Thank you for your interest in this study!

The consent form below will explain the survey in more detail. If you consent to participate, you will be connected to the survey.
Informed Consent

TITLE OF STUDY
A Mixed-Methods Examination of Discloser and Partner Experiences with Facilitated Disclosure

PRINCIPAL INVESTIGATOR (researcher)
Anne E. Cannon, MA
California Southern University, School of Behavioral Sciences
2200 E. Germann Rd., Suite 120
Chandler, AZ 85286
310-909-6481 (researcher’s phone)
Anne.cannon@my.calsouthern.edu (researcher’s email)

You are eligible to participate in this study if you:
- are 18 years of age or older
- have experienced a sexual history disclosure as either the discloser or the partner,
when at least one third party was present (therapist, coach, clergy, family member friend, etc.)
- are comfortable reading and writing in English
- have NOT previously been an individual, couples or small group client of the
researcher (Anne Cannon)

PURPOSE OF STUDY: You are being asked to take part in a research study. Before you decide to participate in this study, it is important that you understand why the research is being done and what it will involve. Please read the following information carefully. Please ask the researcher if there is anything that is not clear or if you need more information.

The purpose of this study is to learn about how disclosers and partners experienced disclosure when a third party was present and to understand how disclosure affected them and their relationship.

STUDY PROCEDURES: Participation involves you completing a confidential online survey which should take approximately 15 minutes. Survey questions will mostly focus on how your disclosure was conducted and your thoughts and feelings about your disclosure experience. You will NOT be asked questions about specific sexual behavior history that may have been shared during your disclosure. General demographic information will also be requested.
RISKS: We do not anticipate any significant risks associated with completing this survey. For some individuals, answering questions about past sensitive experiences may bring to mind emotional responses or psychological discomfort. During the online survey you may take a break at any time, decline to answer any or all questions and you may terminate your involvement at any time if you choose.

If you do experience discomfort or have a negative emotional response, the following numbers can connect you with some support:
- 1-800-273-TALK (8255) National Hotline for Mental Health Crisis and Suicide Prevention
- text or call 988 (United States), chat is also available online

BENEFITS: It is not expected that you will directly benefit from taking this survey. It is expected that others in society will benefit from the knowledge you provide as it will increase awareness about disclosure, help inform individuals and practitioners who are considering disclosure, and may lead to improvements in treatment.
CONFIDENTIALITY: Your responses to this survey will be anonymous. Please do not write any identifying information on your survey OR for the purposes of this research study, your comments will not be anonymous. Participant data will be kept confidential except in cases where the researcher is legally obligated to report specific incidents. These incidents include, but may not be limited to, incidents of abuse or suicide risk.

Every effort will be made by the researcher to preserve your confidentiality including the following:
· Code names/numbers will be assigned for each participant and will be used on all research
notes and documents.
· End to end data encryption will be used during data collection and data transmission.
· Survey responses will be secured in password protected digital files on the researcher’s
password protected personal computer and/or backed up on the researcher’s encrypted
external hard drives and will be destroyed after six years.
· Research findings will be reported and/or published using only anonymized aggregate data
(data that is anonymous, grouped together, and summarized in the form of totals, averages,
themes, percentages, etc.). No personally identifiable data will be included.

CONTACT INFORMATION: If you have questions at any time about this study, or you experience adverse effects as the result of participating in this study, you may contact the researcher at the number or email provided above. If you have questions regarding your rights as a research participant, or if problems arise which you do not feel you can discuss with the researcher, please contact Dr. Adam Fullerton, chair of the Institutional Review Board, at irb@calsouthern.edu

VOLUNTARY PARTICIPATION: Your participation in this study is voluntary. It is up to you to decide whether or not to take part in this study. If you decide to take part in this study, you will be asked to sign a consent form. After you sign the consent form, you are still free to withdraw at any time and without giving a reason. Withdrawing from this study will not affect the relationship you have, if any, with the researcher. If you withdraw from the study before data collection is completed, your data will be destroyed.

Question Title

* 1. CONSENT
I have read and I understand the provided information and have had the opportunity to ask questions. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving a reason and without cost. I understand that I can take a screen shot of this consent form and/or contact the researcher to receive a copy.

 
 2% of survey complete.
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