IRB APPROVED
Dec 18, 2023
RESEARCH SUBJECT CONSENT INFORMATION SHEET
ARMY BASELINE KEY INFORMANT INTERVIEW
TITLE: Assessing the Implementation and Effectiveness of DOD’s Lethal Means Safety (LMS) Outreach Materials
PROTOCOL NO.: E698
WCG IRB Protocol # 20223388
SPONSOR: Office of Force Resiliency, OSD-P&R
INVESTIGATOR: Ria Reynolds, MPH
3003 Washington Boulevard
Arlington, VA 22201-2117
USA
STUDY-RELATED
PHONE NUMBER(S): 703-824-2000 (24 hours)
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, 0704-XXXX, is estimated to average 1.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
You are being invited to take part in a research study. A person who takes part in a research study is called a research subject, or research participant.
Taking part in this research is voluntary. You may decide not to participate, or you may leave the study at any time. Your decision will not result in any penalty or loss of benefits to which you are otherwise entitled.
If you have any questions, ask all the questions you want before you decide to participate.
If you have any questions, concerns, or complaints or think this research has hurt you, talk to the research team at the phone number(s) listed in this document.
The purpose of this research is to learn more about the implementation and utility of the Army’s new LMS Toolkit. This is part of a project sponsored by the Defense Suicide Prevention Office (DSPO) to assist the Services and Components in developing lethal means safety plans and evaluating the acceptability and effect of lethal means safety activities and materials.
Your participation in this effort will be limited to your time participating in a baseline interview and a follow-up interview (if you agree to participate in both interviews). Each interview will last approximately 90 minutes. The baseline interview is scheduled for , and the follow-up interview (if you agree to participate in one) will take place approximately one year from now (someone from the study team will reach out to you to request a follow-up interview closer to that time). This consent document relates to your participation in baseline interview only. Your participation in this research is voluntary.
We are conducting interviews with individuals in Army billets/positions (active duty and civilian) working on issues related to LMS and the Army’s suicide prevention programs, activities, and tasks. If you agree to participate, we will ask you a series of questions related to your work experience in these roles.
No names, contact information, or any other personally identifiable information will be associated with interview responses or used in the analysis or reporting of interview results.
There is no physical risk to participating in this interview. Information provided in this interview will be summarized with the results of our other interviews and presented in aggregate. No comments will be attributed to you specifically. There is a potential risk of loss of confidentiality, although we will make every attempt to keep your research information confidential.
There is no direct monetary cost to participating in this research. The only cost is your time.
There are no benefits to you from taking part in this research. You will receive no compensation for your participation. We cannot promise any benefits to others from your participation; however, we hope that this study will help the Army and the DOD develop lethal means safety materials that fit the needs of Army Servicemembers.
You will not be paid for taking part in this research.
Your alternative is to not take part in the research.
You may decide to not take part in the research at any time. If you decide to discontinue your participation, you may end the interview at any time. In addition, if you feel uncomfortable answering some of the questions, you may choose not to provide a response to any question that you do not want to answer. A decision to refuse to take part or to stop being a part of this interview will not have a negative impact on you in any way and will not result in any penalty or loss of benefits.
No names, contact information, or any other personally identifiable information will be associated with interview notes or used in the analysis or reporting of interview results. All information discussed today will be held in confidence by CNA. The information you provide will not become part of your military record and will not affect your career in any way.
All presentations of study results (e.g., the final report and briefings submitted to DSPO leadership) will summarize the information from all interviews combined and will not link statements to any single individual. Since we are not associating any identifying information about participants with their interview responses, no identities will be revealed in any report or briefing.
Information may be shared with individuals and organizations that conduct or watch over this research, including:
The research sponsor
People who work with the research sponsor
Government agencies, such as the US Department of Health and Human Services
The Institutional Review Board (IRB) that reviewed this research
If you have questions, concerns, or complaints, or think this research has hurt you, talk to the research team at the email address or phone number listed above on the first page.
This research is being overseen by WCG IRB. An institutional review board (“IRB”) is a group of people who perform independent review of research studies. You may talk to them at 855‑818‑2289 or [email protected] if:
You have questions, concerns, or complaints that are not being answered by the research team.
You are not getting answers from the research team.
You cannot reach the research team.
You want to talk to someone else about the research.
You have questions about your rights as a research subject.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Reynolds, Ria |
| File Modified | 0000-00-00 |
| File Created | 2024-07-20 |