Appendix 10_Oral Consent Script

Oral Consent Script

R TI IRB#: 12808

Title of Study: Comparing the Effectiveness of Traditional Evidence-Based Tobacco Cessation

Interventions to Newer and Innovative Interventions Used by Comprehensive Cancer Control Programs:

CCC-TCP Partnership Study

RTI Project No. 0211965.014 Project Leader: Sonya Goode Green, MPH

ORAL INFORMED CONSENT SCRIPT

Hello, Dr./Ms./Mr. [insert name]. My name is [insert name] and I am with RTI International. Assisting in the interview, as note-taker, is [insert name]. Let me start by thanking you for taking the time to talk with us today as a part of the research being conducted by Research Triangle Institute (RTI) for the Centers for Disease Control and Prevention. Your participation is voluntary and greatly appreciated.

The purpose of this study is to learn more about the collaborative efforts between the Comprehensive Cancer Control (CCC) and Tobacco Control Programs (TCP) in your state. Please know that we are not here to evaluate you or your program, but rather to better understand how CCCs and TCPs currently work together to address cancer control; and more specifically, how each program utilizes its network of resources to cross-promote the other’s activities. We’re also interested in hearing about the successes/facilitators and challenges faced in these collaborative efforts.

We are talking with up to 12-14 other key leadership and staff from 7 selected states. The information obtained from these interviews will greatly broaden CDC’s understanding of how CCC & TCP programs work together and help to identify opportunities for increased collaboration. This information can then be shared with other states and help to inform public health policies for reducing tobacco related cancers.

Our discussion should last approximately one hour and we will respect your commitment to this time. There are no right or wrong answers and you can refuse to answer any questions you do not want to answer. Your participation in this study is voluntary, and you may stop at any time. There will be no negative consequences if you choose to stop or if you choose not to participate at all.

All interview data will be treated in a secure manner and will not be disclosed, unless otherwise compelled by law. All RTI team members have signed a non-disclosure agreement ensuring that they will not discuss any data collected outside of the project team.

In our final report, descriptive data for each program will be presented such that specific data, including quotes, will not be linked to or attributed to a particular individual. Your responses will be reported in aggregate in a cross site summary which will examine the data collected across all sites. In addition to informing the cross-site report, these interviews will help to provide valuable information for creating a “Program Profile”. The Profile will be a 1-2 page summary providing an overview of the CCC & TC program in your state and highlighting any unique strategies that promote cross-collaboration between the two programs. The profile will be designed to be graphically appealing and ready to be used for dissemination and marketing purposes.

Do you have any questions?

Before we begin, we would like to have your permission to audio record our discussion so that we can ensure our notes are accurate and complete. The audio recordings will be deleted once the project is complete, in April 2013. Do I have your permission to tape record this interview?  Yes No

[If no] We respect your decision and will make every effort to capture your responses in our notes. Therefore, I do ask that you speak clearly. Also, I may ask you to repeat something if we did not get it.

[If yes] Thank you for allowing us to tape the interview. Okay we will start the recorder now

If you have any questions about your rights as a study participant, you can call Ms. Sonya Green at toll-free at 1-866-RTI-1958 then extension x2-6991 or you can call RTI's Office of Research Protection at (919) 316-3358 in Durham, NC or 1-866-214-2043 (a toll-free number).