{"id":25,"date":"2016-05-02T15:11:52","date_gmt":"2016-05-02T15:11:52","guid":{"rendered":"https:\/\/sites.wp.odu.edu\/jiti\/?page_id=25"},"modified":"2016-09-28T19:06:37","modified_gmt":"2016-09-28T19:06:37","slug":"consent","status":"publish","type":"page","link":"https:\/\/sites.wp.odu.edu\/jiti\/consent\/","title":{"rendered":"Informed Consent"},"content":{"rendered":"<p><strong><u>PROJECT TITLE<\/u><\/strong><\/p>\n<p>Just-in-Time Incentives (JITI) to Promote Fruit and Vegetable Redemption among WIC Participants<\/p>\n<p><strong><u>INTRODUCTION<\/u><\/strong><\/p>\n<p>The purpose of this form is to give you information that may affect your decision of whether to say YES or NO to participation in this research, and to record the consent of those who say YES. This experiment is a part of the study of Just-in-Time Incentives (JITI) to Promote Fruit and Vegetable Redemption among WIC Participants.<\/p>\n<p><strong><u>RESPONSIBLE PROJECT INVESTIGATORS<\/u><\/strong><\/p>\n<ul>\n<li>Qi Zhang, Ph.D., Associate Professor, School of Community and Environmental Health<\/li>\n<\/ul>\n<p><strong><u>DESCRIPTION OF RESEARCH STUDY<\/u><\/strong><\/p>\n<p>The purpose of this study is to test the effectiveness of sending text messages to participating families of the WIC program, to determine if these messages would change their redemption behaviors of WIC benefits on fruit and vegetables. If you agree to participate in this study, you will be receiving one text message per week for 12 weeks that remind you of your WIC benefits on fruit and vegetables.<\/p>\n<p><strong><u>INCLUSION CRITERIA<\/u><\/strong><\/p>\n<p>You are eligible for participating in this project only when you have children enrolled in the WIC program; you are the primary shopper for fruit and vegetables for your family; and your household receives fruit and vegetable benefits from the WIC program.<\/p>\n<p><strong><u>RISKS AND BENEFITS<\/u><\/strong><\/p>\n<p>RISKS:\u00a0 <strong>We <\/strong>do not anticipate any risks of your participation in this study other than those encountered in day-to-day life.<\/p>\n<p>BENEFITS: There are no direct benefits to participating in this study.<\/p>\n<p><strong><u>COSTS AND PAYMENTS<\/u><\/strong><\/p>\n<p>We will provide a $20\u00a0gift card for your participation in this study.<\/p>\n<p><strong><u>NEW INFORMATION<\/u><\/strong><\/p>\n<p>If the researchers find new information during this study that would reasonably change your decision about participating, then this will be shared with you.<\/p>\n<p><strong><u>CONFIDENTIALITY<\/u><\/strong><\/p>\n<p>The records of this study will be kept strictly confidential. All personal identifiable information will be kept in the investigators&#8217; office or\u00a0password-protected computers. All reports that we make public will only have the summary statistics from the data analyses and will not include any personal identification information.<\/p>\n<p><strong><u>WITHDRAWAL PRIVILEGE<\/u><\/strong><\/p>\n<p>Your participation is completely voluntary. If you decide not to take part, it will not affect your eligibility for WIC. If you decide to take part, you are free to withdraw at any time.<\/p>\n<p><strong><u>COMPENSATION FOR ILLNESS AND INJURY<\/u><\/strong><\/p>\n<p>If you say YES, then your consent in this document does not waive any of your legal rights.\u00a0 However, in the event of injury or illness arising from this study, neither Old Dominion University nor the researchers are able to give you any money, insurance coverage, free medical care, or any other compensation for such injury.\u00a0 In the event that you suffer injury as a result of participation in this research project, you may contact Dr. Qi Zhang the responsible project investigator at 757-683-6870, Dr. Tancy Vandecar-Burdin, the current IRB chair at 757-683\u20113802 at Old Dominion University (tvandeca@odu.edu), or the Old Dominion University Office of Research at 757-683-3460, all of whom will be glad to review the matter with you.<\/p>\n<p><strong><u>VOLUNTARY CONSENT<\/u><\/strong><\/p>\n<p>By signing this form, you are saying several things.\u00a0 You are saying that you have read this form or have had it read to you, that you are satisfied that you understand this form, the research study, and its risks and benefits.\u00a0 The researchers should have answered any questions you may have had about the research.\u00a0 If you have any questions arising later on, researcher staff will be available to answer them:<\/p>\n<ul>\n<li>Dr. Qi Zhang: qzhang@odu.edu or 757-683-6870<\/li>\n<li>Dr. Chuanyi Tang: \u00a0ctang@odu.edu or 757-683-4400<\/li>\n<li>Dr. Yuzhong Shen: yshen@odu.edu, or 757-683-6366.<\/li>\n<\/ul>\n<p>If at any time you feel pressured to participate, or if you have any questions about your rights or this form, then you should call Dr.\u00a0Tancy Vandecar-Burdin, the current IRB chair, at 757\u2011683\u20113802, or the Old Dominion University Office of Research, at 757\u2011683\u20113460.<\/p>\n<p>And importantly, by entering your contact information, your cell phone number, and your WIC family number, you are telling the researcher YES, that you agree to participate in this study.\u00a0 You can print a copy for your records.<\/p>\n<p>If you agree, please give the following information as the CONSENT to be enrolled in this study (All information will be kept confidential and be used only for research purpose, If you have any questions in the process, feel free to contact Dr.\u00a0Harry Zhang\u00a0at 757-656-6652 or email him (<a href=\"http:\/\/qzhang@odu.edu\">qzhang@odu.edu<\/a>) and\u00a0he will assist you).