Website Usability Consent (Public / Healthcare Provider)

Att. 8_Consent Form.docx

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Website Usability Consent (Public / Healthcare Provider)

OMB: 0920-1050

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Usability testing consent form – Public


You are being asked to take part in a usability study by the Center for Disease Control and Prevention (CDC). We’re conducting the study to learn about how we can improve a series of websites on overdose prevention. We are interested in hearing your thoughts about the website design, how easy it is to use, and ways we can make the website more engaging for the public and healthcare providers. The usability session will last about 45 minutes.


You will join the moderator on an online video conferencing platform. This study is being conducted entirely on-line and you will not need to leave your home to participate. The moderator will guide you through the questions/tasks. Your activities on the computer screen and voice will be recorded during the session. We will use the recording to help us try to understand how easy or difficult the site is for different people to use. Besides the lead moderator, other ICF and CDC researchers may be observing the session. Recordings will be used only by the research team and not circulated outside of ICF and CDC offices.


Participating in this study is completely voluntary. Even if you do qualify for the study and decide to join, you can change your mind later and leave the study. There is no penalty to you if you decide not to answer any questions or if you decide to leave the study. Participating in this study may not benefit you directly. However, the results of this study will be used to improve websites that could help other people.


If you have any questions about this study, you may contact Becca Xu at Email: [email protected]


If you have questions about your rights as a research participant, or wish to obtain information, ask questions or discuss any concerns about this study with someone other than the researcher(s), please contact: the ICF Institutional Research Board Chairman at 404-929-8319.




Usability testing consent form – HEALTHCARE PROVIDER


You are being asked to take part in a usability study by the Center for Disease Control and Prevention (CDC). We’re conducting the study to learn about how we can improve a series of websites on overdose prevention. We are interested in hearing your thoughts about the website design, how easy it is to use, and ways we can make the website more engaging for the public and healthcare providers. The usability session will last about 45 minutes.


You will join the moderator on an online video conferencing platform. This study is being conducted entirely on-line and you will not need to leave your home to participate. The moderator will guide you through the questions/tasks. Your activities on the computer screen and voice will be recorded during the session. We will use the recording to help us try to understand how easy or difficult the site is for different people to use. Besides the lead moderator, other ICF and CDC researchers may be observing the session. Recordings will be used only by the research team and not circulated outside of ICF and CDC offices.


Participating in this study is completely voluntary. Even if you do qualify for the study and decide to join, you can change your mind later and leave the study. There is no penalty to you if you decide not to answer any questions or if you decide to leave the study. Participating in this study may not benefit you directly. However, the results of this study will be used to improve websites that could help other people.



If you have any questions about this study, you may contact Becca Xu at Email: [email protected]


If you have questions about your rights as a research participant, or wish to obtain information, ask questions or discuss any concerns about this study with someone other than the researcher(s), please contact: the ICF Institutional Research Board Chairman at 404-929-8319.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorEl-Toukhy, Sherine (NIH/NIMHD) [E]
File Modified0000-00-00
File Created2021-01-13

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