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Adelphi University Informed Consent



IRB Protocol Title: Helpful Interventions in Psychotherapy

Principal Investigator: Rebecca Curtis

Co-Investigator: Gianna Glock



Research Purpose:

This is a survey about what interventions you found to be most helpful in your psychotherapy experience. It is very important for therapists to know what sort of interventions people find most helpful.



Description of the Research:

The questionnaire will address your presenting problems and what therapeutic interventions you have received, as well questions about your current age, gender, ethnicity, nationality, and personality.



Potential Risks:

There are some risks involved in participating in this study. The task described above may evoke some negative affect or bring up some unpleasant feelings. You may stop answering questions if at any time you feel uncomfortable. Upon completion, you will be given the option to contact the researcher with any questions you may have regarding the study. If any unpleasant psychological events occur, you can, of course, request and receive a referral to a mental health professional for counseling (see contact information below).



Potential Benefits:

Although you will receive no direct benefits from participation in this study, you will aid therapists in learning how to help patients better. This knowledge will benefit future patients. You may also learn how information for psychological research is obtained.



Costs/Compensation:

Participation in this study is completely voluntary. You may withdraw from this study at any time.





Additional Information:

Any new information that develops during this study, which might affect your decision to participate, will be given to you immediately.



Contact Persons:

If you have any questions regarding this survey or about this research, please contact Gianna Glock at

giannaglock@mail.adelphi.edu

If you want to discuss any possible study-related injuries, please contact Dr. Rebecca Curtis at 516-877-4812 or at rcurtis.curtis@gmail.com. Should you wish to talk to a therapist, Dr. Curtis can provide you with a referral in your area of residence or can direct you to a therapist who can offer you services via telephone or SKYPE.



Confidentiality:

Your identity as a participant in this research study will be kept confidential in any publication of the results of this study. The information obtained during this research (research records) will be kept confidential to the extent permitted by law. However, this research record may be reviewed by government agencies (such as the Department of Health and Human Services), the agency sponsoring this research, individuals who are authorized to monitor or audit the research, or the Institutional Review Board (the committee that oversees all research in human subjects at Adelphi University) if required by applicable laws or regulations. The material will be maintained for up to 7 years.

There is a limit to the confidentiality that can be guaranteed due to the technology itself. Specifically, although the risk is small, no guarantees can be made regarding the interception of data sent via the Internet by any third parties.

The option on Survey Monkey was chosen that makes your address anonymous. No one other than the researchers will see your anonymous responses, and the information will be kept in a locked drawer.



Voluntary Participation:

Participation in this study is voluntary. If you decide not to participate, this will not affect in any way your relationship with Adelphi University or the Adelphi University Psychological Services Center.



Institutional Review Board Approval:

This research has been reviewed and approved by the Adelphi University Institutional Review Board. If you have any questions, concerns or comments, please contact Dr. Julie Altman, Chair of the Adelphi University IRB