Terms of Use
Research Purpose. This research study seeks to evaluate your dental pain and sensitivity experience and to provide you with tailored information, through a web-based health promotion website, on possible causes of your pain and sensitivity and home-treatment suggestions to alleviate the discomfort you feel. No medical or dental health information considered sensitive will be collected. Sensitive medical or dental health information may include mental health information, substance abuse or disease status. The project will include an initial survey and an evaluation survey after you view the educational website.
Information on Research. The Columbia University College of Dental Medicine is evaluating dental pain and sensitivity experience.
If there are any questions or concerns please contact the Principal Investigator, Dr. David Albert, Director of the Division of Community Health and Assistant Professor of Clinical Dentistry, at the Columbia University College of Dental Medicine at 212-342-8588 or by email at daa1@columbia.edu. You may also contact the Medical Center Institutional Review Board (IRB) at 212-305-5883 or by email at irboffice@columbia.edu (reference # IRB-AAAF2400).
Risks. A risk of taking part in this study is the possibility of a loss of confidentiality. Loss of confidentiality includes having your personal information shared with someone who is not on the study team and was not supposed to see or know about your information. The study team plans to protect your confidentiality. Their plans for keeping your information private are described in the 'confidentiality' section of this form.
Benefits. You will not receive personal (direct) benefit from taking part in this research study. Your survey responses will help to inform on how to improve oral health knowledge and attitudes utilizing electronic resources. You will receive information on the causes and treatment of oral pain and sensitivity.
Compensation. There is no compensation for participation in this study
Confidentiality. You will be required to enter you electronic mail (e-mail) address to sign the consent form and to access the educational website at your discretion. Any information you provide during this program is confidential and not linked to your e-mail address. The program, including surveys and educational website, is housed on a server at Columbia University, where it will remain confidential and only be used for purposes outlined in this document. You will never be contacted via e-mail address regarding your participation in this study. Every effort will be made to ensure confidentiality will be maintained.
At the end of the study all e-mail information will be deleted and destroyed.
The information that may be used and disclosed includes all information collected from the pre and post survey evaluation forms. The researchers may use and share the information you provide during this research with representatives of government agencies, review boards, and other persons who watch over the safety, effectiveness, and conduct of research.
The Columbia University Medical Center IRB, the Office for Human Research Protections, and other persons who watch over the safety, effectiveness, and conduct of research will have access to study data.
Statement of Consent. I voluntarily consent to participate in this study. I have thoroughly read this consent form and understand the nature and purpose of this study. The explanation in the consent form has explained the possible risks and benefits of participating in this study. I understand that I am free to not participate in this study or to withdraw from the study at any time and for any reason.
To withdraw from the study please contact Dr. David Albert the Principal Investigator via contact information given above, at anytime. However, if you withdraw, you will not be allowed to continue taking part in this Research. Also, even if you withdraw from this study, the Researchers may continue to use and disclose the information they have already collected via your survey responses as permitted by the Informed Consent Form.
I understand that I may keep a copy of this dated consent form. By accepting this consent form, I have not waived any of the legal rights that I would have if I were not a participant in the study.