Consent |
Chaperone Usage and Perception by Infertility Experts
Hooman Sadri-Ardekani, MD, PhD - Principal Investigator
You are invited to participate in a research study. The purpose of this research is to characterize chaperone usage and preference amongst andrology specialists during sensitive examinations. You are invited to be in this study because you're experience and perspective as an andrology and infertility specialist is valuable to expanding our knowledge of the usage of chaperones in clinical settings.
Your participation in this study will involve completing a single survey.
All research studies involve some risks. The risk of harm or discomfort that may happen as a result of taking part in this research study is not expected to be more than in daily life or from routine physical or psychological examinations or tests. Efforts, keeping research records secure and allowing only authorized people to have access to research records, will be made to keep your information safe. Your participation in this study is entirely voluntary.
If you have any questions, suggestions or concerns about your rights as a volunteer in this research, contact the Institutional Review Board at 336-716-4542.
Approximately 243 people will take part in this study.
You are not expected to receive any direct benefit from taking part in this research study. There is no cost to you, and you will not be paid for participating in study.
We hope the information learned from this study will benefit other people in the future. The results of this research study may be presented at scientific or medical meetings or published in scientific journals. Your identity and/or your personal health information will not be disclosed unless it is authorized by you, required by law, or necessary to protect the safety of yourself or others. There is always some risk that even de-identified information might be re-identified.
Participant information may be provided to Federal and other regulatory agencies as required. The Food and Drug Administration (FDA), for example, may inspect research records and learn your identity if this study falls within its jurisdiction. In this research study, no information we collect from you will pertain to your personal health or behaviors (considered Protected Health Information).
You may choose not to take part or you may leave the study at any time.
By continuing, I agree to take part in this study. I authorize the use and disclosure of survey answers in this information form. I have had a chance to ask questions about being in this study and have those questions answered. By taking part in the study, I am not releasing or agreeing to release the investigator, the sponsor, the institution or its agents from liability for negligence.