๐๐ข๐ญ๐ฅ๐: Albion COVID-19 Vaccine Needs Assessment
๐๐๐ฌ๐๐๐๐ก๐๐ซ๐ฌ: Eryn Lewis & Lyndsey Moore, Albion College students; Shanti Brown, Assistant Professor of Psychological Science; Maggie Godfrey, Assistant Director of the Wilson Institute; Dr. Barbara Keyes, Professor of Psychological Science
๐๐ก๐ข๐ฌ ๐ข๐ฌ ๐ ๐๐จ๐ง๐ฌ๐๐ง๐ญ ๐๐จ๐ซ๐ฆ ๐๐จ๐ซ ๐ซ๐๐ฌ๐๐๐ซ๐๐ก ๐ฉ๐๐ซ๐ญ๐ข๐๐ข๐ฉ๐๐ญ๐ข๐จ๐ง. It contains important information about this study and what to expect if you decide to participate. ๐๐จ๐ฎ๐ซ ๐ฉ๐๐ซ๐ญ๐ข๐๐ข๐ฉ๐๐ญ๐ข๐จ๐ง ๐ข๐ฌ ๐ฏ๐จ๐ฅ๐ฎ๐ง๐ญ๐๐ซ๐ฒ. Please consider the information carefully. Feel free to ask questions before making your decision whether or not to participate.
๐๐ฎ๐ซ๐ฉ๐จ๐ฌ๐: The purpose of this exploratory study is to gather information from Albion community residents regarding their questions or concerns about the COVID-19 vaccine.
๐๐ซ๐จ๐๐๐๐ฎ๐ซ๐๐ฌ/๐๐๐ฌ๐ค๐ฌ: Participants will be asked to complete a short survey. You will be asked to answer questions about your perspectives on the COVID-19 vaccine. The survey questions ask only about your ย personal opinion or experiences. As such, we request that you be forthright in your responses. If at any time you are uncomfortable answering a question, you are free to skip the question. ย
๐๐๐๐: You must be 18 years of age or older to participate. You must also be a full-time resident of the City of Albion, Albion Township, or Sheridan Township to participate.
๐๐ฎ๐ซ๐๐ญ๐ข๐จ๐ง: ๐ป๐๐ ๐๐๐๐๐๐ ๐๐ ๐๐๐๐๐๐๐๐
๐๐ ๐๐๐๐ ๐๐๐๐๐ 5-10 ๐๐๐๐๐๐๐.
You may leave the study at any time. ย If you decide to stop participating in the study, there will be no penalty to you, and you will not lose any benefits to which you are otherwise entitled. ย Your decision will not affect your future relationship with Albion College or any of the researchers.
๐๐ข๐ฌ๐ค๐ฌ ๐๐ง๐ ๐๐๐ง๐๐๐ข๐ญ๐ฌ: This research is believed to pose no risks beyond those encountered in daily life. If you have concerns, you may contact one of the researchers at any time. You may also stop your participation at any time. You and your answers will remain anonymous and you cannot be identified.
๐๐จ๐ง๐๐ข๐๐๐ง๐ญ๐ข๐๐ฅ๐ข๐ญ๐ฒ: Efforts will be made to keep your study-related information confidential. All participant information is anonymous (you will not be required to share your name of any other personal information). You can complete the questionnaire without giving your name or contact information. ย
๐๐๐ซ๐ญ๐ข๐๐ข๐ฉ๐๐ง๐ญ ๐๐ข๐ ๐ก๐ญ๐ฌ: You may refuse to participate in this study without penalty or loss of benefits to which you are otherwise entitled. If you choose to participate in the study, you may discontinue participation at any time without penalty or loss of benefits. ย By signing this form, you do not give up any personal legal rights you may have as a participant in this study.
An Institutional Review Board responsible for human participant research at Albion College reviewed this research project and found it to be acceptable, according to applicable state and federal regulations and College policies designed to protect the rights and welfare of participants in research.
๐๐จ๐ง๐ญ๐๐๐ญ๐ฌ ๐๐ง๐ ๐๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง๐ฌ: For questions, concerns, or complaints about the study you may contact the Shanti Brown at
sabrown@albion.eduย or 865-816-9305. For questions about your rights as a participant in this study, you may contact the chair of Institutional Review Board (IRB) at
IRB@albion.edu. To speak with a local health care navigator from the Albion Health Care Alliance about your questions/concerns about the COVID-19 vaccine please call 517-629-5080. Additionally, here is a link to a website with educational materials (e.g., short videos and infographics) regarding the COVID-19 vaccine and distribution efforts in Albion:
https://sites.google.com/albion.edu/albioncovid-19andvaccinesuppor/homeThank you!
