HUMAN SUBJECTS CONSENT FORM

The following is a brief summary of the project in which you are asked to participate. Please read this information before signing the statement below.

TITLE OF PROJECT: Self-Compassion, Perceived Social Support, & Attitudes toward Addiction

PURPOSE OF STUDY/PROJECT: The purpose of this study is to better understand self-compassion, perceived social support, and attitudes toward addiction.

PROCEDURE: Participation in this study is voluntary and you must be 18 years of age or older to participate in the study. You can quit participating at any time without penalty. This survey should take approximately 20 minutes to complete.

INSTRUMENTS: In the survey you will be asked to provide some basic demographic information. Additionally, the survey includes a collection of items that will assess qualities such as self-compassion, perceived social support, and attitudes to addiction.

RISKS/ALTERNATIVE TREATMENTS: The participant understands that Louisiana Tech is not able to offer financial compensation nor to absorb the costs of medical treatment should you be injured as a result of participating in this research. Although we do not expect completing this survey to be highly distressing, you are encouraged to contact a local mental health professional (e.g., psychologist, psychiatrist) if you experience significant distress while completing this survey. The following disclosure applies to all participants using online survey tools: This server may collect information and your IP address indirectly and automatically via “cookies”.

EXTRA CREDIT: If extra credit is offered to students participating in research, an alternative extra credit that requires a similar investment of time and energy will also be offered to those students who do not choose to volunteer as research subjects.

BENEFITS/COMPENSATION: No compensation will be offered to participants by the researchers. However, participants who complete the survey may find the experience enjoyable as positive personal characteristics and experiences will be assessed.

I, ___________________, attest by clicking “accept” below that I have read and understood the following description of the study, "Self-Compassion, Perceived Social Support, & Attitudes toward Addiction", and its purposes and methods. I understand that my participation in this research is strictly voluntary and my participation or refusal to participate in this study will not affect my relationship with Louisiana Tech University or my grades in any way. Further, I understand that I may withdraw at any time or refuse to answer any questions without penalty. Upon completion of the study, I understand that the results will be freely available to me upon request. I understand that the results of my survey will be confidential, accessible only to the principal investigators, myself, or a legally appointed representative. I have not been requested to waive nor do I waive any of my rights related to participating in this study.

CONTACT INFORMATION: The principal experimenter listed below may be reached to answer questions about the research, subjects' rights, or related matters.

Kristen Hooper, MA                                                   J. Brandon Waits, Ph.D.

Louisiana Tech University                                          Louisiana Tech University

kkh015@email.latech.edu                                         bwaits@latech.edu

This research was found to be exempt from full review by the Louisiana Tech Institutional Review Board (Number: HUC 21-060). Dr. Richard Kordal of the Louisiana Tech Institutional Review Board may be contacted by email at rkordal@latech.edu or by phone at (318) 257-2484. The supervising researcher is Dr. J. Brandon Waits who may also be reached by email at bwaits@latech.edu.

 

Continue ONLY when finished. You will be unable to return or change your answers.