Researchers at the University of Iowa are nationally recognized as leaders in research of hearing loss and language disorders in children. We are recruiting volunteers from the Midwest who are interested to participate in current or future research studies here at the university.
We invite your child to participate in a research subject registry. The purpose of the registry is to create a database of children with hearing loss who may qualify for current or future research studies at the University of Iowa.
We are inviting your child to be in this registry because your child has a permanent hearing loss in one or both ears. Approximately 400 people will take part in this registry at the University of Iowa.
If you agree for your child to participate, we would like you to complete an online screening survey or you may call us to complete the screening form over the phone. If you decide you do not want to participate in the registry, you may call or email Wendy Fick at (319)335-8749 or firstname.lastname@example.org. If we do not hear from you within 30 days, a registry staff member will make no more than three attempts to follow up with you by phone call, email, or text message. You are free to not answer any question on the screening form or survey that you would prefer not to answer.
We will keep the information you provide confidential, however federal regulatory agencies and the University of Iowa Institutional Review Board (a committee that reviews and approves research studies) may inspect and copy records pertaining to this registry.
There are no known risks from being in this registry, and your child will not benefit personally.
You will not have any costs for your child being in this research registry.
Your child will not be paid for being in this research registry.
Taking part in this research registry is completely voluntary. If you decide not to be in this registry, or if you stop participating at any time, you won’t be penalized or lose any benefits for which you otherwise qualify.
If you have any questions about the research registry itself, please contact Wendy Fick at (319)335-8749 or email@example.com. If you experience a research-related injury, please contact: Elizabeth Walker, (319)353-5923 or firstname.lastname@example.org. If you have questions about the rights of research subjects, please contact the Human Subjects Office, 105 Hardin Library for the Health Sciences, 600 Newton Rd, The University of Iowa, Iowa City, IA 52242-1098, (319) 335-6564, or e-mail email@example.com. To offer input about your experiences as a research subject or to speak to someone other than the research staff, call the Human Subjects Office at the number above.
Thank you very much for your consideration. A registry of this kind can be invaluable to learning more about hearing loss in children.
If you would like to complete our online screening survey, please use the link below.
Research Registry Screening Survey: https://uiowa.qualtrics.com/jfe/form/SV_50FyMTCHClYy4TP