Study: Protocol # 02-7716
INDIANA UNIVERSITY-BLOOMINGTON
INFORMED CONSENT STATEMENT
Social Psychological Factors in Teen and Adult Smoking
(Web Study)
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INFORMATION
You are invited to participate in a research study about the factors associated with cigarette smoking. This study is being conducted by Dr. Jon Macy from the Department of Applied Health Science at Indiana University and Dr. Laurie Chassin and Dr. Clark Presson from the Department of Psychology at Arizona State. It is funded by the National Institute on Drug Abuse of the National Institutes of Health.
STUDY PURPOSE
This study is concerned with beliefs and attitudes about cigarette smoking, and how you react to cigarette related stimuli.
NUMBER OF PEOPLE TAKING PART IN THE STUDY
If you agree to participate in this particular study, you will be one of 1100 subjects who will be participating in this particular study.
PROCEDURES FOR THE STUDY
This study consists of 3 sessions. Session 1 and 2 are 3 months apart, and session 2 and 3 are 12 months apart. At each session, you will sit at a computer and will be asked to identify words and pictures as quickly as possible. You will also be asked questions about cigarette smoking. This will take less than 30 minutes. In the second session, you will complete a task that involves moving your computer mouse in response to pictures on your computer screen, and you will view a 30 second commercial. You will also be presented with some information about smoking to read.
RISKS OF TAKING PART IN THE STUDY
Although we take a number of measures to protect the confidentiality of your data, there is always a risk of possible loss of confidentiality.
BENEFITS OF TAKING PART IN THE STUDY
As a participant, your data will help us to better understand what factors affect cigarette smoking. You may experience satisfaction from knowing that you are contributing to knowledge about smoking.
CONFIDENTIALITY
The information that is recorded in this experiment will be kept confidential. Your name will not be used. You will be assigned a number that cannot be associated with your name. Data will only be available to persons conducting the study and organizations that may inspect and/or copy your research record for quality assurance and data analysis, such as the IUB Institutional Review Board or its designees, and (as allowed by law) state or federal agencies, specifically the Office for Human Research Protections (OHRP) and the National Institutes of Health (NIH), who may need to access your research records.
In reports of the results, there will be no way to identify you or your answers.
PAYMENT
For participating in this study, you will be paid $15 for completing the first session, $20 for session 2, and $20 for session 3.
CONTACT
The investigator of the study is available to answer any questions you may have regarding your participation. If you have questions or concerns at any time about the study or procedures, you may contact the researcher, Jon Macy, at the Department of Applied Health Science, Indiana University, Bloomington, (812) 856-0704, (e-mail: jtmacy@indiana.edu).
If you feel that you have not been treated according to the descriptions in this form or that your rights as a participant in research have been violated during the course of this study, you may contact the Office for the Human Subjects Committee, Indiana University, Carmichael Center L03, 530 E. Kirkwood Ave., Bloomington, IN 47408, (812) 856-4242, (email: iub_hsc@indiana.edu).
PARTICIPATION
Your participation in this study is voluntary. You can decline to participate. If you decide to participate, you may withdraw from the study at any time without penalty and without loss of benefits.
CONSENT
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