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Version #1, Date: 01/11/2024
Naval Health Research Center, San Diego, CA
CONSENT TO PARTICIPATE IN RESEARCH Voluntary Consent
Title: Millennium Cohort Study of Adolescent Resilience (SOAR)
Principal Investigator: Hope McMaster, Ph.D.
This form gives you important information about the study. Your parent previously provided
voluntary consent for you to participate in this survey. Because you are 18 years or older, you
must now provide consent for yourself. We hope you continue to participate in this study!
Please take time to carefully review this information. You should talk to the researchers about
the research study and ask them any questions you have. You may also wish to talk to others
(for example, your friends, family, or your personal physician) about your potential participation
in this research study. You do not have to take part in this study. Participation is voluntary.
You may also leave the research study at any time without penalization.
1. KEY INFORMATION:
Participation is Voluntary
You are being asked to participate in the Millennium Cohort Study of Adolescent Resilience
(SOAR). Participation is completely voluntary. Please read the information below and ask
questions about anything that you do not understand. The Principal Investigator of this study, Dr.
Hope McMaster, will be available to answer your questions via email at
[email protected] or via telephone at 619-767-4624.
Study Purpose
The purpose of this research study is to discover how military experiences may impact militaryconnected adolescents and their families. From the information we learn in the study, we hope to
provide information that will improve programs and services for military families.
Expected Duration of Participation
Participation in the online survey will last approximately 30 minutes.
Study Procedures
As a participant in this study, you will be asked to complete a survey online with questions that
ask about how you are feeling and your behaviors, and your relationship with your adolescent
parents and peers.
Benefits to Participation
You may not directly benefit from participation in this study. However, you will receive a
summary of results from the study once it is completed.
Benefits to Others or Society
We believe that the information we can learn from this study will help researchers and decision
makers understand how experiences of military-affiliated parents can affect their adolescent
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Effective Date:
Naval Health Research Center
IRB NUMBER: NHRC.2021.0018
IRB APPROVAL DATE: 01/18/2024
(NHRC.2021.2018)
Version #1, Date: 01/11/2024
-being. This information may be important in helping to identify and
develop better interventions and programs for military families.
Risks of Participation
We anticipate minimal risk for participating in this study. Possible risks of participation may
include temporary discomfort or emotional distress caused by some of the questions on the
survey or breach in data confidentiality.
Alternative Procedures or Treatments
There are no alternative procedures available. The only alternative is not to participate in this
study.
Your decision to participate in this study will not affect your future relationship with the Naval
Health Research Center. If you decide to take part in this research study, you will be asked to
check a box at the end of this document. Before you check the box at the end of this document,
be sure you understand what the research study is about in all sections of the consent form,
including the risks and possible benefits to you.
Please tell the researchers if you are taking part in another research study.
2. WHAT IS THE PURPOSE AND DURATION OF THIS RESEARCH AND WHO
WILL TAKE PART?
You are being asked to take part in this research study because your parent or legal guardian is
or has been in the military and is enrolled in the Millennium Cohort Study of Service Members
and Veterans. The purpose of this research is to learn about how military experiences may
impact adolescent health and well-being. The duration of participation in the online survey is
approximately 30 minutes.
There will be about 4,000 adolescents taking part in this online study conducted by the Naval
Health Research Center.
3. WHAT WILL HAPPEN IF YOU DECIDE TO BE IN THIS RESEARCH?
Your parent previously provided consent for you to participate in this research study.
Because you are 18 years or older, you now have to provide consent to participate
yourself.
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Effective Date:
Naval Health Research Center
IRB NUMBER: NHRC.2021.0018
IRB APPROVAL DATE: 01/18/2024
(NHRC.2021.2018)
Version #1, Date: 01/11/2024
4. WHAT ARE THE RISKS OR DISCOMFORTS FROM BEING IN THIS
If you choose to take part in this study, there is a risk that the questions may cause temporary
discomfort or emotional distress. Research shows that individuals generally report lower
distress as a result of being asked about their experiences. However, you do not have to answer
any questions that make you feel uncomfortable.
Although efforts are made to protect your research study records, there is always a risk that
someone could get access to the personal information in your medical records or other
information researchers have stored about you. However, every effort will be made to
safeguard your information (see Section 15 below).
