University of Hawai'i
Assent to Participate in a Research Project
Allison Tsuchida, Principal Investigator
Student Athlete Concussion Knowledge and Attitude Needs Assessment and Effectiveness of the BrainSpace Program
Aloha! My name is Allison Tsuchida and I am inviting you in my research study. I am a professor at the University of Hawai'i at Manoa (UHM), in the Department of Kinesiology and Rehabilitation Science (KRS).
Why am I doing this research?
I want to learn about what student athletes in Hawaii know and think about concussion. I also want to see if watching an educational video about concussion would make any difference on your knowledge and attitude toward concussions.
Why am I doing this research?
I am asking you to participate because you are a student athlete who participates in athletic activities in the state of Hawaii. Your participation in this project will fulfill your concussion education as required by law (Act 262).
What am I being asked to do?
There are three parts to this study. First, you will be asked to fill out a survey that takes about 5 to 10 minutes. Then, you will be asked to watch a 10-minute video about concussions. Lastly, you will be asked to fill out another short survey in the end, which takes about 3-5 minutes.
Taking part in this study is your choice.
You get to decide if you want to take part in this study. You can say 'No' or you can say 'yes'. No one will be upset if you say 'No'. If you say 'Yes', you can always say 'No' later. You can say 'No' at anytime. If you say 'No', there will be no penalty or loss to you. Your choice to say 'Yes' or 'No' will not affect your grades, class standings, status on the athletic team, or relationship with your school.
Could bad things happen if I join this research?
Some of the questions might be hard to answer. If you don't want to answer a question, that is fine. We can skip that question and move onto the next question, or you can stop the questions all together. I don't think anything bad will happen to you if you join this research project.
Could the research help me?
This research project will not help you. I do hope to learn something from this research though. And someday, I hope it will help me and other researchers to understand and write about what high school student athletes in Hawaii know and think about concussions, and how effective the concussion education program BrainSpace is.
Confidentiality and Privacy
I will keep all study data secure in a locked filing cabinet in a locked office/encrypted on a password protected computer. Other agencies that have legal permission have the right to review research records. The University of Hawai'i Human Studies Program has the right to review research records for this study.
You can ask questions any time. You can talk to me, Allison Tsuchida. My contact information is at 808.956.9057 or email@example.com. Ask me any questions you have. Take the time you need to make your choice.
You may contact the UH Human Studies Program at 808.956.5007 or firstname.lastname@example.org to discuss problems, concerns and questions, obtain information, or offer input with an informed individual who is unaffiliated with the specific research protocol. Please visit http://go.hawaii.edu/jRd for more information on your rights as a research participant.