Research Consent Form
Title of research project: Acceptability and accessibility of using peer-led WhatsApp groups for sharing prostate cancer risk information between black men: a pilot study. SREC reference and committee: REC1212 Name of Chief/Principal Investigator: Dr Sarah Fry Contact details: : frys4@cardiff.ac.uk 02920687724
Please read and agree to all of the following:
I confirm that I have read the information sheet dated 25.10.2024 version 2.0 for the above research project.
I confirm that I have understood the information sheet dated 25.10.2024 version 2.0 for the above research project and that I have had the opportunity to ask questions and that these have been answered satisfactorily.
I understand that my participation is voluntary, and I am free to withdraw at any time without giving a reason and without any adverse consequences (e.g. to medical care or legal rights, if relevant). I understand that if I withdraw, information about me that has already been obtained may be kept by Cardiff University.
I understand that data collected during the research project may be looked at by individuals from Cardiff University and academics. I give permission for these individuals to have access to my data.
I consent to the processing of my personal information (age, contact number) for the purposes explained to me. I understand that such information will be held in accordance with all applicable data protection legislation and in strict confidence, unless disclosure is required by law or professional obligation.
I understand who will have access to personal information provided, how the data will be stored and what will happen to the data at the end of the research project.
I understand that after the research project, anonymised data may be made publicly available via a data repository and may be used for purposes not related to this research project. I understand that it will not be possible to identify me from this data that is seen and used by other researchers, for ethically approved research projects, on the understanding that confidentiality will be maintained.
I consent to being audio recorded for the purposes of the research project and I understand how it will be used in the research.
I understand that anonymised excerpts and/or verbatim quotes from my conversation (interview) with the researcher may be used as part of the research publication.
I understand how the findings and results of the research project will be written up and published.
I agree to take part in this research project.
Name of participant (print)
Date
Signature (draw below)
Clear Signature
Submit Consent
Incomplete Consent
You must agree to all items before submitting the form.
