Emotions and Decisions of Couples study screening

The University of New Mexico HSC Clinical and Translational Science Center

Consent to Participate in Research

Purpose and General Information

You are being asked to participate in a research study that is being done by Brandi C. Fink, Ph.D., Principal Investigator, and Eric D. Claus, Ph.D.  This research is being done to evaluate the effects of alcohol on emotions of and decisions people make when in conflict with their partners.  You are asked to participate because you said you are in a long-term relationship, you drink alcohol, and you have severe relationship conflict.  Approximately 150 couples will take part in this study at the University of New Mexico HSC Clinical and Translational Science Center.

What will happen if I participate?

Right now you will only have to answer about 30 questions on the computer.  These questions are designed to help us gather some basic information about you, which we'll use to determine what studies you are able to qualify for. We'll also ask you for contact information, an email or a phone number which we will use to contact you to schedule you if you qualify for any studies. It should take approximately 10 minutes of your time. We try to get back to all eligible participants within 48 hours.

What are the possible risks of being in this study?

Confidentiality/Privacy: We will take measures to protect your privacy and the security of all your personal information. The questionnaire website is secured with SSL encryption, and all data is stored in a password protected electronic format. The only personally identifying information in these surveys will be your first name, and the phone number and/or email address you provide, and this information will be stored as separate database entries connected to the survey data by your participant number. If you participate in the full study, your contact information will be destroyed, and your survey data will be stored on secure servers at the UNM HSC Clinical and Translational Science Center. If you do not participate in the full study, both the contact and survey information you provide today will be destroyed.

 Will I be paid for taking part in this study?

You will be paid $20 per hour for a total of $200 per couple.  You will be paid at the conclusion of each of the three study sessions.

What if I have questions or complaints about this study?

If you hve any questions, concerns or complaints at any time about the research study, Brandi C. Fink, Ph.D. or her associates will be glad to answer them at (505) 272-6045, Monday through Friday, 9:00a.m to 5:00p.m.  If you would like to speak with someone other than the research team, you may call the UNM HSC Human Research Review Committee (HRRC) at 505-272-1129.  The HRRC is a group of people from UNM and the community who provide independent oversight of safety and ethical issues related to research involving human participants.

What are my rights as a research participant?

If you have questions regarding your rights as a research participant, you may call the Human Research Protections Office (HRPO) at (505) 272-1129 or visit the HRPO website at http://hsc.unm.edu/som/research/hrrc/.

Consent to screening:

You are making a decision whether to participate in this pre-screening process. Your typed signature below indicates that you have read the information above. By signing this consent form, you are not waiving your legal rights as a research subject.

1. Please enter the FIRST NAME and FIRST INITIAL of last name of partner. (This is to ensure both partners have completed the screening."

2. Please provide your typed signature.