Consent Form
My Body, My Drugs, My World
Year One - Getting a taste
Thank you for getting involved in this study
being conducted by Dr
Kevin McDonald and Dr
John Fitzgerald of the Sociology Program at the University of
Melbourne. This document is a 'consent form'. It aims at ensuring
that as a potential participant you fully understand what this research
involves.
You will be asked to complete the form (tick
the boxes) after talking to the researcher and reading the information
sheet:
The details of which have been fully explained
to me:
- The study is interested
in the meaning of drug use for young people
- The first stage of the
study involves a one-on-one interview (1 hour)
- This will be followed
by a focus group discussion (up to six sessions of about 1 hour
each)
- Doing an interview does
not commit me to participating in a group discussion
- In order to protect
other people's privacy, I agree to not use any identifiable
names during interviews and discussions.
- I consent to this interview/discussion
being taped and transcribed
- My identity will be
protected by the use of pseudonym
- I can withdraw from
this research at any time without explanation, and
withdraw any unprocessed data.
- I have been informed
that the confidentiality of any information I provide
will be safeguarded subject to any legal requirements.
- I agree to take part
in the study
Your consent
If you consent to participating in an interview/research
discussion group, please sign below.
If you are worried about signing this form,
the researcher can go though it with you, and you can agree verbally
to being part of the research, or you can sign using a pseudonym
(the name you want to use for the interview):
Signature…………………………….……………Date……………………
Parent / guardian /
responsible adult consent
The University of Melbourne requires that research participants
under 18 years of age also obtain the consent of a parent or guardian
/ responsible adult to participate in this research. It is important
that the responsible adult not be connected to the research project,
to ensure that there is no conflict of interest.
I have read the background material, the conditions
outlined on the consent form, and consent to his/her participation
in this research project.
Signature …………………………….……………
Date……………………
Interviewer: …………………………….………….Date……………………
I am aware that if I have any concerns
about the conduct
of this research I can contact the Executive Officer, Human Research
Ethics, University of Melbourne: 8344 7507 (phone), 9347 6739 (fax).
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