Informed Consent Form
Consent to Participate in a Research Study
Sewanee: The University of the South
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Investigator(s): Dr. Maria Falikman Teaching Professor of Psychology, The University of the South
Vasilii Krupenin, student, Westfield High School, NJ
Andrey Voronov, student, Livingston High School, NJ
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Introduction
You are being asked to be in a research study for college students about visual attention. You were
selected as a participant of the Sewanee research pool. We ask that you read this form and ask any
questions that you may have (contact information provided below) before agreeing to participate.
Purpose of Study
The purpose of the study is to investigate mechanisms of human visual attention, involved in the
perception of visual arts.
Description of the Study Procedures
If you agree to be in this study, you will be asked to look for changing or disappearing objects in
classical paintings. The study will take no more than 15-20 minutes.
Risks/Discomforts of Being in this Study
There are no risks associated with this study. If you need support, please reach out to a trusted adult,
counseling, or crisis service, such as the University Wellness. Their phone number is 931-598-1270.
You will again be provided with contact information for support services at the conclusion of the
experiment.
Benefits of Being in the Study
There are no expected benefits from completing this study, although your responses may help to further
the field of psychology.
Confidentiality
This study is anonymous. We will not be collecting or retaining any information about your identity. If
you are completing research participation credit, the credit will be connected with your personal SONA
account, however your data from the activities will not include identifying information. The records of
this experiment will be kept confidential. All electronic research records will be coded and secured
using a password protected file. We will not include any information in any report that would make it
possible to identify you.
Payments
You will not be compensated for participation, aside from receiving 1 credit hour for research
requirement participation if you are completing the study as part of the participant pool.
Right to Refuse or Withdraw
The decision to participate in this study is entirely up to you. You may refuse to take part in the study
at any time without affecting your relationship with the investigators of this study or The University of the South. Your decision to refuse will not result in any loss of benefits to which you are otherwise
entitled. You have the right not to complete any activity, as well as to withdraw completely from the
study at any point during the process; additionally, you have the right to request that the researcher not
use any of your study material.
Right to Ask Questions and Report Concerns
You have the right to ask questions about this research study and to have those questions answered by
the researchers before, during or after the research. If you have any further questions about the study, at
any time feel free to contact Dr. Maria Falikman in the Sewanee Psychology Department. If you have
any other concerns about your rights as a research participant that have not been answered by the
investigators, you may contact The University of the South Institutional Review Board at 931-598-
1187. If you have any problems or concerns that occur as a result of your participation, you can report
them to Dr. Al Bardi, Chair of The University of the South Institutional Review Board at 931-598-1151
or by email: cabardi@sewanee.edu.
Consent
When you click forward from this page, you acknowledge that you have read, understood, and accepted
these risks and that you wish to participate in the study.