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APPENDIX N: Approved IRB This Appendix contains the signed and approved Institutional Review Board (IRB) document granting permission with human subjects in this research. 231
h Human Subjects Inst i tut ional Review Board Date: November 3,2008 To: Richard Long, Prin From: Amy Naugle, Ph.D V Re: HSIRB Project Number: 08-1 0-29 This letter will serve as confirmation that your research project entitled "Testing Interventions to Improve Street Crossing Performance of Individuals who are Blind at a Channelized Turn Lane" has been approved under the expedited category of review by the Human Subjects Institutional Review Board. The conditions and duration of this approval are specified in the Policies of Western Michigan University. You may now begin to implement the research as described in the application. Please note that you may only conduct this research exactly in the form it was approved. You must seek specific board approval for any changes in this project. You must also seek reapproval if the project extends beyond the termination date noted below. In addition if there are any unanticipated adverse reactions or unanticipated events associated with the conduct of this research, you should immediately suspend the project and contact the Chair of the HSIRB for consultation. The Board wishes you success in the pursuit of your research goals. Approval Termination: November 3,2009 Walwood Hall, Kalarnazoo, IWI 49008-5456 PHONE: (269) 387-8293 FAX: (269) 387-8276 232
H. S. I. R. B. Approved for use for one year from this date: WESTERN MICHIGAN UNIVERSITY October, 2008 AIDS FOR IMPROVING STREET CROSSINGS AT CHANNELIZED TURN LANES Principal Investigator: Richard G. Long We are inviting you to participate in a research study. This study is similar to the study you participated in last spring. The purpose of this study is to evaluate two ways to make street crossings easier and safer at channelized turn lanes. If you choose to participate, we will provide transportation to a channelized turn lane in Charlotte. We you arrive at the site, we will explain how traffic moves at this location. After you are familiar with the turn lane, I will invite you to cross the street about 36 times. Each time, we will be standing near the street and at the crosswalk. I will give you a signal to begin, and after you hear the signal you may begin to cross when you think it is an appropriate time. I am a certified Orientation and Mobility specialist and I will be next to you each time you begin crossing. I am here to monitor your crossings and inform you if you cross at a risky time. If you cross at a risky time, I will ask you to stop and I may reach out and prevent you from stepping in front of a moving vehicle. After all the crossings are completed, I'll ask you some questions about how you felt about crossing the street here. I ask that you wear this wireless microphone so that we can record what you say about each of your crossings. We have installed two features here that may affect your ability to cross the street. One feature is a flashing beacon with an audible message, which can be activated by pushing a button. When it is on, approaching drivers will see flashing lights at the crosswalk. The other feature is a strip of plastic that is put on the road near the crosswalk. It makes noise when a car rolls over it. This aid may be helpful in hearing when cars are approaching the crosswalk. Your participation will take about two hours. Your participation in this research study is voluntary. You are free to stop participating in this study at any time. Stopping will not penalize or prejudice you in any way. In the event new information becomes available that may affect the risks or benefits associated with this research study or your willingness to participate in it, you will be notified so that you can make an informed decision whether or not to continue your participation in this study. This study carries a risk of a pedestrian-vehicle accident, since you would be crossing a public street used by drivers who are unaware of the research project. To minimize the risk, a certified Orientation & Mobility specialist will accompany you at all times. If the Orientation & Mobility specialist believes a crossing is unsafe, he or she will prevent you from starting to cross, by verbally telling you to stop or restraining you if necessary. Aside from the accident risk, the study could be uncomfortable because of outside weather conditions. As in all research, there may be unforeseen risks to the participant. If an accidental injury occurs, appropriate emergency measures will be taken including calling 91 1 and requesting ambulance transportation and rendering whatever aid the research team can provide. However, no compensation or additional treatment will be made available to you except as otherwise stated in this consent form. 233
TERN MICHIGAN UNIVERSITY H. S. I. R. B. Apprond for use for one year from this date: The potential benefits to blind people that may result from this study are an increased understanding of the safety of continuous turn lanes for pedestrians, including those with visual impairments. There probably are no specific benefits to you as an individual from this study. You will be paid $40 for participating. You will be paid this amount when you arrive at the research site, and the payment is yours to keep whether you complete all of the street crossings or only part of them. The videotape and the data from this study will be kept confidential by the experimenters, and you will not be identified by name in any written or verbal presentation of the results of this study. Paper and video records pertaining to this project will be stored in a locked file cabinet in for five years at the NC State University Institute for Transportation Research and Education in Raleigh NC, or in Room 4460 of the College of Health and Human Services Building at Western Michigan University. Data stored on computer files that pertain to this project will also be kept secured in one of these two locations. No computer records will be identified by your name. Only numbers will be used as identifiers on computer and paper records, and the names associated with the codes will be kept on secured and separate from the data records. Data will only be accessible by members of the North Carolina State University and Western Michigan University research teams. If you have questions about this study, you can contact Dr. Richard Long at (269) 387- 345 1 at (269) 387-3446. The participant may also contact the Chairperson of the Western Michigan University Human Subjects Institutional Review Board at (269) 387-8293 or the Vice- President for Research at (269) 387-8298 if questions or problems arise during the study. You may also contact Dr. Ronald Hughes, NCSUIITRE Principal Investigator for the study at 919- 5 15-8523. This consent document has been approved for use for one year by the Human Subjects Institutional review Board (HSIRB) as indicated by the stamped date and signature of the board chair in the upper right hand comers of both pages. Participants should not sign this document if the corners of each of the two pages do not show a stamped date and signature. My signature below indicates my willingness to participate in this study: Signature of participant Signature of investigator Printed name Date Date 234
Human Subjects Institutional Review Board September 18, 2008 Dr. Ronald Taylor National Academies Committee to Review Studies on Human Subjects 500 Fifth Street, NW NAS 123 Washington, DC 20001 Ref: WMU HSIRB Protocol 08-05-25 "Testing Interventions to Improve Street Crossing Performance in Individuals Who are Blind at a Multilane Roundabout and a Single Lane Roundaboutyy, Richard G. Long and David Guth, Principal Investigators Dear Dr. Taylor, Based on information provided by the research team conducting Project NCHRP project 3-78, I confirm that pilot testing of consent and procedures has taken place, that the research team views the consent process to be adequate, and that physical safety guidelines as documented in the institutional review board protocol approved at Western Michigan University on June 16,2008 are being followed. Sincerely, Amy Naugle, Ph.D., HSIRB Chair cc: Dr. Richard G. Long, Associate Dean, College of Health and Human Services, WMU . Dr. Ronald Hughes, Institute for Transportation Research and Education, North Carolina State University, Campus Box 8601, Raleigh, North Carolina 27695- 8601 Mr. Stephan Parker, Senior Program Officer, CRP, Transportation Research Board, Keck 446,500 Fifth Street, NW, NAS 213, Washington, DC 20001 Walwood Hall, Kalamazoo, MI 49008-5456 PHONE: (269) 387-8293 FAX: (269) 387-8276 235
THE NATIONAL ACADEMIES Advisers to the Nafion on Science, Engineering, and Medicine Committee to Review Studies on Human Subjects Dr. Stephan A. Parker Senior Program Officer, CRP Transportation Research Board Keck 446 500 Fifth Street, NW, NAS 213 Washington, DC 20001 Phone: 2023341659 Fax: 202 334 2493 E-mail: rtavlor@nas.edu TRAlVSPOH'TATIOM July 22,2008 RESEARCt-! :-.'34RD JUL 2 8 2008 C0OPt1u~r IVE RESEARCH PROGFC4MS Re: Crossing Treatments at Roundabouts and Channelized Turn Lanes for Pedestrians with Vision Disabilities (NCHRP Project, 3-78A) Dear Stephan: On June 17,2008, the Committee to Review Human Subjects, acting as the National Academy of Sciences' Institutional Review Board, met to consider the progress and status of the referenced on-going project. I am pleased to inform you that the Committee has approved the continuation of this project consistent with 45 CFR 46 and its Federal-Wide Assurance, FWA 00003 198. Please inform the Principal Investigator at the Institute for Transportation Research and Education, at North Carolina State University, Dr. Ronald G. Hughes, and ask him to inform the chair of the IRB at the University of this action. I would appreciate being informed about any actions that IRB takes regarding this project in the future. If the research is not completed by June 2009, the project shall be reviewed again at the Committee's annual meeting to be scheduled in early summer next year. Otherwise, please notify me when the research has been completed or if there are any changes in the approved protocols. Sincerely, Ronald D. Taylor, Chair b NATIONAL ACADEMY OF SCIENCES NATIONAL ACADEMY OF ENGINEERING INSTITUTE OF MEDICINE NATIONAL RESEARCH COUNCll 236
Date: June 16, 2008 To: Richard Long, Principal Investigator David Guth. Co-Princi~al Investigator. From: Amy Naugle, Ph.D., &&piY &up Re: HSIRB Project Number: 08-05-25 This letter will serve as confirmation that the changes to your research project "Testing Interventions to Improve Street Crossing Performance in Individuals Who are Blind at a Multilane Roundabout and a Single Lane Roundabout" requested in your memo dated June 13, 2008 (addition of a single lane roundabout as a data collection site; extend participation time to 2.5 hours; change title as reflected above; changes to consent document to reflect these changes) have been approved by the Human Subjects Institutional Review Board. The conditions and the duration of this approval are specified in the Policies of Western Michigan University. Please note that you may only conduct this research exactly in the form it was approved. You must seek specific board approval for any changes in this project. You must also seek reapproval if the project extends beyond the termination date noted below. In addition if there are any unanticipated adverse reactions or unanticipated events associated with the conduct of this research, you should immediately suspend the project and contact the Chair of the HSIRB for consultation. The Board wishes you success in the pursuit of your research goals. Approval Termination: June 2,2009 Walwood Hall, Kalarnazoo, MI 49008-5456 PHONE: (269) 387-8293 FAX: (269) 387-8276 237
TERN H. WHIGAN S . 1. R. UNIVERSITY, B. Approved for use lor one year from this date: May, 2008 AIDS FOR IMPROVING STREET CROSSINGS AT ROUNDABOUTS Principal Investigator: Richard G. Long We are inviting you to participate in a research study. The purpose of .this study is to evaluate two ways to irr~prove the ability of people who are blind to cross streets at roundabout intersections. If you choose to participate, I will ask you a few questions about your mobility and your vision loss. Then, if you want to continue participating, I will explain how traffic moves at a roundabout and I will show you around this roundabout . After you are familiar with the roundabout I will ask you to cross the street several times at two crosswalks. Each time, we will be standing near the street and at the crosswalk. I will give you a signal to begin, and after you hear the signal you may begin to cross when you think it is appropriate. I am a certified Orientation and Mobility specialist and I will be next to you each time you cross. I am here to morlitor your crossings and inform you if you cross at a risky time. If you cross at a risky time, I will ask you to stop and I also may physically stop you from steppilig in front of a moving vehicle. If you can't cross after listening to traffic for several minutes, we'll move on to the next location and begin again. After all the crossings are completed, I'll ask you some questions about how you felt about crossing the street here. We will be videotaping the traffic and all your crossings, and I will wear a microphone so that we can record what you say about each of your crossings. Our research team invites you to participate today and again about three months from now. The second time you come to participate, a team member will read to you this consent form again and invite you to participate. If you accept the invitation, you will again be asked to cross the street, but there will be new features installed at the crossings that may help you cross. We will describe these features to you when you come again to participate. Your participation today and your participation about three months from now will each require about two ho~.lrs of your time. Your participation in this research study is voluntary. You are free to stop participating in this study at any time, including the time between today and when we ask you to come back for the second time. Stopping will not penalize you in any way. In the event new information becomes available that may affect the risks or benefits associated with this research study or your willingness to participate in it, you will be notified so that you can make an informed decision whether or not to continue your participation in this study. This study carries a risk of a pedestrian-vehicle accident, since you will be crossing a public street used by drivers who are unaware of the research project. To mir~imize the risk, a certified Orientation & Mobility specialist will accompany you at all times. If the Orientation & Mobility specialist believes a crossing is unsafe, he or she will prevent you from starting to cross, by verbally telling you to stop or restraining you if necessary. Aside from the accident risk, the study could be uncomfortable because of outside weather conditions. As in all 238
RN MICHIGAN UNIVERSITY, H. S. I. R. B. Approved for use for one year from this dak research, there may be unforeseen risks to the participant. If an accidental injury occurs, appropriate emergency measures will be taken including calling 91 1 and requesting ambulance transportation and rendering whatever aid the research team can provide. However, no compensation or additional treatment will be made available to you except as otherwise stated in .this conselit form. The potential benefits to persons who are blind that may result from this study are an increased understanding of the safety of traffic roundabouts for pedestrians, including those with visual impairments. There probably are no specific benefits to you as an individual from this study. You will be paid $50 for each of the two sessions you participate in - the one today and the one about .three months from now. You will be paid this amount when you arrive at the research site, and the payment is yours to keep whether you complete all of the street crossings on a particular day or only part of them. The videotape and the data from this study will be kept confidential by the experimenters, and you will not be identified by name in any written or verbal presentation of the results of this study. Paper and video records pertaining to this project will be stored in a locked file cabinet for five years at the NC State University Institute for Transportation Research and Education in Raleigh NC, or in Room 4460 of the College of Health and Human Services Building at Western Michigan University. Data stored on computer files that pertain to this project will also be kept secured in one of these two locations. No computer records will be identified by your name. Only numbers will be used as identifiers on computer and paper records, and the names associated with the codes will be kept on secured and separate from the data records. Data will only be accessible by members of the North Carolina State University and Western Michigan University research teams. If you have questions about this study, you can contact Dr. Richard Long at (269) 387-2540 or Dr. David Guth at (269) 387-3446. You may also contact the Chairperson of the Western Michigan University Human Subjects Institutional Review Board at (269) 387-8293 or the Vice-President for Research at (269) 387-8298 if questions or problems arise during the study. You may also contact Dr. Ronald Hughes, NCSUIITRE Principal Investigator for the study at 91 9-51 5-8523. This consent document has been approved for use for one year by the Human Subjects Institutional review Board (HSIRB) as indicated by the stamped date and signature of .the board chair in .the upper right hand corliers of both pages. Participants should liot sign this document if the corners of each of the two pages do not show a stamped date and signature. My signature below indicates my willingness to participate in this study: Signature of participant Signature of investigator Printed name Date 239
Human Subjects Institutional Review Board Date: August 14, 2007 To: Richard Long, From: Amy Naugle, Re: HSIRB Project Number: 07-07-22 This letter will serve as confirmation that your research project entitled "Interventions to Improve Street Crossing Performance of Individuals Who are Blind at a Single Land Roundabout and a Channelized Right Right Turn Lane" has been approved under the expedited category of review by the Human Subjects Institutional Review Board. The conditions and duration of this approval are specified in the Policies of Western Michigan University. You may now begin to implement the research as described in the application. Please note that you may only conduct this research exactly in the form it was approved. You must seek specific board approval for any changes in this project. You must also seek reapproval if the project extends beyond the termination date noted below. In addition if there are any unanticipated adverse reactions or unanticipated events associated with the conduct of this research, you should immediately suspend the project and contact the Chair of the HSIRB for consultation. The Board wishes you success in the pursuit of your research goals. Approval Termination: August 14,2008 Walwood Hall, Kalamazoo, MI 49008-5456 PHONE: (269) 387-8293 FAX: (269) 387-8276 240
WESTERN M Human Subjects lns t l tu t~ona l Rev~ew Board Date: February 4,2008 To: Richard Long, Principal Investigator From: Amy Naugle, Ph.D., e L Y d l h ~ Re: HSIRB Project Number: 07-07-22 This letter will serve as confirmation that the changes to your research project "Interventions to Improve Street Crossing Performance of Individuals Who are Blind at a Single Land Roundabout and a Channelized Right Right Turn Lane" requested in your memo January 3 1, 2008 (Minor changes to consent forms for clarification) have been approved by the Human Subjects Institutional Review Board. The conditions and the duration of this approval are specified in the Policies of Western Michigan University. Please note that you may only conduct this research exactly in the form it was approved. You must seek specific board approval for any changes in this project. You must also seek reapproval if the project extends beyond the termination date noted below. In addition if there are any unanticipated adverse reactions or unanticipated events associated with the conduct of this research, you should immediately suspend the project and contact the Chair of the HSIRB for consultation. The Board wishes you success in the pursuit of your research goals. Approval Termination: August 14,2008 Walwood Hall, Kalamazoo, MI 49008-5456 PHONE: (269) 387-8293 FAX: (269) 387-8276 241
WESTERN H. MICHIGA~ S . 1. R. UNIY- B. Approved for use for one year from thls date: January, 2008 WESTERN MICHIGAN UNIVERSITY AIDS FOR IMPROVING STREET CROSSINGS AT ROUNDABOUTS Principal Investigator: Richard G. Long We are inviting you to participate in a research study. The purpose of this study is to evaluate two ways to improve the ability of people who are blind to cross streets at roundabout intersections. If you choose to participate, I will ask you a few questions about your mobility and your vision loss. Then, if you want to continue participating, I will explain how traffic moves at a roundabout and I will show you around this roundabout . After you are familiar with the roundabout I will ask you to cross the street several times at two crosswalks. Each time, we will be standing near the street and at the crosswalk. I will give you a signal to begin, and after you hear the signal you may begin to cross when you think it is appropriate. I am a certified Orientation and Mobility specialist and I will be next to you each time you cross. I am here to monitor your crossings and inform you if you cross at a risky time. If you cross at a risky time, I will ask you to stop and I also may physically stop you from stepping in front of a moving vehicle. If you can't cross after listening to traffic for several minutes, we'll move on to the next location and begin again. After all the crossings are completed, I'll ask you some questions about how you felt about crossing the street here. I ask that you wear a microphone so that we can record what you say about each of your crossings. Our research team invites you to participate today and again about 4 to 6 weeks from today. The second time you come to participate, about four to six weeks from now, a team member will read to you this consent form again and invite you to participate. If you accept the invitation, you will again be asked to cross the street, but there will be aids installed at the crossings that may help you cross. One aid is a flashing beacon with an audible message, which you can activate by pushing a button. We will demonstrate this aid for you when you come again to participate. When it is on, approaching drivers will see flashing lights at the crosswalk. The other aid is strips of plastic that are put on the road near the crosswalk which will make noise when cars roll over them. This may be helpful in determining when cars are approaching the crosswalk. Your iarticipation today and your participation 4 to 6 weeks from now will each require about two hours of your time. Your participation in this research study is voluntary. You are free to stop participating in this study at any time, including the time between today and when we ask you to come back for the second time. Stopping will not penalize you in any way. In the event new information becomes available that may affect the risks or benefits associated with this research study or your willingness to participate in it, you will be notified so that you can make an informed decision whether or not to continue your participation in this study. This study carries a risk of a pedestrian-vehicle accident, since you will be crossing a public street used by drivers who are unaware of the research project. To minimize the risk, a certified Orientation & Mobility specialist will accompany you at all times. If the Orientation & Mobility specialist believes a crossing is unsafe, he or she will prevent you from starting to cross, by verbally telling you to stop or restraining you if necessary. Aside from the accident risk, the 242
WESTERN MICHIGAN UNIVERSITY H. S. I. R. B. Approved for use for one year from this date: study could be uncomfortable because of outside weather conditions. As in all r may be unforeseen risks to the participant. If an accidental injury occurs, appropriate emergency measures will be taken including calling 91 1 and requesting ambulance transportation and rendering whatever aid the research team can provide. However, no compensation or additional treatment will be made available to you except as otherwise stated in this consent form. The potential benefits to persons who are blind that may result from this study are an increased understanding of the safety of traffic roundabouts for pedestrians, including those with visual impairments. There probably are no specific benefits to you as an individual from this study. You will be paid $40 for each of the two sessions you participate in - the one today and the one 4 to 6 weeks from now. You will be paid this amount when you arrive at the research site, and the payment is yours to keep whether you complete all of the street crossings on a particular day or only part of them. The videotape and the data from this study will be kept confidential by the experimenters, and you will not be identified by name in any written or verbal presentation of the results of this study. Paper and video records pertaining to this project will be stored in a locked file cabinet for five years at the NC State University Institute for Transportation Research and Education in Raleigh NC, or in Room 4460 of the College of Health and Human Services Building at Western Michigan University. Data stored on computer files that pertain to this project will also be kept secured in one of these two locations. No computer records will be identified by your name. Only numbers will be used as identifiers on computer and paper records, and the names associated with the codes will be kept on secured and separate from the data records. Data will only be accessible by members of the North Carolina State University and Western Michigan University research teams. If you have questions about this study, you can contact Dr. Richard Long at (269) 387-3451 or Dr. David Guth at (269) 387-3446. You may also contact the Chairperson of the Western Michigan University Human Subjects Institutional Review Board at (269) 387-8293 or the Vice- President for Research at (269) 387-8298 if questions or problems arise during the study. You may also contact Dr. Ronald Hughes, NCSUIITRE Principal Investigator for the study at 919- 515-8523. This consent document has been approved for use for one year by the Human Subjects Institutional review Board (HSIRB) as indicated by the stamped date and signature of the board chair in the upper right hand comers of both pages. Participants should not sign this document if the comers of each of the two pages do not show a stamped date and signature. My signature below indicates my willingness to participate in this study: Signature of participant Signature of investigator Printed name Date 243
_- H. S. I. R. B. Approved for use for one year from this date: January, 2008 WESTERN MICHIGAN UNIVERSITY AIDS FOR IMPROVING STREET CROSSINGS AT CHANNELIZED TURN LANES Principal Investigator: Richard G. Long We are inviting you to participate in a research study. The purpose of this study is to evaluate two ways to improve the ability of people who are blind to cross streets at channelized turn lanes. If you choose to participate, I will ask you a few questions about your mobility and your vision loss. Then, if you want to continue participating, I will explain how traffic moves at a channelized turn lane and I will show you the turn lanes at this intersection that we'll be using in this research. After you are familiar with the turn lanes, I will invite you to cross the turn lanes here several times. Each time, we will be standing near the street and at the crosswalk. I will give you a signal to begin, and after you hear the signal you may