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Georgia State Researchers Want to Find the Best Ways to Help Adults Quit Smoking

Consent to Continue

After completing this brief questionnaire, more detailed information will be provided to you before you decide whether or not to take part in the research. You will also have the opportunity to speak with and ask questions to a member of the study team. Please be informed that you can stop this discussion at any time.
Please also note that by completing this questionnaire, you are consenting to Trialfacts to collect your answers to the questions, including your contact information.  All information you provide will be held in strict confidence and shared only with the research team conducting the study. Trialfacts will delete your information from our records upon your request.

You will have the option to join the Trialfacts mailing list to be contacted via email about future research studies which you may be eligible for. Trialfacts may also reach out to you to gather feedback on your experience with us. You will not be contacted if you choose not to sign up to our mailing list.

For your reference, please find a link to the Vital Research Privacy Policy.

Please note:
Due to the current situation with the COVID-19 pandemic, the researchers would like to assure the participants that ensuring the safety of the participants as well as the study staff is of utmost importance.

Georgia State University School of Public Health Informed Consent

Title: Understanding Ways to Help Adults Quit Smoking (Online Screening)
Principal Investigator: Claire Adams Spears, Ph.D., Assistant Professor, Georgia State University
Co-Investigators: Michael Eriksen, Sc.D. and Matt Hayat, Ph.D., Georgia State University
Sponsor: The National Cancer Institute
 
Introduction and Key Information
You are invited to answer questions to see if you might qualify for a research study. The reason for this study is to learn about ways to help people quit smoking. It is up to you to decide if you want to be in the study. You will answer some questions about yourself and your smoking habits online. The survey takes up to 20 minutes.
 
The risks of being in this study are that we will ask you some personal information, like your health history, and smoking habits. You may feel uncomfortable when answering these questions. You can skip or ignore any questions that you do not want to answer.
 
There are no benefits of answering these questions online today. If you qualify and decide to participate in the quit smoking study, you will receive a quit smoking program for free.
 
Purpose
The purpose of this study is to learn about ways to help people quit smoking. You are invited to be in the study because you are an adult who wants to quit smoking cigarettes. There will be about 500 people in this study.
 
Procedures
If you agree to be in this study, you will fill out an online survey. The online survey will ask you some questions about yourself and your smoking habits. If you qualify for the study after the online survey, our research staff will call you to tell you more about the study. Then you will come to Georgia State University to answer a few more questions. If you qualify at that time and would still like to participate, you will enroll in a program to help you quit smoking. You would receive nicotine patches and advice to help you quit. This study would take up to 26 hours of your time over about 6 months, and you would receive up to $380.
 
Future Research
Researchers will remove information that may identify you and may use your data for future research. If we do this, we will not ask for any additional consent for you.
 
Risks
The risks of being in this study are that we will ask you some personal information, like your health history, and smoking habits. You may feel uncomfortable when answering these questions. You can skip or ignore any questions that you do not want to answer. No injury is expected from this study. If you believe you were harmed in the study, contact the research team as soon as possible. Georgia State University and the research team do not have funds to compensate you for any injury.
 
Benefits
There are no benefits of answering these online questions. However, if you qualify and decide to participate in the quit smoking study, you will receive a quit smoking program for free. Overall, we hope to learn about the best ways to help people quit smoking.
 
Alternatives
The alternative to being in the study is to not be in the study.
 
Compensation
You will not be paid for answering these questions online. If you qualify for the quit smoking study and would like to participate, you would receive up to $380.
 
Voluntary Participation and Withdrawal
You do not have to be in this study. If you decide to be in the study and change your mind, you have the right to drop out at any time. You may skip questions or stop at any time. You can refuse to be in the study or stop if you want. This will not cause you to lose any benefits you are entitled to.
 
Confidentiality
We will keep your records private to the extent allowed by law. The following people and entities will have access to the information you provide:
  • Principal Investigator Dr. Claire Spears and her research team at GSU
  • GSU Institutional Review Board
  • Office for Human Research Protection (OHRP)
  • National Cancer Institute
All records will be kept in locked files or password-protected computer files that are only available to the research staff who know about keeping your information private and safe. When we present or publish the results of this study, we will not use your name or other information that may identify you. We will use a study number instead of your name on the study records.
 
A description of this clinical trial will be available on http://www.ClinicalTrials.gov, as required by U.S. Law. This Web site will not include information that can identify you. At most, the Web site will include a summary of the results. You can search this Web site at any time. 
 
Contact Information
Contact Dr. Claire Spears at [email protected] or 404-413-9335
  • If you have questions about the study or your part in it
  • If you have questions, concerns, or complaints about the study
  • If you think you have been harmed by the study
Contact the GSU Office of Human Research Protections at 404-413-3500 or [email protected]
  • If you have questions about your rights as a research participant
  • If you have questions, concerns, or complaints about the research
Please contact Claire Spears at [email protected] if you want a copy of this form.

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