Trainee Informed Consent

THE UNIVERSITY OF NORTH DAKOTA
CONSENT TO PARTICIPATE IN RESEARCH
Project Title: Qualitative Study of Factors that Influence Healthcare Seeking in Pilot Trainees
Principal Investigator: Dr. Beth Bjerke
Phone/Email Address: 701-777-3922; elizabeth.bjerke@und.edu
Department: John D. Odegard School of Aerospace Sciences
What should I know about this research?
• Someone will explain this research to you.
• Taking part in this research is voluntary. You can skip any question and discontinue
participation at any time without penalty or loss
• If you don’t understand, ask questions. Ask all the questions you want before you decide.
• We expect that your taking part in this research will last 30-60 minutes.
Why is this research being done?
The purpose of this study is to understand factors that influence pilot healthcare seeking behavior
with the hopes of better enabling the aeromedical system to serve pilots and stakeholders.
What happens to me if I agree to take part in this research?
If you decide to take part in this study, you will be asked to provide your first name and email
address to be contacted to schedule a 30-60 minute virtual interview conducted using Zoom.
Once scheduled, the interviewer will email you a meeting link and confirm the time. At the start
of the interview, the interviewer will inform you that they will not ask about your personal health
status or reasons for seeking care. The study is only aiming to collect your thoughts and
opinions. If you begin to share personal health information, the interviewer will kindly ask you
to stop sharing. You will have the opportunity to ask any questions you have. The interviewer
will then ask some basic demographic information and then ask to audio-record the meeting to
accurately capture everything you have to say.
Risks & Benefits:
There are no foreseeable physical risks and minimal privacy/confidentiality risks or discomforts
(e.g., fatigue) from participating in this study. The benefit that you may expect from taking part
in this research is gaining understanding of how you view the aeromedical system. Possible
benefits to others include the results of the study informing civilian aerospace leaders on factors
that influence pilot healthcare behavior. The results will be used to inform future research.
Approximately 50-60 undergraduate pilot trainees will take part in this study.
You will not have any costs for being in this research study. You will not be paid for being in
this study.

Who is funding this research?
The Department of Defense (DOD) is funding this research study. This means that UND is
receiving payments from the DOD to support the activities that are required to conduct the study.
No one on the research team will receive a direct payment or an increase in salary from the DOD
for conducting this study.
What happens to information collected for this research?
Your private information may be shared with individuals and organizations that conduct or
watch over this research, including:
• The research sponsor
• People who work with the research sponsor
• The Institutional Review Board (IRB) that reviewed this research
We may publish the results of this research. However, we will keep your name and other
identifying information confidential. We protect your information from disclosure to others to
the extent required by law. We cannot promise complete secrecy. Data collected in this research
might be de-identified and used for future research or distributed to another investigator for
future research without your consent. You should know, however, that there are some
circumstances in which we may have to show your information to other people. For example the
law may require us to show your information to a court or to tell authorities if we believe you
pose a danger to yourself or someone else. You have the right to review/edit the interview audio
recording. Only the PI and the PI’s research team will have access to the recording which will be
erased after being transcribed.
If you have questions, concerns, or complaints, or think this research has hurt you or made you
sick, talk to the research team at the phone number listed above on the first page.
This research is being overseen by an Institutional Review Board (“IRB”). An IRB is a group of
people who perform independent review of research studies. You may talk to them at
701.777.4279 or UND.irb@UND.edu if:
• You have questions, concerns, or complaints that are not being answered by the research
team or you want to talk to someone else about the research.
• You have questions about your rights as a research subject.
• You may also visit the UND IRB website for more information about being a research
subject: http://und.edu/research/resources/human-subjects/research-participants.html
Do you agree to participate in this research study?
Yes / No
If yes, please provide a first name that you would like to use in this study (a pseudonym is
preferred) and an email address that you would like us to use to schedule the interview.

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