The Fanconi Anemia Research Fund is assisting Heather Zierhut, MS, CGC from the University of Minnesota, USA in a research project that involves a survey for parents of children and adults with Fanconi Anaemia. Please note that the survey needs to be completed by October 31st.
“Dear parents of children with FA,
You are invited to participate in an international study for ALL parents of children or adults with Fanconi anemia. This 15 minute survey will ask questions about your feelings, decision-making, and experiences with preimplantation genetic diagnosis (PGD). Although the focus of the research is PGD, we hope to hear from everyone not just families that have used the procedure. Please read the consent form below. If you agree to participate, please click on the link to complete the survey. Survey will close on October 31st, 2011.
http://www.surveymonkey.com/s/FAgeneticsstudy
Thank you for taking time to help us learn and better care for families with FA.
Heather Zierhut, MS, CGC and Dianne Bartels, PhD, MS, RN
Consent Form
Reproductive and Genetic Technologies: Experiences and Perceptions of Parents of
Children with Fanconi Anemia (FA)
You are invited to be in a research study of parents’ decision-making and experiences with preimplantation genetic diagnosis (PGD). You were selected as a possible participant because you are a member of a Fanconi anemia support group. We ask that you read this form and ask any questions you may have before agreeing to be in the study.
This study is being conducted by:
Heather Zierhut, MS, CGC and Dianne Bartels, PhD, MS, RN from the University of Minnesota
Background Information
The purpose of this study is to better understand the decision-making, obstacles, benefits, and feelings regarding the use of preimplantation genetic diagnosis of parents of children and adults with Fanconi anemia.
Procedures:
If you agree to be in this study, we would ask you click on the link and complete an on-line survey.
Risks and Benefits of being in the Study
The study has several risks: First, some questions may be personal in nature; Second, some of the questions may be sensitive in nature and could create emotional responses. The benefits to participation will not directly benefit you. The study as a whole may provide insight to help future parents undergoing PGD as well as educate the healthcare and bioethical community.
Compensation:
There is no compensation for participation in this study.
Confidentiality:
The records of this study will be kept private. In any sort of report we might publish, we will not include any information that will make it possible to identify a subject. Research records will be stored securely and only researchers will have access to the records. Study data will be encrypted according to current University policy for protection of confidentiality.
Voluntary Nature of the Study:
Participation in this study is voluntary. Your decision whether or not to participate will not affect your current or future relations with the University of Minnesota. If you decide to participate, you are free to not answer any question or withdraw at any time without affecting those relationships.
Contacts and Questions:
The researchers conducting this study are: Heather Zierhut, MS, CGC and Dianne Bartels, PhD, MS, RN. You may ask any questions you have now. If you have questions later, you are encouraged to contact them at University of Minnesota, (612)-626-6743, zier0034 at umn dot edu
If you have any questions or concerns regarding this study and would like to talk to someone other than the researcher(s), you are encouraged to contact the Research Subjects’ Advocate Line, D528 Mayo, 420 Delaware St. Southeast, Minneapolis, Minnesota 55455; (612) 625-1650.
Statement of Consent:
I have read the above information. I have asked questions and have received answers. Completing the on-line survey will imply your consent. If you consent to the study, please click on the link to begin the survey.
Heather Zierhut, M.S., C.G.C.
Certified Genetic Counselor
University of Minnesota Bone Marrow Transplantation Program
MMC 484, 420 Delaware St. SE
Minneapolis, MN 55455
Phone: (612)-626-6743
Fax: (612)-626-2815″