<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f23-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/jiti\/wp-json\/wp\/v2\/pages\/25#wpcf7-f23-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"23\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8.5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f23-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>Last Name (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n<\/p>\n<p>Your First Name (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n<\/p>\n<p>Date (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date\" \/><\/span>\n<\/p>\n<p>WIC Family ID #\n<\/p>\n<p>(It is the number on your WIC card sleeves and NOT your 16 digit EBT card number.)<br \/>\nF-<span class=\"wpcf7-form-control-wrap\" data-name=\"id\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"id\" \/><\/span>\n<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-16\" src=\"https:\/\/sites.wp.odu.edu\/jiti\/wp-content\/uploads\/sites\/1614\/2016\/05\/jiti-241x300.jpg\" alt=\"jiti\" width=\"241\" height=\"300\" srcset=\"https:\/\/sites.wp.odu.edu\/jiti\/wp-content\/uploads\/sites\/1614\/2016\/05\/jiti-241x300.jpg 241w, https:\/\/sites.wp.odu.edu\/jiti\/wp-content\/uploads\/sites\/1614\/2016\/05\/jiti.jpg 361w\" sizes=\"(max-width: 241px) 100vw, 241px\" \/>\n<\/p>\n<p>Cell Phone Number (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cell-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"cell-number\" \/><\/span>\n<\/p>\n<p>Email (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n<\/p>\n<p>Street Address (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"street-address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"street-address\" \/><\/span>\n<\/p>\n<p>City (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n<\/p>\n<p>State (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" \/><\/span>\n<\/p>\n<p>Zip Code (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zip\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"zip\" \/><\/span>\n<\/p>\n<p>If you do not want to give the consent on the website, you can choose one of these ways to give your consent:\n<\/p>\n<ol>\n\t<li>\n\t\t<p>Email your consent or text your consent to Dr. Harry Zhang (qzhang@odu.edu; 773-401-4576) with all the required information above (Last Name, First Name, WIC Family ID, Cell Phone Number, Email) and the following statement: \u201cI have read the informed consent and understand the consent form, the research study, and its risks and benefits. I agree to participate in \u201cJust-in-Time Incentives (JITI) to Promote Fruit and Vegetable Redemption among WIC Participants\u201d voluntarily.\u201c OR\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Print this webpage, sign it and dated, and then mail the signed form to \u201cDr. Harry Zhang, Room 1016, 1014 W 46th Street, School of Community and Environmental Health, Old Dominion University, Norfolk, VA 23529\u201d.\n\t\t<\/p>\n\t<\/li>\n<\/ol>\n<p>How would you like to receive your $20 gift certificate? (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gift-cards\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"gift-cards\" value=\"Amazon Gift Certificate\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Amazon Gift Certificate<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gift-cards\" value=\"Mailed Walmart Gift Certificate\" \/><span class=\"wpcf7-list-item-label\">Mailed Walmart Gift Certificate<\/span><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"170\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>Once we have received your\u00a0<span style=\"color: #ff0000\">consent<\/span> document and completed sending the text messages to you, you will receive your <span style=\"color: #99cc00\">$20<\/span> gift certificate. You have the choice of an electronic <span style=\"color: #808000\">Amazon gift card<\/span> or a <span style=\"color: #000080\">Walmart gift card<\/span>.\u00a0 The <span style=\"color: #808000\">Amazon gift card<\/span> will be sent to your email or the <span style=\"color: #000080\">Walmart gift card<\/span> will be mailed to you through the United States Postal Service.<\/p>\n<p><strong>If you have any questions, feel free to contact Dr.\u00a0Harry Zhang\u00a0at 773-401-4576 or email him (<a href=\"http:\/\/qzhang@odu.edu\">qzhang@odu.edu<\/a>).<\/strong><\/p>\n<p>Thanks for your interested in JITI research study!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PROJECT TITLE Just-in-Time Incentives (JITI) to Promote Fruit and Vegetable Redemption among WIC Participants INTRODUCTION The purpose of this form is to give you information that may affect your decision of whether to say YES or NO to participation in &hellip; <a href=\"https:\/\/sites.wp.odu.edu\/jiti\/consent\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":833,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full-width-page.php","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/sites.wp.odu.edu\/jiti\/wp-json\/wp\/v2\/pages\/25"}],"collection":[{"href":"https:\/\/sites.wp.odu.edu\/jiti\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.wp.odu.edu\/jiti\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.wp.odu.edu\/jiti\/wp-json\/wp\/v2\/users\/833"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.wp.odu.edu\/jiti\/wp-json\/wp\/v2\/comments?post=25"}],"version-history":[{"count":5,"href":"https:\/\/sites.wp.odu.edu\/jiti\/wp-json\/wp\/v2\/pages\/25\/revisions"}],"predecessor-version":[{"id":67,"href":"https:\/\/sites.wp.odu.edu\/jiti\/wp-json\/wp\/v2\/pages\/25\/revisions\/67"}],"wp:attachment":[{"href":"https:\/\/sites.wp.odu.edu\/jiti\/wp-json\/wp\/v2\/media?parent=25"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}