Dr. Aaron Seitz
Department of Psychology
University of California, Riverside
951-827-6422 || email@example.com
Dr. Susanne Jaeggi
School of Education
University of California, Irvine
949-824-5896 || firstname.lastname@example.org
This is a research study about understanding and/or training human cognition
conducted by Professors Aaron Seitz and Susanne Jaeggi. Below you will find
information regarding what you will do in this research study, how much time you
will be required to commit if you decide to participate, what equipment you will
need and/or be provided, what benefits you will be provided, how our research
team will protect your identity and data, and who you can contact if you have
any questions, concerns, or complaints. Please note, this research study is
strictly voluntary and you have the right to withdraw from the study at any time
What happens if I say yes, I want to be in
You will be presented with stimuli (e.g., visual, auditory, tactile,
and make responses regarding their patterns. These will challenge your
memory, attentional, and/or decision making abilities.
Your performance on these challenges is recorded in a datafile that is
with a unique subject ID so that your identity will be protected. Any
that can identify you will be stored separately from the data collected
- You will complete a variety of questionnaires about your demographics,
thoughts, feelings, experiences, and characteristics. In cases where you
questions surrounding sensitive topics such as mental health, negative
conditions, and/or substance use, you will be prefaced with instructions
that it is acceptable to skip questions that are a matter of personal
- You will be asked to participate in 22 experimental sessions that will
last up to 30
- You will be asked to download experimental software for these sessions
onto your own
computer, tablet, or smartphone.
- This study is designed to evaluate the effectiveness of interventions
provide potential cognitive benefits. However, we do not know whether
intervention is effective. Further, you may be randomly assigned among
for which there are different degrees of evidence regarding whether or
not they are
What benefits will I receive from
You may receive potential cognitive gains as a result of
training and/or gain a better understanding of your cognition.
Will I be paid for my participation?
Upon completion of the study, you will be entered into a
monthly Grand Prize drawing for a chance to win a brand new iPad (10.2 Retina
display with 32 GB of storage) or a gift card valued $20-100. You will also earn
entries into a weekly give-away for a chance to win $5 or $10 gift cards. Entries
are given for each completed session and these will be confirmed in weekly e-mails.
Odds of winning depend upon the number of eligible entries. To receive an entry into
the give-away, without participating you can accept the consent, download the App
and register with your subject ID (as per instructions provided in an email that you
will receive). Additional entries are provided upon successful completion of each
session and bonus entries may be awarded for completion of the study. Completion of
all sessions is required to be eligible for the grand prizes.
How will my identity and data be protected?
We note that data will be used in research publications and
may be shared with other researchers, and/or shared in public data sharing
repositories. Your responses will be kept confidential, and no one will be able to
link your answers back to you. If you include your name or other information that
could be used to identify you in your responses then we will take measures to remove
that from the data files to protect your confidentiality. We will keep any records
that can be used to identify you confidential and this will not be shared with
anyone outside the research team. If you decide to discontinue participation
altogether, your data will be deleted upon request if we have the capacity to
identify which data is yours.
What resources are available to me?
Below are some resources that can be used in the event that
you feel you need to seek professional assistance as a result of your
UCR Counseling & Psychological Services (CAPS)
Location: Veitch Student Center, North Wing on the UCR Campus
Phone: (951) 827-5531
You may also call a 24-hour counselor phone line at 951-UCR-TALK or
UCR has walk-in hours daily from 9 a.m to 4 p.m.
In case of a psychological emergency, particularly one that is life threatening,
should go to your local emergency room and ask for the psychologist or
on call. You can also call 911 or the suicide prevention hotline at (877)
Mental Health Urgent Care by RI International – Riverside
Phone: (951) 509-2499
The Mental Health Urgent Cares provide individualized support for adults
experiencing mental health challenges. Staffed by a competent, caring team, a safe,
supportive, recovery-oriented environment is provided, with an emphasis placed on
safety, the reduction of symptoms, and the creation of a plan for continuing support
and services. RI International – Riverside County has two 24/7 Mental Health Urgent
Care Centers open. The Centers provide individualized support for adults
mental health challenges in a supportive recovery-oriented environment.
National Alliance on Mental Illness Help Line
The NAMI HelpLine is a free, nationwide peer-support service providing information,
resource referrals and support to people living with mental health conditions, their
family members and caregivers, mental health providers and the public. HelpLine
staff and volunteers are experienced, well-trained and able to provide guidance.
Whom can I talk to?
If you have questions, concerns, or complaints, or think
the research has hurt you, talk to the research team at email@example.com or
contact the PIs at firstname.lastname@example.org or email@example.com. If you have questions about
your rights or complaints as a research subject, please contact the IRB Chairperson
at (951) 827-4802 during business hours, or to contact them by email at firstname.lastname@example.org.
BY SIGNING THIS FORM, I WILLINGLY AGREE TO PARTICIPATE IN THE
RESEARCH IT DESCRIBES:
We occasionally run follow-up
studies to examine long-term benefits from our learning studies or to run additional tests
regarding certain aspects of training benefits. Having the ability to contact you can be
invaluable to this research. For each follow-up you will be asked to give a new consent. At
any point you have the right to opt-out of the study.