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Consent Form Rumen

This consent form outlines participation in a study on a smartphone selfie recording app for fatigue measurement, requiring participants to install apps, partake in interviews, and share log files. Participants must meet eligibility criteria and agree to data usage for scientific publication while ensuring anonymity. The form also details future use of pseudonymized data for research at the University of Twente and participants' rights regarding data removal.
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0% found this document useful (0 votes)
15 views2 pages

Consent Form Rumen

This consent form outlines participation in a study on a smartphone selfie recording app for fatigue measurement, requiring participants to install apps, partake in interviews, and share log files. Participants must meet eligibility criteria and agree to data usage for scientific publication while ensuring anonymity. The form also details future use of pseudonymized data for research at the University of Twente and participants' rights regarding data removal.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Consent Form

Research Topic:
A Cross-Over Study on Perceived Obtrusiveness of a Smartphone Selfie Recording App for
Fatigue Measurement: Comparing Frequency and Duration Parameters to User Preference

Please read the following, sign and return the form digitally or physically:

Taking part in the study


· I have read and understood the Participant Information Brochure.

· I have been able to ask questions about the study and my questions have been
answered to my satisfaction.

· I consent voluntarily to be a participant in this study and understand that I can refuse to
answer questions, and I can withdraw from the study at any time, without having to give a
reason.

· I understand that taking part in the study involves installing two app versions on my
Android smartphone for a total of 8 days, participating in two interviews, and sharing log files
(not videos) with the researchers.

· I confirm that I meet the eligibility requirements (age 18+, Android smartphone user,
daily phone usage, English communication ability).

· I agree to keep the video recordings on my device for 3 months after the study ends and
understand I can delete them after this period.

Use of the information in the study


· I understand that only log data will be shared with researchers, while the actual video
recordings will remain on my device.

· I understand that the information I provide will be used for a possible scientific
publication. Scientific publications will be supported by a pseudonymized dataset to protect
my anonymity.

· I agree that data collected through interviews and app logs can be used for a possible
scientific publication.

· I understand that my personal information (name, age, gender) will not be shared
beyond the study team. Data will be reported using group averages/totals of all participants.
Future use and reuse of the information by others
· I understand that the pseudonymized dataset can be used for future research and
learning by University of Twente researchers, which may be similar or different to this study.

· I understand that the anonymized dataset may be stored on University of Twente


servers or a recognized repository.

· I understand that I have the right to request the removal of my data within the 2-year
storage period by contacting the researcher.

First and Last Name:​ ​ ​ ​ Signature: Date:

Rumen Minchev ​ 22.05.2025


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