Agreement to Participate in a Focus Group
Dear Student,
For the past several months, you have been participating in Teen Health Information Outreach Program, conducted by your region’s Area Health Education Center (AHEC). As you know, the program uses online materials from Project SHARE website (http://guides.hshsl.umaryland.edu/projectshare), sponsored by the National Library of Medicine (NLM). NLM invites you to take part in a focus group about your satisfaction with the Project SHARE site.
The focus group will last approximately one hour, and will involve a discussion between your team and an evaluator from the NLM. The evaluator will be present either in person, or via a video conference. The evaluator will be asking questions about your most and least favorite aspects of the website and the program, and things you have learned. The information from the focus group will be used to improve the next version of the site.
Taking part in the focus group is entirely voluntary. You may choose to leave the group at any time, with no negative consequences.
OTHER RELEVANT INFORMATION
1. Confidentiality. Your name will not be recorded during the focus group. Information collected during the focus group will be shared with Project SHARE developers in summary form.
2. Payments. You will NOT be paid for this participation.
3. Questions. If you have any questions, you or your parents should not hesitate to contact Dr. Alla Keselman at NLM (301-496-3420, keselmana@mail.nih.gov).
I read and understood the information above and agree to participate.
________________________________ _________________ __________________________
Signature of Participant Date Print Name
________________________________ _________________ __________________________
Signature of Evaluator Date Print Name
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | consent temp |
| Author | NIH |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |