Survey Info and Consent

You are invited to participate in a research study titled
Exploring the Mental Health Needs of First Responders in Arkansas: A Pilot Study

To help us describe the mental health of first responders in Arkansas, we are asking you to complete an online survey that is HIPAA-compliant and completely anonymous.

WHO IS BEING ASKED TO COMPLETE THIS SURVEY?

All firefighters and EMTs/Paramedics in Arkansas can complete this survey. You can complete this survey:

  • Whether you are paid or not paid for your services, that is, whether you work in a career or a volunteer department.
  • If you are a retired firefighter or EMT/paramedic.

WHAT WILL THE SURVEY LOOK LIKE?

  • In this survey, you will first be asked basic demographic and duty-related questions, such as age, gender, length of time in service, and rank.
  • The remainder of the survey includes brief questionnaires about: general risk of developing emotional problems, history of exposure to trauma, depression, anxiety, sleep problems, alcohol use, posttraumatic stress disorder (PTSD), and suicidality.
  • There are a total of 55 questions; we expect you will spend no more than 30-45 minutes taking the survey.

PARTICIPATION

  • Your participation in this survey is voluntary.
  • You may refuse to take part in the research or exit the survey at any time without penalty.
  • You are free to decline to answer any particular question you do not wish to answer.
  • Your choice to participate or not participate will not affect your employment status.

WHAT ABOUT CONFIDENTIALITY?

  • You will be completing the survey through SurveyMonkey.com, where the information will be stored in a HIPAA-compliant, password protected electronic format. Survey Monkey does not collect identifying information such as your name, email address, or IP address. Therefore, your responses will remain anonymous.
  • No one will be able to identify you or your answers, and no one will know whether or not you participated in the study.
  • Because of this, we will not have the ability to share individual responses with employers and administrators

WILL THIS STUDY HELP ME IN ANY WAY?

There may be no personal benefits to participating in this study.

Your responses may help to show the mental health needs of first responders. This will demonstrate the need to develop mental health services that first responder will be willing to access and use.

WILL I BE PAID?

After completing the survey, you will have the option to enter your name and contact information into a drawing for a chance to win a $50 Walmart gift card. If you choose to submit your name, you will be redirected to another site that is not connected to your survey responses.

WHAT ARE THE RISKS OF THIS STUDY?

  • There are no foreseeable risks involved in participating in this study other than those ordinarily encountered in daily life or during the performance of routine physical or psychological exams.
  • If you do experience emotional distress at the time of, or because of, this study, you can stop the survey at any time.
  • A list of available mental health resources (in addition to current Employee Assistance Program) will be available after completing the survey and at all participating sites. We encourage you to utilize available services if needed.
  • You can also call the head researcher, Dr. Sara Jones, at the number below.

WHAT IF I HAVE QUESTIONS?

  • Please call the head researcher of the study, Sara Jones, at 501-551-6412 if you:
    • have any questions about this study
    • have questions about your rights
    • feel you have been injured in any way by being in this study
  • You can also call the office that supervises research (UAMS Institutional Review Board) at 501-686-5667 if you:
    • have questions about this study or about your rights as a research participant
    • can’t reach the study team
    • need to speak to someone not directly involved with this study

WHAT IF WANT MY INFORMATION REMOVED FROM THE STUDY?

If you change your mind after starting or completing the survey, call the head researcher, Dr. Sara Jones, at the number above.

WHAT ARE THE ALTERNATIVES TO BEING IN THIS STUDY?

You do not have to be in this study.

ELECTRONIC CONSENT

The purpose and voluntary nature of this research study, as well as the potential benefits and risks that are involved, have been explained above.  If you are using a wifi network, make sure you are using a secure wifi network (non-public) before participating.

By clicking START SURVEY below, I know that:

  • I can stop any and all parts of the study at any time and nothing bad will happen to me.

  • I do not give up any of my rights by signing this form.

By clicking START SURVEY, you are verifying that you have read the explanation of the study and that you consent to participate.