Research Participant Consent Form

Study Title: Healthy behaviours, mobility, and activities among older Chinese migrants

Researcher and Title: Dr. Michael J. Widener, PhD

Department and Institution: Department of Geography & Planning, University of Toronto

Contact Information: michael.widener@utoronto.ca

SUMMARY

You are being asked to participate in a research study of health-related behaviors. Your participation in this study will take about 30 minutes. You will be asked a series of questions about your daily activities and feelings about your community. 

The most likely risks of participating in this study are feelings of emotional discomfort resulting from sharing personal details about your day-to-day routine, demographic information, and emotional state. 

The potential benefits to you for taking part in this study are receiving a $15 gift card. Otherwise, your participation in this study may contribute to the understanding of the experiences of immigrants moving to the Greater Toronto Area (GTA). 

PURPOSE OF RESEARCH

  • You are being asked to participate in a research study of health-related behaviors that may have been affected by your migration to Canada. These include your mobility behaviors and social interactions with others. 
  • You have been selected as a possible participant in this study because you are an immigrant coming to the GTA from China and are at least 60 years old. 
  • From this study, the researchers hope to learn how various urban contexts and migration influence daily time-use.
  • Your participation in this study will take about 30 minutes.  

WHAT YOU WILL BE ASKED TO DO

  • You are being asked to compete a survey about your (1) demographics and household structure; (2) physical and emotional wellness; (3) daily activities and mobility. 
  • Some questions ask about your feelings about your support network and physical abilities. This may be potentially difficult to talk about.
  • If you would like results to be shared with you, be sure to provide your e-mail. A summary of findings will be disseminated to all who provide their email unless otherwise indicated to the research team. 

POTENTIAL BENEFITS

  • You will not directly benefit from your participation in this study. However, your participation in this study may contribute to the understanding the experiences of older Chinese immigrants in Toronto. 

POTENTIAL RISKS

  • There are no potential risks to participating. However, some questions may cause you personal discomfort. 

PRIVACY AND CONFIDENTIALITY

  • The data for this project will be kept confidential. You will be assigned a code and a key informing the participant code and name will be kept on a secure server at the University of Toronto. Upon completion of the study, the key will be destroyed. 
  • Information about you will be kept confidential to the maximum extent possible. Only members of the research (researchers and research staff) team will have access to the data.
  • We will retain some identifiable information (mailing address, contact information) in order to send you compensation, perform analysis, and to provide results.
  • Any data that will be removed from University of Toronto servers will not be identifiable. 
  • The results of this study may be published or presented at professional meetings, but the identities of all research participants will remain anonymous.

YOUR RIGHTS TO PARTICIPATE, SAY NO, OR WITHDRAW

  • Participation is voluntary. Refusal to participate will involve no penalty or loss of benefits to which you are otherwise entitled. You may discontinue participation at any time without penalty or loss of benefits to which you are otherwise entitled.
  • You have the right to say no.
  • You may change your mind at any time and withdraw. 
  • You may choose not to answer specific questions or to stop participating at any time. 
  • Choosing not to participate or withdrawing from this study will not make any difference in your legal status in Canada. 

COSTS AND COMPENSATION FOR BEING IN THE STUDY

  • You will be compensated $15 for participating in the survey and time use diary. This gift card will be mailed to you or can be e-mailed if preferred. 
  •  

RESEARCH RESULTS 

  • If you provide your e-mail on the survey, a summary of results will be e-mailed to you when ready. 

FUTURE RESEARCH

  • Your information collected as part of the research, even if information that identifies you is removed, will not be used or distributed for future research studies.

CONTACT INFORMATION

If you have concerns or questions about this study, such as scientific issues, how to do any part of it, or to report an injury, please contact the researcher Dr. Michael Widener: Michael.widener@utoronto.ca

If you have questions or concerns about your role and rights as a research participant, would like to obtain information or offer input, or would like to register a complaint about this study, you may contact, anonymously if you wish, the University of Toronto Research & Ethics Board at (416) 946-3273 or you can email them at ethics.review@utoronto.ca.