TITLE OF STUDY: mReACT

PRINCIPAL INVESTIGATOR: Lidia Meshesha, PhD

KEY INFORMATION: The following is a short summary of this study to help you decide whether or not to be a part of this study. More detailed information is listed later on in this form.

Why am I being invited to take part in a research study?
We invite you to take part in this brief online survey because you have seen an ad for this study and you may be eligible to participate.

Why is this research being done?
The purpose of this brief survey is to see if you are eligible for a paid research study on alcohol use and activity engagement.

How long will the research last and what will I need to do?
If you decide to complete this brief survey, you will be asked to complete the online survey that will ask you information about yourself such as demographic information, alcohol use, and technology use. This survey will take about 1-2 minutes to complete. If eligible, you will be invited for a 10-minute phone call to further discuss the research study.

More detailed information about the study procedures can be found under “What happens if I say yes, I want to be in this research?”

Is there any way being in this study could be bad for me?
Risks associated with participating include experience discomfort in answering questions. Further, there is a risk of loss of confidentiality in an event of unanticipated data breach.

More detailed information about the risks of this study can be found under “Is there any way being in this study could be bad for me? (Detailed Risks)”

Will being in this study help me any way?
You may not directly benefit from participating in this study.

What happens if I do not want to be in this research?
Participation in research is completely voluntary. You are free to withdraw your consent and discontinue participation in this study at any time without prejudice or penalty. Your decision to participate or not participate in this study will in no way affect your relationship with UCF or the individuals who may have an interest in this study.

DETAILED INFORMATION: The following is more detailed information about this study in addition to the information listed above.

What should I know about a research study?

  • Someone will explain this research study to you.
  • Whether or not you take part is up to you.
  • You can choose not to take part.
  • You can agree to take part and later change your mind.
  • Your decision will not be held against you.
  • You can ask all the questions you want before you decide.

Who can I talk to?
If you have questions, concerns, or complaints, or think the research has hurt you, talk to the research team: at lidia.meshesha@ucf.edu

This research has been reviewed and approved by an Institutional Review Board (“IRB”). You may talk to them at 407-823-2901or irb@ucf.edu if:

  • Your questions, concerns, or complaints are not being answered by the research team.
  • You cannot reach the research team.
  • You want to talk to someone besides the research team.
  • You have questions about your rights as a research subject.
  • You want to get information or provide input about this research.

How many people will be studied?
We will screen many people until we recruit eligible participants of 75 people for this research study.

What happens if I say yes, I want to be in this research?
You will be asked to answer questions on your age, alcohol treatment and use, and use of technology. If you qualify for the study, you will be asked to provide your name and phone number. We will call you over the phone to discuss the study further, give you additional information about the study, and ask some additional questions to confirm you are eligible. If eligible, we will schedule you for the main study. Additional information about the main study will be provided to you with another consent form prior to study participation.

What happens if I say yes, but I change my mind later?
You can leave the research at any time it will not be held against you.

Is there any way being in this study could be bad for me? (Detailed Risks)
You may experience discomfort from answering some of the questions. You may refuse to answer any questions that make you feel uncomfortable, and you can stop participating at any time. All information obtained will be confidential. The information you provide will not be linked to your identity. We will make every effort to minimize any discomfort you may feel during this process.

What happens to the information collected for the research?
Efforts will be made to limit the use and disclosure of your personal information, including research study records, to people who have a need to review this information. We cannot promise complete secrecy. Organizations that may inspect and copy your information include the IRB and other representatives of this organization.

Personal identifiers will be removed from any identifiable private information about you in the final research dataset created by this study. The de-identified information may be used for future research studies or distributed to another investigator for future research studies without additional informed consent from you (or the legally authorized representative). Your consent form and all other identifying information will be stored in a password-protected folder separate from questionnaire responses and any other data. You will not be personally identified in any reports or publications that may result from this study. The confidentiality of the information you provide to us will be maintained in accordance with state and federal law.

What else do I need to know?
This research is being funded by the National Institutes of Health (NIH).

Do you agree to participate in the online screen?