Attachment B_MTurk Parental Permission_Youth Assent

Phone Parental Permission and Youth Assent

Amazon Mechanical Turk

The National Survey on Drug Use and Health (NSDUH) is a large survey given to about 70,000 people across the country every year. RTI International conducts the NSDUH. It collects information on many health-related issues. Right now, we’re evaluating some questions about experiences with alcohol, drugs, and drug treatment as well as experiences with mental health and mental health treatment. We are under contract with the Substance Abuse and Mental Health Services Administration to carry out this survey. You responded to a HIT we posted on MTurk for research subjects. At present, we are seeking the help of young people like your child to see how our questions work.

Your child is one of approximately 60 adolescent respondents across the country who are participating in this study. We will combine the answers from all adolescent respondents in this study, and compare them to existing data, to evaluate if Mechanical Turk could be used for question testing recruitment in the future. Taking part in the survey is strictly voluntary. Your child can skip any portion of the survey he/she does not wish to be involved with. There is no penalty if he/she chooses to skip any part of the survey. You should be present at home when your child completes the survey. The survey should be completed in private to ensure nobody else views his/her answers. All responses will be kept private and confidential. We will not share any data with any person outside of necessary project staff, and your child's name will never be connected to the responses he/she provides. Federal law requires us to keep your child’s responses confidential and to use his/her responses only for statistical purposes (the Confidential Information Protection and Statistical Efficiency Act of 2002).

The survey will take about 30 minutes.

Your child may consider some of the questions to be sensitive in nature and some questions may also make them feel certain emotions, such as sadness. For example, the interview asks questions about substance use and depression. If your child becomes upset during the interview and wishes to speak to a mental health professional about how he/she is feeling, you can call the following toll-free helpline number:

Substance Abuse and Mental Health Services Administration’s Treatment Referral Helpline (24-hour service for local treatment options)

1-800-662-HELP (4357)

1-800-487-4889 (TTY)

http://findtreatment.samhsa.gov

If you have any questions about the study, call 1-800-848-4079. If you have questions about their rights as a study participant, call RTI’s Office of Research Protection at 1-866-214-2043 (a toll-free number).

Your account will receive $8 in appreciation for his/her survey participation.

Do we have your permission for [CHILD’S NAME] to participate?

As Parent/Guardian, I give my permission for my child to participate in this survey.

____Yes ____No

Participant Panel ID: ___________

Date: __________________

Please pass the phone to your child now so I may obtain his/her verbal assent to participate.

[ONCE CHILD IS ON THE PHONE]:

Thank you for helping us out with our survey! You are being asked to participate in this study because your parent or guardian answered some questions about you that make you eligible for this study, and they’ve said it is OK for me to talk with you about it. I am going to explain this study to you. You can stop me at any time if you have questions about anything I tell you.

The purpose of this study is to test some questions that will be used in the National Survey on Drug Use and Health, or NSDUH. The NSDUH is a large survey given to about 70,000 people across the country each year. It collects information on many health-related issues. We're interested in evaluating some questions about your experience with past drug and alcohol use. RTI is doing this study for the Substance Abuse and Mental Health Services Administration, or SAMHSA. You are one of 60 participants between the ages of 12 to 17 who will help us test these questions.

Your participation in this survey will involve answering questions about your experiences with alcohol and drugs, drug treament, and/or mental health treatment. The survey takes about 30 minutes to complete, depending on your answers. Your participation in this study will end after you finish the survey. We will combine the answers from all participants between the ages of 12 and 17 in this study, and compare them to data we already have for these question, to see if we can use Mechanical Turk to recruit 12-17 year old participants for question testing in the future.

You don't have to answer a question if you don't want to. Your name will be kept private. No one else will see your answers to these questions. Your parents will not find out about your answers to questions.

We are required by law to keep your answers private. The law also requires the study to use your answers only to compare to answers already received from participants ages 12 to 17. The name of this law is the Confidential Information Protection and Statistical Efficiency Act of 2002.

You may consider some of the questions to be sensitive in nature and some questions may also make you feel certain emotions, such as sadness. For example, the interview asks questions about drug use, depression, and other topics. Remember, you can refuse to answer any questions and you can stop the interview at any time.

If you become upset during the interview and wish to speak to a mental health professional about how you are feeling, you can call this toll-free helpline number:

Substance Abuse and Mental Health Services Administration’s Treatment Referral Helpline (24-hour service for local treatment options)

1-800-662 HELP (4357)

1-800-487-4889 (TTY)

http://findtreatment.samhsa.gov

If you have any questions about the study, call 1-800-848-4079. If you have questions about your rights as a study participant, call RTI’s Office of Research Protection at 1-866-214-2043 (a toll-free number).

There are no direct benefits to you from completing this survey. Your involvement in this study will help us improve the questions for the NSDUH.

Once you finish, your parent will receive $8 to their account to thank you both for your time.

Do we have your permission to participate in this interview?

____Yes ____No

Participant Panel ID: ___________

Date: __________________