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 DOCUMENT AGREEMENT TO BE IN A RESEARCH STUDY | |
|---|---|
| Challenge/Study Title | Cooking Gluten-Free Meals |
| Challenge Coach (The Person in Charge of This Research Study) | Efforia Advanced Author |
| Sponsor | This study is made possible by your payment to join. |
| Challenge Cost | $0 |
| Included Products & Services | Recipes, Cooking Tips, Nutritional Information |
| Outcome Measures | Changes in Cooking Skills, Dietary Habits, Health Metrics |
| Contact | help@efforia.com |
The Purpose of This Study
The purpose of this study is to explore the benefits and challenges of cooking gluten-free meals, identify effective strategies for introducing gluten-free cooking into daily routines, and understand the impacts of gluten-free cooking on health and well-being. We're not just cooking up delicious meals, we're cooking up valuable insights into a gluten-free lifestyle!
Your Responsibilities as a Participant
Participants in this study must be able to cook meals regularly and be willing to adopt a gluten-free diet for the duration of the study. You'll be asked to follow provided recipes, share your experiences and cooking results, and complete periodic assessments of your health and well-being. If you love cooking and are curious about going gluten-free, this is your perfect opportunity!
Your Rights as a Participant
As a participant, your involvement is completely voluntary. You can leave the study at any time, but please note that refunds are not available. Your participation helps us learn more about gluten-free living, and your experience may help others considering this lifestyle. Remember, you are the chef of your own kitchen and you can leave the study at any time!
How to Leave the Study
To leave the study, go to your Profile page, click “Your Challenges” and click “leave.” Please remember your join fee is not refundable. This payment is important to keep the study experience sound for other participants. We're sorry to see you go, but respect your decision!
Risks and Benefits
Participation in this study involves the usual risks associated with cooking, such as minor cuts or burns. There may also be mental health risks associated with dietary changes, so we encourage you to seek advice from your doctor or a life coach if you have questions. If at any point you feel suicidal, please contact the National Suicide Prevention Hotline by dialing 988. Please consider the risks and benefits carefully before deciding to participate. As always, consult with a medical professional if unsure and remember some insurance plans may not cover research-related injuries. It's possible you may not receive any direct benefit from this study, but will gain valuable cooking experience and contribute to our understanding of gluten-free living.
What to do if you have an adverse event or medical emergency
If you experience any adverse events or medical emergencies during the study, please seek immediate medical attention. Once you've received care, please report any adverse events to help@efforia.com. We're here for you, but your immediate health is the priority.
Data Protections
During this study, we'll collect data about your cooking habits, dietary changes, and health metrics. This data will be accessed only by those you've approved and will be used to provide personalized reminders, outcome reports, and overall findings. All data is stored on secure servers. However, as a community study, you're encouraged to share your experiences with others. To adjust your communication preferences, go to your Profile page and click "Settings." Please review the Efforia Terms & Conditions and Privacy Policy for more information.
If you have questions
If you have questions, don't hesitate to ask the community, that's what it's here for! If you prefer to keep your questions private, please email us at help@efforia.com. We're here to help you navigate this journey!
California Experiential Research Subject’s Bill of Rights
The California Experiential Research Subject's Bill of Rights ensures that research subjects are informed about the nature and purpose of the research, any procedures involved, and their rights to decline participation and withdraw from the research at any time without penalty. Subjects also have the right to confidentiality and to be informed of any potential risks or benefits.
HIPAA Waiver
Under this HIPAA waiver, we are permitted to use and disclose your health information for research purposes. This waiver does not impact your rights to healthcare outside of the research study. Remember, your privacy is our priority, and we're committed to protecting your information.
- Authorization and Consent for Diagnostic Testing
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I voluntarily consent and authorize CWI Physician Partners P.C., a California professional corporation; CWI Physician Partners P.C., a Hawaii professional corporation; CWI Physician Partners P.C., a Georgia professional corporation; CWI Physician Partners P.C., a Kansas professional corporation; CWI Physician Partners P.C., an Oregon professional corporation; CWI Physician Partners P.C., a Nevada professional corporation, CWI Physician Partners P.C., a Rhode Island professional corporation; CWI Physician Partners P.C., an Oklahoma professional corporation, as applicable ("CWI") to review the collection, testing, and analysis for the purposes of a diagnostic screening test. I understand that there are risks and benefits associated with undergoing a diagnostic screening testing and there may be a potential for false positive or false negative test results. I assume complete and full responsibility to take appropriate action with regards to my test results. Should I have questions or concerns regarding my results, or a worsening of my condition, I shall promptly seek advice and treatment from an appropriate medical provider. I further acknowledge the following:
- I am the individual who will provide the sample for the Test(s) that I am requesting or I am the parent or legal guardian of a minor who is providing the sample for testing.
- I am at least eighteen (18) years of age or I am the parent or legal guardian of a minor who is providing the sample for testing.
- I have read and understand the information provided about the Test(s) that I have been provided on the website where I requested the Test.
- The information I have provided in connection with my request to CWI is correct to the best of my knowledge. I will not hold CWI or its employees or agents responsible for any errors or omissions that I may have made in providing such information.
- My health information and results may be shared with CWI employees and agents for the purpose of ordering, processing, and reporting my results.
- Medical Services provided by CWI are purely for diagnostic assistance purposes and do not create a physician-patient relationship, and do not constitute medical care or diagnosis or treatment of any condition, disease, or illness.
- I authorize CWI to contact me via text message to communicate with me regarding my test.
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Patient Rights and Privacy Practices
- Notice of Privacy Practices and Patient Rights: CWI Notice of Privacy Practices describes how it may use and disclose your protected health information for other purposes that are permitted or required by law. To review a copy of CWI Notice of Privacy Practices, go to http://www.CynergyWellness.com.
- Disclosure to Government Authorities: I acknowledge and agree that my test results and associated information may be disclosed to appropriate county, state, federal, or other governmental and regulatory entities as may be permitted by law.
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Release
- To the fullest extent permitted by law, I hereby release, discharge and hold harmless, CWI, including, without limitation, any its respective officers, directors, employees, representatives and agents from any and all claims, liability, and damages, of whatever kind or nature, arising out of or in connection with any act or omission relating to my diagnostic test or the disclosure of my test results.
- By selecting the ACKNOWLEDGEMENT during the registration process for diagnostic testing, I acknowledge and agree that I have read, understand, and agreed to the statements contained within this form. I have read the contents of this form in its entirety and voluntarily consent to proceed with these procedures.