Informed Consent
Protocol Title: Creating a Conversational Representation Online
Please read this consent document carefully.
Purpose of the research Study:
The purpose of this study is to see if we can use online interactions to create conversation representations.
What you will be asked to do in the study:
You will be asked to interview an online virtual patient. Afterwards, you may review your interaction with the virtual patient. You will also fill out a background survey and an opinion survey about your interview with the virtual patient. None of the survey or interview questions are of a personal nature. However, you do not have to answer any question that you do not wish to answer.
Time Required:
15-30 minutes
Risks and Benefits:
The risks of harm to you by participating in this experiment are minimal, and no different than those ordinarily encountered in daily life. The potential benefits to you are:
- Additional practice on patient interviews beyond what is normally available to you.
- Additional feedback on how you can improve your interaction with patients beyond what is normally available to you.
Compensation:
You will not be compensated for participation in this study.
Confidentiality:
Your identity will be kept confidential to the extent provided by law. Your information will be assigned a code number. The list connecting your name to this number will be kept in a locked file. When the study is completed and the data have been analyzed, the list will be destroyed. Your name will not be used in any report.
Voluntary participation:
Your participation is completely voluntary. There is no penalty for not participating. Your status in your educational program will not be affected by a decision not to participate, and this is not a part of the training program.
Right to withdraw from study:
You have the right to withdraw from the study at any time without consequence.
Whom to contact if you have questions about the study:
Principal Investigator: Brent Rossen, Graduate Student, Department of Computer and Information Science and Engineering, CSE Rm 333
Supervisor: Benjamin Lok, Ph.D, Department of Computer and Information Science and Engineering, CSE Rm 342 352-392-1492
Whom to contact about your rights as a research participant in this study:
UFIRB Office, Box 112250, University of Florida, Gainesville, FL 32611-2250; ph 392-0433
Study Participation Agreement
I have read the procedure described above. I voluntarily agree to participate in the procedure and have received a copy of this description.