Informed Consent

Study Title: Factors Related to Perceived Benefit of Experiential Learning in School Psychology Interns.
Researcher: Kristi Moore-Hamil
Capella Email Address and Telephone Number: khamil01@capella.edu ; moorehamildissertation@gmail.com
Research Supervisor: Mei Jiang
Capella Email Address: mei.jiang@capella.ed         

INTRODUCTION
I invite you to participate in a research study. I am a doctoral learner at Capella University in the School of Social and Behavioral Science. I am conducting this research to complete my degree. I will write a paper about the research findings. This form will help you decide if you want to participate in my research. Participation in this research is voluntary.
If you have questions about the research, please ask me. Please let me know if you would like more time to think about your participation. You may also want to discuss your participation with people close to you.   

WHAT IS THIS STUDY ABOUT?
I want to learn about differences in learner perceptions of experiential learning benefit related to hours completed in internship, internship location, average hours of supervision per week, and as a result of interactions between these variables in school psychology interns.

WHY WOULD YOU WANT TO PARTICIPATE?
You might want to participate because as a current intern you have a desire to be heard regarding your experiences. Your participation may also help to make experiential learning opportunities for others better in the future.

WILL PARTICIPATION HELP YOU OR OTHERS?
Participation in this study will not directly help you. Information from this study might help researchers or others in the future. 

WHY WOULD YOU NOT WANT TO PARTICIPATE?
You might not want to participate because of time constraints (participation should take no more than 5-10 minutes).

ARE THERE RISKS TO YOU IF YOU PARTICIPATE?
This is a minimal risk study. Any discomfort should not be greater than discomfort you experience in daily life or in routine tests. You can stop participation at any time.

ARE YOU ELIGIBLE FOR THE study?
You can participate in the study if you:
  • Are a psychology student, in a school psychology graduate program, at a National Association of School Psychology approved program, currently completing or recently completed the required 1200-hour internship.
You are not eligible to participate if you:
  • Do not/did not attend a NASP approved program
About 225 participants will be in this study. 

WHAT WILL HAPPEN DURING THIS STUDY?
If you participate, you will complete the following activities:
Demographics This will take [2] minutes.
Measures of Successful Experiential Learning This will take [5] minutes.

WHAT KINDS OF PERSONAL DATA WILL I COLLECT FROM YOU?
Personal data will be minimal. School name will be required to verify the NASP approval status. Questions regarding location of internship (school/clinic), hours of supervision, and total hours completed will be asked in the demographics section.

ARE THERE OTHER PROCEDURES THAT MIGHT HELP YOU?
There are no alternative procedures relevant to the study.

HOW LONG WILL YOU BE IN THE STUDY?
If you decide to be in this study, your total participation will last approximately 5-10 minutes, or less.

WILL YOU GET PAID?
You will not be paid for your participation.

IS PARTICIPATION VOLUNTARY?
Your participation in this study is voluntary. You can say no or stop participation at any time. There will be no penalty to you. You will not lose benefits or services to which you are otherwise entitled. If you want to stop participation, please close the browser to exit the online survey.
ARE THERE ANY COSTS TO YOU IF YOU PARTICIPATE?
There are no additional costs to you if you participate.

HOW WILL I PROTECT YOUR PRIVACY AND CONFIDENTIALITY?
The information you provide for the research will be kept confidential as no identifiable information and no contact information will be collected. Please note that the internet and computers are never fully secure. Please note possible risks from electronic transfer of your information to school reviewers who live in different places with different data privacy laws.
In any written reports or publications, I will not use your name. If I collect information that uniquely describes you, I will write or present it in a way that eliminates others’ ability to identify you. 
I, my research supervisor, and my dissertation committee will have access to your study data. Additionally, Capella University’s IRB, and the Research Compliance Committee (RCC) and its designees may review your research records.
All information you provide for the research will be securely maintained for seven years. If you leave the study early, I will not use the data I have collected from you.
When the study is over, information that identifies you will be separated from your other data. This information will be stored in a separate place. No data collected in this study will be given to another researcher for use in future research.
You have the right to ask questions about how your data will be handled. If you leave the study, you can ask for your data to be removed from analyses and destroyed. If this is not an anonymous study, you can request a copy of your data. You can request a correction if anything is wrong or incomplete.

ARE THERE LIMITS TO CONFIDENTIALITY?
  • I cannot keep things you tell me confidential if:
  • I believe a child or vulnerable adult has been abused
  • I believe you plan to hurt yourself 
  • I believe you plan to hurt someone else
There are laws that require many professionals to alert a state agency or law enforcement if they think a person is at risk for suicide, homicide, or if a child or adult is being abused. Please ask any questions you may have about this issue before you agree to participate. It is important that you do not feel betrayed if I cannot keep something confidential.


WHO CAN YOU TALK TO ABOUT THIS STUDY?
You can talk to family members, friends, professionals, or anyone who supports you. It is important that you feel comfortable with your participation. You can ask me questions about the study. You can ask my research supervisor questions about the study. You can contact me using the contact information listed at the top of this page.
Capella University’s Institutional Review Board (IRB) has been established to protect the rights and welfare of human research participants. Contact the IRB at 1-888-227-3552, extension 7839 or at irb@capella.edu for any of the following reasons:
  • You have questions about your rights as a research participant.
  • You have experienced a research-related injury.
  • You wish to discuss problems or concerns.
  • You have suggestions to improve the participant experience.
  • You do not feel comfortable talking with the researcher.
You may contact the IRB without giving your name. To ensure safe conduct of the research, the IRB may need to reveal the information you provide to the researcher, supervisor, or appropriate authority.

DO YOU WANT TO BE IN THIS STUDY?
Clicking “I consent” below shows you have read this form. You have had time to ask questions about this study. I have answered your questions. You voluntarily agree to be in this study. You understand that you can stop participation at any time. You may print a copy of this consent form for your records.

Question Title

* 1. Click “I consent” to proceed. If you do not consent please close the browser now.

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