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Digital Game Survey

Consent Form

Application number: 2012s0964
Simon Fraser University                                                         
Faculty of Education
8888 University Drive, Burnaby BC,
CanadaV5A 1S6
 
The University and those conducting this research study subscribe to the ethical conduct of research and to the protection at all times of the interests, comfort, and safety of participants. This research has received ethics approval and is being conducted under permission of the Simon Fraser Research Ethics Board. The chief concern of the Board is for the health, safety and psychological well-being of research participants.
 
Title: Aging Well: Can Digital Games Help? 
 
Principal Investigator: Simone Hausknecht               
Under the supervision of Dr. David Kaufman, Professor, Faculty of Education
 
Participation is voluntary
 
Goals: The aim of this study is to explore the patterns, experiences, and opinions of older adults who play digital games.
 
Benefits of the study to the development of new knowledge: This study will inform future work on the benefits and difficulties of using digital games for older adults. It will particularly inform researchers and designers who are exploring ideas of using digital games to enhance quality of life, including cognitive and social aspects.
 
Procedure: You will partake in a questionnaire that will take approximately 10-15 minutes. At any time you may withdraw from the study. At the end of the study a separate link will be available for you to provide your information to enter the draw for three cash prizes of $50. No future contact will be made after completion unless you have indicated that you would like a copy of the results or you have won the draw. 
 
Provision of confidentiality: Your identity will remain confidential at all times. The survey is conducted over a secured web server housed in Canada and therefore confidentiality can be guaranteed. Your identity will not be linked to your survey to guarantee confidentiality. However, to participate in the three cash draws of $50 a separate link is included at the end of the survey. The information that is collected if you would like to be part of the draw will be stored on a websurvey on the SFU server which is also housed in Canada. After collecting the survey data, a database without respondent identities will be created and analyzed and this information will be downloaded onto a USB storage device (flash drive) that will be kept in a locked cabinet in the office of Dr. David Kaufman. Data will be stored for 2 years.
 
Risks: No risks are associated with this study
 
The primary person to whom concerns, complaints, comments, and the results can be obtained from is David Kaufman, Faculty of Education, 8888 University Drive, Burnaby BC, CanadaV5A 1S6, Telephone number: 778-782-8880, Email address: dkaufman@sfu.ca, or
 
The secondary person whom concerns can be sent to is, Dr. Hal Weinberg, Director of research ethics, Telephone number: 778-782-6593, Email address: hal_weinberg@sfu.ca.

 
By selecting "I agree to participate" below you confirm that you:
  1. Understand what is required based on the above information
  2. Understand that your participation is voluntary and you are free to withdraw at any time
  3. Understand the provisions for confidentiality