What You Need to Know to Participate
This document provides information to help you decide whether to join this research study. It is important you understand the responsibilities, risks and benefits of participating.
Informed Consent Form
Study Title: The Impact of Nutrition on Sleep Quality
Principal Investigator: Dr. Jane Doe
Contact Information: jane.doe@researchinstitute.edu | (555) 123-4567
Institution: Sleep and Wellness Research Institute
Introduction:
You are being invited to participate in a research study. Before you decide to participate, it is important that you understand why the research is being conducted and what it will involve. Please read the following information carefully and ask any questions you may have.
Purpose of the Study
The purpose of this study is to examine the relationship between dietary patterns and sleep quality in adults. The findings will contribute to better understanding how nutrition impacts sleep health.
Procedures
If you agree to participate:
1. You will complete an online survey about your dietary habits, sleep patterns, and general health.
2. You will wear a sleep monitor for seven nights to track your sleep quality.
3. You will attend one 30-minute virtual consultation to discuss your results.
The total time commitment is approximately 2 hours over 2 weeks.
Potential Risks and Discomforts
• There are minimal risks associated with this study.
• You may feel uncomfortable answering some survey questions. You can skip any question you do not wish to answer.
• The sleep monitor is non-invasive but may cause slight discomfort while wearing it.
Potential Benefits
• You will receive a personalized summary of your dietary patterns and sleep quality.
• Your participation will help advance knowledge in the field of sleep and nutrition.
Confidentiality
All information collected during this study will remain confidential. Your data will be anonymized and stored securely. Only the research team will have access to your information. Results will be reported in aggregate without identifying individual participants.
Voluntary Participation
Your participation is voluntary. You may withdraw from the study at any time without penalty or loss of benefits. If you choose not to participate, this will not affect your relationship with the institution.
Compensation
Participants who complete the study will receive a $25 gift card as a token of appreciation for their time.
Contact Information
If you have questions about the study, please contact the principal investigator, Dr. Jane Doe, at jane.doe@researchinstitute.edu or (555) 123-4567.
If you have questions about your rights as a research participant, you may contact the Institutional Review Board (IRB) at irb@researchinstitute.edu or (555) 987-6543.
Consent Statement
By signing below, you acknowledge that:
1. You have read and understood the information provided above.
2. You voluntarily agree to participate in this study.
3. You understand you may withdraw at any time without penalty.
Participant Name: ___________________________
Signature: _________________________________
Date: ______________________________________