Nova Southeastern University
6100 Griffin Road, Fort Lauderdale, Florida 33314-4416
PHONE: (954) 262-7726 800-986-3223, Ext. 27726
WEB: nova.edu/chcs
Participant Letter for Anonymous Surveys NSU Consent to be in a Research Study Entitled:
Clinical Practices in Head and Neck Cancer:
A Speech-Language Pathologist Practice Pattern Survey
Who is doing this research study?
The person completing this study is Ashley Geer, MS, CCC-SLP, BCS-S within the Department of Speech-Language Pathology at Nova Southeastern University. They will be helped by Mario Landera, SLP.D, CCC-SLP, BCS-S as faculty advisor.
Why are you asking me to be in this research study?
You are being asked to take part in this research study because you are a speech-language pathologist who is involved in the treatment of patients with head and neck cancer.
Why is this research being done?
The purpose of this study is to find out the current practice patterns of speech-language pathologists treating patients with head and neck cancer.
What will I be doing if I agree to be in this research study?
You will be taking a one-time, anonymous survey. This will take approximately 15 minutes to complete.
Are there possible risks and discomforts to me?
This research study involves minimal risk to you. To the best of our knowledge, the things you will be doing have no more risk of harm than you would have in everyday life.
What happens if I do not want to be in this research study?
You can decide not to participate in this research and it will not be held against you. You can exit the survey at any time.
Will it cost me anything? Will I get paid for being in the study?
There is no cost for participation in this study. Participation is voluntary and no payment will be provided.
How will you keep my information private?
Your responses are anonymous. Information we learn about you in this research study will be handled in a confidential manner, within the limits of the law. No personal identifying information will be collected. The data will be available to the research, the Institutional Review Board and other representatives of this institution, and any granting agencies (if applicable). All confidential data will be kept securely in a password protected file on a password protected computer. All data will be kept for a minimum 36 months from the end of the study and will be destroyed by deletion of electronic records.
Who can I talk to about the study?
If you have questions, you can contact Ashley Geer, MS, CCC-SLP, BCS-S at (916) 213-8604 or Mario Landera, SLP.D, CCC-SLP, BCS-S at (305) 243-9479.
If you have questions about the study but want to talk to someone else who is not a part of the study, you can call the Nova Southeastern University Institutional Review Board (IRB) at (954) 262-5369 or toll free at 1-866-499-0790 or email at IRB@nova.edu.
Do you understand and do you want to be in the study?
If you have read the above information and voluntarily wish to participate in this research study, please follow this link: https://www.surveymonkey.com/r/9CK2FKY