generic visual consent template

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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].

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Page 1: Generic Visual Consent Template

file:///var/folders/9p/bbpc5f

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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].

Page 2: Generic Visual Consent Template

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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.

Page 3: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngYou’ll create an account at

[study website], and enroll

in the study

Activities

next

learn more

Page 4: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngThe study will also gather

sensor data from your phone

and [wearables if using] - with

your permission.

Sensor Data

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learn more

Page 5: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngYour study data will be

combined with similar data

from other participants.

Data Processing

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learn more

Page 6: Generic Visual Consent Template

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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

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learn more

Page 7: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngYour coded data will be

used for research and may

be shared with other

researchers worldwide.

Data Use

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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.

Page 8: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngThis study will take about

20 minutes per week.

Issues to Consider

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True? More? Less?

Page 9: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngUsing [survey mechanism],

we will ask you to tell us

about your [diet, daily

activity, medications, etc]

Study Survey

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learn more

Page 10: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngYour participation is

voluntary. You may

withdraw your consent and

discontinue participation at

any time.

Withdrawing

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learn more

Page 11: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngYou will be able to visualize

your data and potentially

learn more about trends in

your health.

Potential Benefits

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learn more

Page 12: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngThis research is not a

treatment study. Some

questions may make you

feel uncomfortable. Simply

do not respond.

Issues to Consider

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learn more

Page 13: Generic Visual Consent Template

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gn/T/noun_dna_77921.pngParticipating in this study

could generate a wide

range of emotions.

Issues to Consider

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learn more

Page 14: Generic Visual Consent Template

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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

Page 15: Generic Visual Consent Template

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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