Consent to Participate in RTI Research
Introduction
You are being asked to participate in a research study. Before you decide if you want to take part in this study, you need to read this Informed Consent form so that you understand what the study is about and what you will be asked to do. This form also tells you who can be in the study, the risks and benefits of the study, how we will protect your information, and who you can call if you have questions. Please ask the researcher to explain anything you don’t understand before you make your decision.
Purpose
This research study is being conducted by RTI International, with funding from the U.S. Department of Agriculture’s Food Safety and Inspection Services (USDA’s, FSIS). The purpose of study is to evaluate consumer understanding and reaction to specific labeling statements on food packages. You are one of approximately 48 adults who will participate in this study.
Procedures
If you agree to participate, you will be asked to participate in a focus group discussion. Tonight’s discussion will be digitally recorded to collect your thoughts and opinions. We will use the recordings to prepare a summary of each group’s discussion; however, your name will not be associated with your responses in any reports. At the completion of this study, the recordings will be destroyed. Additionally, staff members from FSIS will be viewing tonight’s discussion.
Study Duration
Your participation in this study will take no more than 90 minutes.
Possible Risks or Discomforts
There are minimal psychological, social, or legal risks to participating in this study. You will be asked to share your thoughts and opinions in a group setting; however, tonight’s topic is not sensitive in nature. Your participation is voluntary, and you can choose not to answer any of the questions.
Benefits
There are no direct benefits to you from participating in this study. Your opinions will help FSIS improve specific labeling statements on food packages.
Payment for Participation
You will receive $75 for your participation.
Confidentiality
Your name will not be connected to the answers you provide; therefore, no information you provide during the study can be used to identify you.
The Institutional Review Board (IRB) at RTI International has reviewed this research. An IRB is a group of people who are responsible for assuring that the rights of participants in research are protected. The IRB may review the records of your participation in this research to assure that proper procedures were followed. A representative of the IRB may contact you for information about your experience with this research. This representative will be given your name, but will not be given any of your confidential study data. If you wish, you may refuse to answer any questions this person may ask.
Future Contacts
We will not contact you in the future.
Your Rights
Your decision to take part in this research study is completely voluntary. You can stop participating at any time and/or refuse to answer any question. If you decide to participate and later change your mind, you will not be contacted again or asked for further information.
Your Questions
If you have any questions about the study, you may call Katherine Kosa of RTI at 1‑800‑334‑8571, extension 23901. If you have any questions about your rights as a study participant, you may call RTI’s Office of Research Protection at 1-866-214-2043.
YOU WILL BE GIVEN A COPY OF THIS CONSENT FORM TO KEEP.
Your signature below indicates that you have read the information provided above, have received answers to any questions you may have, and have freely decided to participate in this research. By agreeing to participate in this research, you are not giving up any of your legal rights.
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Date Signature of Participant
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Printed Name of Participant
I certify that the nature and purpose, the potential benefits, and possible risks associated with participating in this research have been explained to the above-named individual.
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Date Signature of Person Obtaining Consent
_________________________________________
Printed Name of Person Obtaining Consent
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kosa, Katherine |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |