Consent for Research Study on In-Class Tech
The purpose of this study is to pilot a dynamic team creation system that supports hybrid social interactions in co-located settings, such as classrooms, civic hackathons, and other public events. The purpose of the tool is to facilitate the creation of small teams within a large crowd to perform social, cognitive, and learning tasks. We will use the data collected from interactions during these tasks to infer the best parameters for team creation and to assess socio-emotional skills of participants to improve engagement and learning as well as feedback quality. The study is being conducted by Prof. Steven Dow from UC San Diego. To participate in this study, we ask that you must be at least 18 years of age and must be willing and able to use a standard smartphone or computer. The overall length of your participation in this study will not exceed two hours. You can receive course extra credit in exchange for your participation in an interview about this study. If you agree to be in this study, you may be asked to do one or more of the following: 1.Work on an individual or team task (approx. 20min) 2.Explain your experience to the experimenter (approx. 10min) 3.Complete a series of short questionnaires about your experience (approx. 10min) 4. Be video-recorded doing any of the above tasks.

Risks: Participation in this study may involve some added risks or discomforts. These include: 1. There is potential for loss of confidentiality, even though we make every effort to ensure anonymity. When using video data from the study we will not identify participants by name. Video recording may be stopped at any time. Any portion of the recording and/or the entire recording may be erased at the subject’s request. Research records will be kept confidential to the extent allowed by law. Ultimately, the digital videos will be wiped from their respective storage drives (computer hard drives or digital media tapes) after the project has been completed. Research records may be reviewed by the UCSD Institutional Review Board. 2. There is the potential for embarrassment and self-consciousness, as you will be doing parts of the study in front of another person. You have the option of terminating your participation in the study at any point if you feel embarrassed, or if you would like to stop for any other reason. It is important to know that we are looking at how you incorporate the feedback given to you rather than evaluating your intelligence or experience with design. 3. There is potential for boredom and fatigue. You will be given periodic breaks. If you become bored or fatigued at any time during the study, you may ask for additional breaks or to terminate the study. Because this is a research study, there may also be some unknown risks that are currently unforeseeable. You will be informed of any significant new findings. You will be told if any important new information is found during the course of this study that may affect your wanting to continue.

Participation in research is entirely voluntary. You may refuse to participate or withdraw or refuse to answer specific questions in an interview or on a questionnaire at any time without penalty or loss of benefits to which you are entitled. If you decide that you no longer wish to continue in this study, you will be required to let the experimenter know that you wish to stop. The experimenter will then stop video recording, collect all materials from you and direct you to an area of the classroom where video is not recorded.The PI may remove you from the study without your consent if the PI feels it is in your best interest or the best interest of the study. You may also be withdrawn from the study if you do not follow the instructions given to you by the study personnel. The alternative to participation in this study is to choose not to participate.There will be no cost to you for participating in this study. Participation in this study will not impact your grades or class standing.

There will not be any direct benefit to you from participating in this study. Your participation however may help improve education in design. Graduate student Gustavo Umbelino (Dept. of Computer Science) and/or Professor Steven Dow has explained this study to you and answered your questions. If you have other questions or research-related problems, you may email him at: gumbelin@ucsd.edu.You may call the Human Research Protections Program at (858)-246-HRPP (858-246-4777) for more information about this, to inquire about your rights as a research subject, or to report research-related problems.

Signature
You have read the above description and give your consent for the use of audio-video recording as indicated above
You agree to: *
Required
Participant's Signature *
First and last name
Your answer
Date *
MM
/
DD
/
YYYY
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service