California State University Fullerton
Research Consent Form
Researchers: Researcher: Marlene Weirich, Psychology
Department, mweirich9@csu.fullerton.edu
Faculty
Advisor: Dr. Kristin Beals, Psychology Department, kbeals@fullerton.edu
You are being asked to
take part in a research study carried out by Marlene Weirich. This consent
form explains the research study and your part in it if you decide to join the
study. Please read the form carefully,
taking as much time as you need. Ask the
researcher to explain anything you don’t understand. You can decide not to join
the study. If you join the study, you can change your mind later or quit at any
time. There will be no penalty or loss of
services or benefits if you decide to not take part in the study or quit later.
This research study is
being conducted to add to the growing research of the LGBTQ+
community. Specifically, the current study is assessing communication
factors that may potentially affect the psychological well-being of same sex partners. Taking part in the study will take
about 30 minutes. Please do not take part in this study
if you are under 18 years of age or have never been in a same sex relationship.
If you take part in the
study, you will be asked to complete a survey answering questions about your
most recent same sex relationship or the same sex relationship in which you experienced the most internal conflict in regards to how safe or happy you
felt with your partner. Please answer the questions to the best of your
ability; however if you come across a question that makes you feel
uncomfortable, you may choose to skip that question and continue on with the
rest of the survey. Once completed, the
results will be used by the researcher to complete a research article to
potentially publish. The results will also be provided to the researchers who
graciously loaned their scales for the following survey.
Potential benefits of participating in this study include the ability to express any
potential repressed feelings you have had about your current or past
relationship(s), gain a better understanding of the strength of the
communication between you and your partner after answering a series of
questions, and your participation in
this study will add to the growing research of the LGBTQ+ community to better
serve the community’s mental health needs.
Potential risks of participating in this study include distress or discomfort over some survey
questions. If you feel any discomfort, you may skip the question or click the
finish button to end the survey. You will not be penalized for doing so.
The data
for this study will be kept confidential to the extent allowed by law. No published
results will identify you, and your name will not be associated with the
findings. Under certain circumstances, information
that identifies you may be released for internal and external reviews of this
project.
At
the end of the survey you will be asked to provide your name and the best email
to contact you if you wish to be entered into an opportunity drawing. However,
when exported, this data will be randomized so your answers cannot be linked to
your contact information. Your privacy will be maintained on a password
protected computer. Only the researcher, faculty supervisor, and any other
persons qualified to help run tests on the data for the researcher will have
any access to this computer. The results of this study may be
published or presented at professional meetings, but the identities of all
research participants will remain anonymous.The data for this study will be
kept for an indefinite number of years for publication and educational
purposes.
There will be no costs to you for taking part in this study.
You will have the
option to be entered into an opportunity drawing for taking part in this
study. If you choose to quit the study
you will receive the option to be entered if you completed some
portion of the survey.
If you are a student at
California State University, Fullerton and heard about this study during your class from either the researcher or your
professor, you may also have the option to receive extra credit at the professor’s
discretion. If you choose to be entered in the opportunity drawing for taking
part in this study, you will be asked to provide your name and best contact
e-mail.
If
you have questions about this study or the information in this form, please contact
the researcher Marlene Weirich at mweirich9@csu.fullerton.edu. If you have questions
about your rights as a research participant, or would like to report a concern
or complaint about this study, please contact the Institutional Review Board at
(657) 278-7640, or e-mail irb@fullerton.edu
Your participation in
this research study is completely voluntary.
You may choose not to be a part of this study. There will be no penalty to you if you choose
not to take part. You may choose not to
answer specific questions or to stop participating at any time.
By clicking the button below, you acknowledge that your participation in the study is voluntary, you have read and understand what is required of you, you are 18 years of age, and that you are aware that you may choose to terminate your participation in the study at any time and for any reason.
Please note that this survey will be best displayed on a laptop or desktop computer. Some features may be less compatible for use on a mobile device.