Columbine Health Systems Center for Healthy Aging Research Registry Consent and Survey |
The Columbine Health Systems Center for Healthy Aging at Colorado State University is dedicated to interdisciplinary research to increase the healthspan of our population. The purpose of this registry is to both help match our faculty affiliates with study participants and help our community find studies at CSU which they may find beneficial.
Adult Participant Informed Consent – Research Participant Registry
By completing this survey, you are consenting to be added to the CSU Columbine Health Systems Center for Healthy Aging Research Registry. This registry serves as a recruitment portal for researchers, allowing them to contact you about studies that align with your identified interests. Participation in this registry does not obligate you to participate in any study about which you are contacted, and you are able to withdraw from the registry at any time if you no longer wish to participate.
Why am I being invited?
You are being invited to join the registry because you are 18 years of age or older
What will I be asked to do?
To participate in the registry, you will be asked to complete a short, 5-minute survey that requests your contact information, basic demographics and research-related interests. Your answers will be populated into a secure recruitment registry database.
How will researchers access my information?
A Registry Committee, composed of Center for Healthy Aging leaders, is responsible for controlling access to registry information. Investigators seeking people interested in participating in their research studies will submit a request that will go through a screening process by the Registry Committee and, if approved, will only be given your name and preferred contact information through a secure platform. Your answers to the questions of this survey will not be shared.
How will my data be stored and who will see the Information that I give?
All information gathered will be kept as confidential as possible. Your privacy is very important to us and the Research Registry Committee will take every measure to protect it. For this project, we will assign a code to your information so that the only place your name will appear in our records is on the consent form and in our data spreadsheet which links you to your code. Only the Registry Committee will have access to the link between you, your code, and your information.
All records will be stored in a Health INsurance Portability and Accountability (HIPAA)-compliant database which we intend to use to match Center for Healthy Aging faculty affiliates performing aging research with individuals who may be interested and/or qualify for their research studies.
Your survey responses, which include demographic information and research interests, will not be distributed for future research studies even if identifiers are removed. Only your contact information may be shared so that Center for Healthy Aging study leaders can let you know about research studies in line with your interests
How do I update or remove my information?
Your information will remain in the registry unless you request its removal. If you ever need to update your contact information or wish to be removed from the registry, you may do so by contacting the Research Registry Committee at either charesearchregistry@colostate.edu or 970-495-2528.
Is my participation voluntary?
Yes. Your participation in the registry is completely voluntary. You are not required to participate in the registry to be eligible to participate in research studies performed by Center for Healthy Aging faculty affiliates. Refusal to participate will involve no penalty or loss of benefits to which the you are otherwise entitled.
Are there any benefits to being in the registry?
There may be no direct benefits to you by participating in the recruitment registry. You may be connected with research studies or clinical trials that provide additional benefits to you. In that case, benefits will be explained to you by the study’s investigator(s).
Are there any risks associated with being in the registry?
It is not possible to identify all potential risks to participating in the Research Registry but the Committee has taken reasonable safeguards to minimize any known and potential, but unknown, risks.
- Breach of confidentiality: Although robust protocols and procedures are in place to keep your information private and secure, there is a chance of a breach of confidentiality.
Participation in studies for which you are contacted may pose additional risks which will be explained to you by the study’s investigator(s).
Who can I contact with questions?
For questions or concerns about the Research Registry, you may contact Ali Murphy at 970-495-2528 or ali.murphy@colostate.edu OR the Research Registry Committee at charesearchregistry@colostate.edu.
For questions regarding the rights of research subjects, any complaints or comments regarding the manner in which the study is being conducted, contact the CSU Institutional Review Board at:
RICRO_IRB@mail.colostate.edu; 970-491-1553.