begin to cross when you think it is an appropriate time. I am a certified Orientation and Mobility specialist and I will be next to you each time you begin crossing. I am here to monitor your crossings and inform you if you cross at a risky time. If you cross at a risky time, I will ask you to stop and also I may physically stop you from stepping in front of a moving vehicle. If you can't cross after listening to traffic for several minutes, we will move to another location and begin again. After all the crossings are completed, I'll ask you some questions about how you felt about crossing the s crossing. I ask that you wear a wireless microphone so that we can record what you say about the crossings. We invite you to participate today and again about 4 to 6 weeks from today. The second time you come to participate, about four to six weeks from now, we will read to you this consent form again and invite you to participate. If you accept our invitation, you will again be asked to cross the street, but there will be aids installed at the crossings that may help you cross. One aid is a flashing beacon with an audible message, which you can activate by pushing a button. We will demonstrate this aid for you when you come again to participate. When it is on, approaching Grivers will see flashing lights at the crosswalk. The other aid is strips of plastic that are put on the road near the crosswalk which will make noise when cars roll over them. This may be helpful in determining when cars are approaching the crosswalk. Your participation today and your participation 4 to 6 weeks from now will each require about two hours of your time. Your participation in this research study is voluntary. You are free to stop participating in this study at any time, including the time between today and when we ask you to come back for the second time. Stopping will not penalize you in any way. In the event new information becomes available that may affect the risks or benefits associated with this research study or your willingness to participate in it, you will be notified so that you can make an informed decision whether or not to continue your participation in this study. This study carries a risk of a pedestrian-vehicle accident, since you will be crossing a public street used by drivers who are unaware of the research project. To minimize the risk, a certified Orientation & Mobility specialist will accompany you at all times. If the Orientation & Mobility specialist believes a crossing is unsafe, he or she will prevent you from starting to cross, by 244
Approved for use for one year from this date: verbally telling you to stop or restraining you if necessary. Aside from the accident risk, the study could be uncomfortable because of outside weather conditions. As in all research, there may be unforeseen risks to the participant. If an accidental injury occurs, appropriate emergency measures will be taken including calling 91 1 and requesting ambulance transportation and rendering whatever aid the research team can provide. However, no compensation or additional treatment will be made available to you except as otherwise stated in this consent form. The potential benefits to persons who are blind that may result from this study are an increased understanding of the safety of continuous turn lanes for pedestrians, including those with visual impairments. There probably are no specific benefits to you as an individual from this study. You will be paid $40 for each of the two sessions you participate in - the one today and the one 4 to 6 weeks from now. You will be paid this amount when you arrive at the research site, and the payment is yours to keep whether you complete all of the street crossings on a particular day or only part of them ... The videotape and the data from this study will be kept confidential by the experimenters, and you will not be identified by name in any written or verbal presentation of the results of this study. Paper and video records pertaining to this project will be stored in a locked file cabinet in for five years at the NC State University Institute for Transportation Research and Education in Raleigh NC, or in Room 4460 of the College of Health and Human Services Building at Western Michigan University. Data stored on computer files that pertain to this project will also be kept secured in one of these two locations. No computer records will be identified by your name. Only numbers will be used as identifiers on computer and paper records, and the names associated with the codes will be kept on secured and separate from the data records. Data will only be accessible by members of the North Carolina State University and western Michigan University research teams. If you have questions about this study, you can contact Dr. Richard Long at (269) 387-345 1 or Dr. David Guth at (269) 387-3446. You may also contact the Chairperson of the Western Michigan University Human Subjects Institutional Review Board at (269) 387-8293 or the Vice- President for Research at (269) 387-8298 if questions or problems arise during the study. You may also contact Dr. Ronald Hughes, NCSUIITRE Principal Investigator for the study at 919- 515-8523. This consent document has been approved for use for one year by the Human Subjects Institutional review Board (HSIRB) as indicated by the stamped date and signature of the board chair in the upper right hand comers of both pages. Participants should not sign this document if the comers of each of the two pages do not show a stamped date and signature. My signature below indicates my willingness to participate in this study: Signature of participant Signature of investigator Printed name Date 245
