Consent

KEY INFORMATION FOR AN EXPLORATION OF THE PERCEPTIONS OF CANCER EDUCATIONAL MATERIALS FOR YOUNG WOMEN WITH BREAST CANCER AND IMPLICATIONS FOR MATERIAL DEVELOPMENT

We are asking you to choose whether or not to volunteer for a research study about Black or African American women’s educational needs while going through breast cancer treatment. This page gives you key information to help you decide whether to participate. If you have questions later, the contact information for the research investigator in charge of the study is below.

WHAT IS THE STUDY ABOUT AND HOW LONG WILL IT LAST

This study is only open to women who self-identify as Black or African American. If you do not identify as Black or African American, please do not proceed. You can simply close out this page.

If you are a Black or African American woman who completed breast cancer treatment in the last five years, we would love for you to consider participating in our study with three parts. First, you will fill out a few questions about your background and cancer treatment. Second, you will answer some questions related to a nutrition label. Third, you will talk to the principal investigator, Dr. Pearman Parker, and other survivors in a secure online zoom meeting room.

Your participation in this research will last about 60 to 90 minutes in total. If you join, you will meet with other Black or African American women similar in age to talk about your treatment. By doing this study, we hope to learn more about your educational needs while going through breast cancer treatment.

WHY MIGHT I CHOOSE TO VOLUNTEER FOR THIS STUDY?

Your input may help us to create more easily understood and useful materials just for young Black/African American women while going through breast cancer treatment.

WHY MIGHT I CHOOSE NOT TO VOLUNTEER FOR THIS STUDY

Talking about your cancer treatment may be challenging.

DO I HAVE TO TAKE PART IN THE STUDY?

No. It is okay to say no. If you decide to take part in the study, it should be because you really want to volunteer. You will not lose any services, benefits, or rights you would normally have if you choose not to volunteer. If you are a student or employee, nothing about academic status or employment will change no matter what you decide.

WHAT IF I HAVE QUESTIONS, SUGGESTIONS, OR CONCERNS?

You can contact the person in charge of the study, Pearman Parker, Principal Investigator, with any questions, suggestions, or concerns at 501-661-7910 or at pparker@uams.edu. If you have any questions, suggestions, or concerns about your rights as a volunteer in this study, or wish to speak to someone not directly involved in the research, you can call the UAMS Institutional Review Board at 501-686-5667 during business hours.

If you want to know more about the research, let the study team know so they can give you more information.

Also tell the study team if you have decided you don’t want to be in the study. It is perfectly okay to say no.

WILL I BE PAID FOR BEING IN THE STUDY?

Yes. We will give you a $50 Wal-mart gift card. This is to thank you and compensate you for your time. We will give it to you after you complete the focus group and return the payment voucher form which we will send via e-mail.

WHAT ARE THE RISKS OF BEING IN THIS STUDY?

The risks are:

The risks for this study are no more than what happens in everyday life.
Someone could find out that you were in the study and learn something about you that you did not want others to know. We will do our best to protect your privacy.

WHAT INFORMATION WILL BE COLLECTED ABOUT ME IN THE STUDY?

During the study, we will need to learn private things about you, including

General contact and background information about you, such as name, address, telephone number, and other demographic information.
Medical information about you, such as breast cancer diagnosis, medications and information about your cancer treatment

WHO WILL SEE MY INFORMATION? HOW WILL YOU KEEP IT PRIVATE?

The local study team will know your name and have access to your information.
We will do our best to make sure no one outside the study knows you are part of the study.
We will code your information and type the transcripts of the focus group and keep the key to the code in a locked file. Your name will not be attached to this typed transcript. We will keep it in a safe, locked room for up to 7 years.

By clicking submit you are agreeing to participate in this study. You are giving consent for the study team to review what you share in the focus group. Your participation also allows us to review your medical record.

If you are no longer interested, you may exit out of the survey at any time.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.