ࡱ> _a^c $bjbj 8J؎U\؎U\ag DDDDDXXX8t$X:(>(8:::::::::::::$<Q?|^:D[[[^:DDff4s:Y"Y"Y"[DfDf8:Y"[8:Y"Y"35f{zIv4$::0:4?\?(5?D5tZ@Y"44h^:^: >:[[[[? > : Information Sheet (MTurk) Template v. 4/19/2017 The information highlighted in yellow is guidance. DELETE THIS AND ALL OTHER HIGHLIGHTED INSTRUCTIONS BEFORE SUBMITTING. RSRB Requirements: Use of Subject: The information sheet must use the term research subject rather than participant or volunteer. Use of 2nd Person: The information sheet must be written in the 2nd person (e.g., You are being asked to take part in a research study about). Pagination: Maintain page numbering already inserted in the footer (e.g., 2 of 4). Version Date: Manually type the date in the footer, rather than selecting Insert Date from the toolbar to avoid automatic logo each time the document is opened. Margins: Maintain the bottom margin of at least 2 inches to provide space for watermarking upon approval. Sample Language: Sample language for certain procedures and risks is provided in the  HYPERLINK "http://www.rochester.edu/ohsp/rsrb/docTemplates/consentFormTemplates.html" Consent Document Sample Language guide. AMAZON MECHANICAL TURK INFORMATION SHEET [Insert Title of Study] Principal Investigator: [Insert] This form describes a research study that is being conducted by [insert name of Principal Investigator/Faculty Advisor and Co-Investigator (if applicable)] from the University of Rochesters Department of [insert department or school name]. The purpose of this study is to Describe the general purpose of the study and include relevant background information. If possible, limit the explanation to why study is being done to one or two sentences (e.g., "learn more about how men and women communicate pleasant and unpleasant feelings). If you decide to take part in this study, you will be asked to complete [insert description of activities to be completed based on survey platform, e.g., X or (Xof X) HITS using Amazon Mechanical Turk (MTurk). It will take about X minutes to complete the tasks. Each HIT will have different sentences and/or pictures, and will ask questions about those sentences and/or pictures. The tasks will ask questions aboutProvide a short description of the content of the tasks.] About [insert number of subjects] will take part in this study. If communicating PHI by email between study team and subject is intended (i.e., sending and receiving email), indicate in this section. [Insert potential risks of participation sample language below] The risks of participation are minimal. Some of the questions may be upsetting or make you feel uncomfortable. You can skip any of the questions you do not want to answer. As with any MTurk HITs, your Worker rating will be affected if the HITs are not completed appropriately for this platform. [Describe whether responses will be manually rejectedIn addition, the researchers will review survey information for appropriate responses and decide whether to approve or reject the submission. If your survey is rejected, your Worker rating will be affected and your information will not be used for this study. This study will use Amazons MTurk platform to collect your research data and, therefore, your user information may be used per Amazons privacy policy. OR This study will use [identify web platform] to collect your research data and, therefore, Amazon will not have access to your research data. There are no expected benefits. [Insert if study is funded by an external agency] The University of Rochester is receiving payment from [insert sponsor name] for conducting this research study. [Provide description of study payment based on the platform used. If HITs will be manually rejected, and therefore payment not received, this should be stated.] You will be paid $XX to $XX per HIT via the Mechanical Turk interface. No direct payments will be sent from the University of Rochester research team. OR [If alternative payment method will be used based on the type of platform, provide a description of payment amount and method as applicable to this study.] The University of Rochester makes every effort to keep the information collected from you private. To protect the confidentiality of the data, responses will be transmitted in an encrypted format (readable only to the research team). MTurk worker IDs will only be collected for purposes of distributing payments and will not be included with your study responses or the studys data set. (If applicable for use of email) Transmitting your information by e-mail has a number of risks that you should consider. These include, but are not limited to, the following: E-mail can be circulated, forwarded, stored electronically and on paper, and broadcast to unintended recipients. E-mail senders can easily misaddress an e-mail. Backup copies of e-mail may exist even after the sender or the recipient has deleted his or her copy. Employers and on-line services have a right to inspect e-mail transmitted through their systems. E-mail can be intercepted, altered, forwarded, or used without authorization or detection. E-mail can be used to introduce viruses into computer systems. Conditions for the Use of E-mail (If applicable) The researcher cannot guarantee but will use reasonable means to maintain security and confidentiality of e-mail information sent and received. You and researcher must consent to the following conditions: E-mail is not appropriate for urgent or emergency situations. The researcher cannot guarantee that any particular e-mail will be read and responded to. E-mail must be concise. You should schedule an appointment if the issue is too complex or sensitive to discuss via e-mail. E-mail communications between you and the researcher will be filed in your research record. Your messages may also be delegated to any member of the study team for response. The researcher will not forward subject-identifiable e-mails outside of URMC and Affiliates without your prior written consent, except as authorized or required by law. You should not use e-mail for communication regarding sensitive medical information. It is your responsibility to follow up and/or schedule an appointment if warranted. E-Mail Instructions (If applicable) Avoid use of your employers computer. Put your name in the body of the e-mail. Put the topic (e.g., study question) in the subject line. Inform the researcher of changes in your e-mail address. Take precautions to preserve the confidentiality of e-mail. Contact the researchers office via conventional communication methods (phone, fax, etc.) if you do not receive a reply within a reasonable period of time. Your participation in this study is completely voluntary. You are free not to participate or to withdraw at any time, for whatever reason. For more information or questions about this research you may contact the (Principal Investigator) at (telephone number) and (email address). Please contact the University of Rochester logo Subjects Review Board at 265 Crittenden Blvd., CU 420628, logo NY 14642, Telephone (585) 276-0005 or (877) 449-4441 [insert country code (001) if applicable] for the following reasons: You wish to talk to someone other than the research staff about your rights as a research subject; To voice concerns about the research.     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