Participant Consent Form

You are invited to participate in a research study entitled: Healthcare Worker Attitudes to Obesity

Student Researcher(s):
Taylor Dennison, Medical Student, College of Medicine, University of Saskatchewan, t.dennison@usask.ca


Principal Investigator:
Dr. Nita Chauhan
Assistant Professor
Department of Pediatrics
University of Saskatchewan
nita.chauhan@usask.ca


Overview of Research:
You are invited to take part in this research study as you are a health professional in Saskatchewan that oversees medical care for the pediatric population. You have been identified as a potential candidate to participate in a survey aimed at identifying attitudes of health care workers towards pediatric patients and specifically pediatric patients with obesity.  

This survey should take 10-15 mins to complete.


Potential Risks:
  • There are no known or anticipated major risks by participating in this research.
  • Participants may choose to answer only those questions that they feel comfortable with.
  • It is possible that reflecting on and answering some of the survey questions may cause you psychological or emotional discomfort or distress. If you need a professional support, please contact the physician health program at the Saskatchewan medical Association. Physician Health Program – Saskatchewan Medical Association (sma.sk.ca) or the Canadian Mental Health Association Saskatchewan Division Branch. CMHA Saskatchewan Division Branch Offices - CMHA Saskatchewan Division
  • If distress does occur, please contact the research team and we can provide appropriate resources at that time.

Compensation:
No Compensation will be provided.

Confidentiality:
  • The link to the online survey will be distributed via email. Participant emails will not be uploaded into the SurveyMonkey software tool. The data will be compiled and stored on a password protected computer of the principal investigator (Dr. Nita Chauhan) for 5 years post-publication. The electronic data storage will also be on University of Saskatchewan servers (DATASTORE) and remain there indefinitely.
  • Your participation and data will be anonymous, meaning that your identity will not be known to anyone, including the researchers.
  • The research team listed above will only have access to this data.
  • This survey is hosted by Survey Monkey. Your data will be stored in facilities hosted in Canada. Please see the following for more information on Survey Monkey’s Privacy Policy.
Right to Withdraw: 
Participation in this survey is voluntary. You can decide not to participate at any time by closing your browser, or choose not to answer any questions you do not feel comfortable with. Survey responses will remain anonymous. Since the survey is anonymous, once it is submitted it cannot be removed. Whether you choose to participate or not will have no effect on your position (e.g., employment) or how you will be treated.

Follow up:
  • Results will be available upon the completion of the study, anticipated to be September 2023 Results will be published in peer-reviewed journals and presented at conferences.
  • To obtain results from the study, please contact Dr. Nita Chauhan (nita.chahan@usask.ca) at any time and request a copy.

Questions or Concerns:

Contact the researcher(s) using the information at the top of the page.

This research project has been approved on ethical grounds by the University of Saskatchewan Behavioural Research Ethics Board.  Any questions regarding your rights as a participant may be addressed to that committee through the Research Ethics Office: ethics.office@usask.ca; 306-966-2975; out of town participants may call toll free 1-888-966-2975.

By completing and submitting this questionnaire, your free and informed consent is implied and indicates that you understand the above conditions of participation in this study.
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