5. WHAT ARE THE POSSIBLE BENEFITS FROM THIS RESEARCH?
There are no direct benefits to you for taking part in the study. However, you and others may
benefit in the future from the information learned during this study. The possible benefits to
others are a better understanding of how experiences of military-affiliated parents can affect
their adolescent children's health and well-being. This information may be important in helping
to identify and develop better interventions and programs for military families.
6. WHAT ARE THE ALTERNATIVES TO TAKING PART IN THIS RESEARCH?
There are no alternative procedures available. The only alternative is not to participate in this
study.
7. IS THERE COMPENSATION FOR YOUR PARTICIPATION IN THIS RESEARCH?
Yes, for your participation, you will receive a $20 electronic gift card to Amazon.com.
Adolescents 18 years or older who are Service Members must agree to be off-duty when
participating in this research.
8. ARE THERE COSTS FOR PARTICIPATING IN THIS RESEARCH?
No, there are no costs to you for taking part in this research study.
9. PRINCIPAL INVESTIGATOR the person(s) responsible for the scientific and
technical direction of the study):
Hope McMaster, Ph.D.
[email protected]
619-767-4624
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Naval Health Research Center
IRB NUMBER: NHRC.2021.0018
IRB APPROVAL DATE: 01/18/2024
(NHRC.2021.2018)
Version #1, Date: 01/11/2024
10. STUDY SPONSOR (the organizations or persons who oversee the study and are
responsible for analyzing the study data):
The institution overseeing this research is the Naval Health Research Center. As the funding
sponsor of this research, the Department of Defense may have access to your research data in
accordance with DoDI 3216.02p.
11. SOURCE OF FUNDING:
Office of the Deputy Assistant Secretary of Defense (DASD) for Military Community and
Family Policy (MC&FP)
12. LOCATION OF THE RESEARCH:
Naval Health Research Center, San Diego, CA
13. DISCLOSURE OF FINANCIAL INTERESTS AND OTHER PERSONAL
ARRANGEMENTS:
There are no financial interests or other personal arrangements to disclose.
14. WHO WILL SEE MY INFORMATION (PRIVACY) AND HOW WILL IT BE
PROTECTED (CONFIDENTIALITY)?
Records of your participation in this research study may only be disclosed in accordance with
state and federal law, including the Privacy Act of 1974 (and any other Federal laws), 5
U.S.C.552a, and its implementing regulations. DD Form 2005, Privacy Act Statement - Military
Health Records, contains the Privacy Act Statement for the records. A copy of DD Form 2005
can be given to you upon request, or you can read on-line at:
https://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd2005.pdf
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IRB NUMBER: NHRC.2021.0018
IRB APPROVAL DATE: 01/18/2024
(NHRC.2021.2018)
Version #1, Date: 01/11/2024
The research team will keep your research records. These records may be looked at by staff from
the Naval Health Research Center, the Institutional Review Board (IRB), and the DoD Higher
Level Review as part of their duties. These duties include making sure that the research
participants are protected. Confidentiality of your records will be protected to the extent possible
under existing regulations and laws but cannot be guaranteed.
Procedures to protect the confidentiality of the data in this study include but are not limited to:
identifiable information collected about you will be removed and replaced with a code. A list
linking the code and your identifiable information will be kept separate from the research data.
Personal identifiers (e.g., birth date) will be retained in order to establish an accurate timeline of
when events occurred. Research data will be maintained in a secure location at the Naval Health
Research Center. Only authorized individuals will have access to it. All electronic data will be
stored in encrypted files on a secure server at the Naval Health Research Center. Any data shared
with other researchers will not include your name or other personally identifying information. The
researchers may continue to use and share your deidentified information indefinitely. Identifiable
data will be destroyed 5 years after the end of the study.
Researchers will make every effort to protect your privacy and confidentiality; however, there are
risks of breach of information security and information loss.
For this research study, a Department of Health and Human Services (DHHS) Certificate of
Confidentiality is in place to protect your privacy such as your name or other identifying
information from being disclosed in any civil, criminal, administrative, legislative or other
proceedings, whether at the federal, state or local level. The Certificate cannot be used to resist a
demand for information from personnel of the U.S. Government that is used for auditing or
evaluation of Federally-funded projects or for information that must be disclosed in order to meet
the requirements of the Food and Drug Administration (FDA). Further, the researcher is not
prevented from disclosure for reporting matters such as family abuse, sexual assault, reportable
communicable diseases, a participant's threatened violence to self or others, or as military
regulations may require. You should understand that the Certificate of Confidentiality does not
prevent you or a member of your family from voluntarily releasing information about yourself or
your involvement in this research. If an insurer, employer, or other person obtains your written
consent to receive research information, then the researchers may not use the Certificate to
withhold that information.
