Generic Visual Consent Template
Download as PPTX, PDF1 like463 views
This document outlines the steps and activities involved in a research study exploring an unspecified concept. Participants will be asked to complete periodic surveys about their health habits and have sensor data collected from their phone and wearables. All collected data will be anonymized with a random code before being encrypted and stored securely. Participation is voluntary and participants can withdraw their consent at any time.
![file:///var/folders/9p/bbpc5f
kd6ybdzwss43hcfzsc0000
gn/T/noun_dna_77921.png
Welcome
enroll
learn more
the icon should relate as
directly as possible to the core
concept of the study. in the
example, we have included a
sleeping person – appropriate
for a sleep tracking study.
This is a research
study exploring
[explain concept].](https://image.slidesharecdn.com/generic-visual-consent-flow-template-171117191001/85/Generic-Visual-Consent-Template-1-320.jpg)
![file:///var/folders/9p/bbpc5f
kd6ybdzwss43hcfzsc0000
gn/T/noun_dna_77921.png
Activities
next
learn more
To better understand
[study concept], you will
be asked to perform
[study actions]
List the most common and
important activities in plain
language. Match with
relevant icons – the
connection of “on task”
images with text is shown to
increase attention and slow
down the on-screen reading!
In this example, icons
indicating self-tracking of
weight and surveys are
included.](https://image.slidesharecdn.com/generic-visual-consent-flow-template-171117191001/85/Generic-Visual-Consent-Template-2-320.jpg)
![file:///var/folders/9p/bbpc5f
kd6ybdzwss43hcfzsc0000
gn/T/noun_dna_77921.pngYou’ll create an account at
[study website], and enroll
in the study
Activities
next
learn more](https://image.slidesharecdn.com/generic-visual-consent-flow-template-171117191001/85/Generic-Visual-Consent-Template-3-320.jpg)
![file:///var/folders/9p/bbpc5f
kd6ybdzwss43hcfzsc0000
gn/T/noun_dna_77921.pngThe study will also gather
sensor data from your phone
and [wearables if using] - with
your permission.
Sensor Data
next
learn more](https://image.slidesharecdn.com/generic-visual-consent-flow-template-171117191001/85/Generic-Visual-Consent-Template-4-320.jpg)
![file:///var/folders/9p/bbpc5f
kd6ybdzwss43hcfzsc0000
gn/T/noun_dna_77921.png
We will replace your name
with a random code. The
coded data will be encrypted
and stored on a secure cloud
server under the control of
[study investigator] to prevent
improper access.
Protecting Your Data
next
learn more](https://image.slidesharecdn.com/generic-visual-consent-flow-template-171117191001/85/Generic-Visual-Consent-Template-6-320.jpg)
![file:///var/folders/9p/bbpc5f
kd6ybdzwss43hcfzsc0000
gn/T/noun_dna_77921.pngUsing [survey mechanism],
we will ask you to tell us
about your [diet, daily
activity, medications, etc]
Study Survey
next
learn more](https://image.slidesharecdn.com/generic-visual-consent-flow-template-171117191001/85/Generic-Visual-Consent-Template-9-320.jpg)
Generic Visual Consent Template
- 1. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.png Welcome enroll learn more the icon should relate as directly as possible to the core concept of the study. in the example, we have included a sleeping person – appropriate for a sleep tracking study. This is a research study exploring [explain concept].
- 2. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.png Activities next learn more To better understand [study concept], you will be asked to perform [study actions] List the most common and important activities in plain language. Match with relevant icons – the connection of “on task” images with text is shown to increase attention and slow down the on-screen reading! In this example, icons indicating self-tracking of weight and surveys are included.
- 3. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngYou’ll create an account at [study website], and enroll in the study Activities next learn more
- 4. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngThe study will also gather sensor data from your phone and [wearables if using] - with your permission. Sensor Data next learn more
- 5. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngYour study data will be combined with similar data from other participants. Data Processing next learn more
- 6. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.png We will replace your name with a random code. The coded data will be encrypted and stored on a secure cloud server under the control of [study investigator] to prevent improper access. Protecting Your Data next learn more
- 7. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngYour coded data will be used for research and may be shared with other researchers worldwide. Data Use next learn more In Sage apps, this is a setting the participant makes. If youdon’t enable this setting, the sentence ends after “research” on line 2.
- 8. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.png This study will take about 20 minutes per week. Issues to Consider next learn more True? More? Less?
- 9. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngUsing [survey mechanism], we will ask you to tell us about your [diet, daily activity, medications, etc] Study Survey next learn more
- 10. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.png Your participation is voluntary. You may withdraw your consent and discontinue participation at any time. Withdrawing next learn more
- 11. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngYou will be able to visualize your data and potentially learn more about trends in your health. Potential Benefits next learn more
- 12. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.png This research is not a treatment study. Some questions may make you feel uncomfortable. Simply do not respond. Issues to Consider next learn more
- 13. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngParticipating in this study could generate a wide range of emotions. Issues to Consider next learn more
- 14. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngYou may learn things that make you want to spend more time with your doctor. Issues to Consider next learn more
- 15. file:///var/folders/9p/bbpc5f kd6ybdzwss43hcfzsc0000 gn/T/noun_dna_77921.pngWe will make every effort to protect your information, but total anonymity cannot be guaranteed. Risk to Privacy next learn more