Participant Consent Form

You are invited to participate in a research study entitled:

Are work activities affected by musculoskeletal disorders in rural Saskatchewan?

Principal Investigator:
Dr. Angelica Lang, Ph.D.
Canadian Centre for Health and Safety in Agriculture
University of Saskatchewan
Phone: 306-966-5544
Email: angelica.lang@usask.ca
Purpose and Objective of the Research:
The purpose of this study is to gather information about farm-related work tasks that are affected by musculoskeletal injuries or disorders on farms in Saskatchewan.

Inclusion Criteria:
You are eligible for this study if you live or work on a farm in Saskatchewan and have had any type of musculoskeletal (body) disorder (i.e. injury, pain, discomfort) in the last 5 years.

Procedures:
You will be asked to complete an online questionnaire about your demographics, farm characteristics, musculoskeletal disorders (or pain/discomfort), and work tasks. Questions are a mixture of multiple choice and open-ended.
It is estimated that the questionnaire will take 15 minutes to complete.

Funded by:  
This project is funded by Dr. Lang’s institutional research funds.

Potential Risks:
There is the potential for breach of anonymity in this study if you supply your contact information at the end of the survey.
Risks will be addressed by ensuring the anonymity of survey responses and secure storage of data by the researchers.
If you agree to be contacted in the future, the contact information that you share will be stored separate from your survey responses so that the responses your provide cannot be linked back to you.

Potential Benefits:
There are likely not direct benefits to you for participating in this research. However, the knowledge gained from this research may assist in ergonomic and return-to-work interventions for individuals who live and work on farms and in rural Saskatchewan.

Compensation:
As a thank you for completing this survey, you will be provided with the opportunity to be entered into a draw to win one of two $50 Tim Horton’s gift cards.
Because participation is anonymous, you will be asked for your contact information after completion of the questionnaire. This information will be kept separate from your answers.

Confidentiality:
Participation in this study is completely anonymous.
Data from this study will be disseminated in conference presentations and scientific publications.
All data will be reported anonymously, in aggregate and summarized form.
If you provide your contact information, your identity will not be disclosed with results are disseminated.
Researchers will prevent the link of responses to identifiable information about the participant, and therefore maintain anonymity of the responses.
This survey is hosted by Survey Monkey. Your data will be stored in facilities hosted in Canada. Please see the following for more information on the Survey Monkey Privacy Policy.

Storage of Data:  
Electronic data collected by Survey Monkey will be stored in secure servers in Canada.
Data collected for analysis by the researchers will be stored on a password-protected computer and accessible only by the researchers. After analysis is complete, the data will be moved to DataStore.
Any identifying information, such as contact information for future studies, will be kept separately from study data on the Principal Investigator’s password-protected computer.
Contact information will be stored separately from your responses to ensure anonymity, in a password-protected worksheet on a password-protected computer, accessible only by the researchers.
Five years after publication data will be permanently deleted.

Right to Withdraw: 
Participation in this survey is voluntary.
You can decide not to participate at any time by closing your browser, or choose not to answer any questions you do not feel comfortable with. Survey responses will remain anonymous. Since the survey is anonymous, once it is submitted it cannot be removed.
Whether you choose to participate or not will have no effect on your position (e.g., employment, academic status, access to services) or how you will be treated.


Follow up:
To obtain a summary of the results from the study, please contact the researchers using the information at the top of page 1.
It is expected that the results summary will be available by September 2022.

Questions or Concerns:
Contact the researcher(s) using the information at the top of page 1.
This research project has been approved on ethical grounds by the University of Saskatchewan Behavioural Research Ethics Board.  Any questions regarding your rights as a participant may be addressed to that committee through the Research Ethics Office: ethics.office@usask.ca; 306-966-2975; out of town participants may call toll free 1-888-966-2975.

Question Title

1. By completing and submitting this questionnaire, your free and informed consent is implied and indicates that you understand the above conditions of participation in this study. (Required.)

T