may be withdrawn and that participation may be discontinued at any time.
- To be given a copy of the consent form if requested.
- To not be subjected to any element of force, fraud, deceit, duress, coercion, or any influence in reaching your decision to consent or not consent to participate in the research.
If you have any further questions or concerns about your rights as a research subject, please contact the investigator.