Study Title: Engagement to Inform Adaptive Trial: How do People With Chronic Low Back Pain Weigh Risks and Benefits—Discrete Choice Experiments Measure Patient’s Outcome
This is a research study to learn patient’s preferences for the risks and benefits of functional and behavioral outcomes of chronic low back pain treatment. The study researcher Leslie Wilson, Ph.D. from the UCSF Departments of Medicine and Pharmacy will explain this study to you.
Research studies include only people who choose to take part. Please take your time to make your decision about participating, and discuss your decision with your family or friends if you wish. If you have any questions, you may ask the researchers.
You are being asked to take part in this study because you currently have chronic low back pain.
Why is this study being done?
How many people will take part in this study?
What will happen if I take part in this research study?
How long will I be in the study?
Can I stop being in the study?
What side effects or risks can I expect from being in the study?
Are there benefits to taking part in the study?
What other choices do I have if I do not take part in this study?
How will my information be used?
Will information about me be kept private?
Are there any costs to me for taking part in this study?
Will I be paid for taking part in this study?
What are my rights if I take part in this study?
Who can answer my questions about the study?
CONSENT
You have been given a copy of this consent form to keep.
PARTICIPATION IN RESEARCH IS VOLUNTARY. You have the right to decline to be in this study or to withdraw from it at any point without penalty or loss of benefits to which you are otherwise entitled.
Please provide participant’s ADDRESS to receive $20 compensation for completing our survey.
Address: ________________________________
Please include any additional CONTACT information if you are willing to be contacted again.
Email: ___________________________________
Phone: __________________________________