The research team, authorized NHRC personnel, and regulatory entities such as the Office of
Human Research Protections (OHRP), may have access to your study records to protect your
safety and welfare. While the research team will make every effort to keep your personal
information confidential, it is possible that an unauthorized person might see it. We cannot
guarantee total privacy.
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Naval Health Research Center
IRB NUMBER: NHRC.2021.0018
IRB APPROVAL DATE: 01/18/2024
(NHRC.2021.2018)
Version #1, Date: 01/11/2024
Those listed above will have access to your records and agree to safeguard your protected health
information by using and disclosing it only as permitted by you in this consent or as directed by
state and federal law.
Information gained from your participation in this research study may be published in literature,
discussed for educational purposes, and used generally to further science. You will not be
personally identified when your information is shared in these ways; all information will deidentified.
15. VOLUNTARY PARTICIPATION
The decision to take part in this research study is completely voluntary on your part which means
you do not have to take part if you do not want to. If you choose to participate in this study, you
may be invited to participate in follow-up surveys or substudies in the future. Your choice to
participate in this study is completely independent of your choice to accept or reject any future
research invitations. You may also leave this research study at any time. If you choose not to
take part in this research study or if you leave this study before it is finished, there will be no
penalty or loss of benefits to which you are otherwise entitled.
You will be informed if significant new findings develop during the course of this research study
that may relate to your decision to continue participation.
16. WHAT HAPPENS IF I WITHDRAW FROM THIS RESEARCH?
Should you choose to withdraw from this research study, you must notify the research team
immediately. If you elect to withdraw from this research study, the researchers will discuss with
you what they intend to do with your study data. Researchers may choose to analyze the study
data already collected or they may choose to exclude your data from the analysis of study data
and destroy it, as per your request.
Please note that withdrawing your consent to participate in this research does not fully revoke
your HIPAA Authorization Form to use/disclose your protected health information. To make
that revocation, please send a letter to the principal investigator as discussed in the HIPAA
Authorization Form.
The principal investigator of this research study may terminate your participation in this research
study at any time if she determines this to be in your best interest, if you are unable to comply
with the procedures required, or if you no longer meet eligibility criteria.
18. CONTACT INFORMATION:
Principal Investigator (PI)
The Principal Investigator or a member of the research staff will be available to answer any
questions throughout this study.
Principal Investigator: Hope McMaster, Ph.D.
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Effective Date:
Naval Health Research Center
IRB NUMBER: NHRC.2021.0018
IRB APPROVAL DATE: 01/18/2024
(NHRC.2021.2018)
Version #1, Date: 01/11/2024
Phone: 619-767-4624
Email: [email protected]
Mailing Address: Naval Health Research Center, 140 Sylvester Road, San Diego, CA
92106-3521
Institutional Review Board (IRB) Office
If you have any questions about your rights as a research participant or if you have concerns
or complaints about the research study, please contact the IRB Chair at: Phone: 619-618-6102
Email: [email protected].
IF THERE IS ANY PORTION OF THIS DOCUMENT THAT YOU DO NOT
UNDERSTAND, ASK THE INVESTIGATOR BEFORE CHECKING THE BOX. YOU
MAY CONSULT WITH YOUR PERSONAL PHYSICIAN OR LEGAL ADVISOR, IF YOU
WISH.
A copy of this document will be given to you.
CONSENT OF PARTICIPANT
By checking the box below, I agree that I have been provided time to read the information
describing the research study in the consent form. The content and meaning of this information
has been explained to me. I have been provided with the opportunity to ask questions. I
voluntarily consent to participate in this study.
By checking the box below, I have not given up any of my legal rights as a research participant.
Yes, I agree.
No, I do not agree.
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Effective Date:
Naval Health Research Center
IRB NUMBER: NHRC.2021.0018
IRB APPROVAL DATE: 01/18/2024
File Type | application/pdf |
File Modified | 2024-01-22 |
File Created | 2024-01-18 |