The following study is to test the varying relationship between taste preferences and the use of lithium treatment. It is to be conducted under full supervision by head supervisor, Ms. Koot and will take place at the Veterans Administration Hospital. The approximate duration of this study while be for 5 days for no more than 15 minutes per person. Individuals who chose to participate will sample diluted solutions of the following taste enhancers; sucrose (sweet), salt, citric acid (sour), and quinine sulfate (bitter). Be aware that researches will be also instructed to collect information such as, age, smoking history, and duration of lithium administration. Participants in this study shall be awarded with 10 dollars for each successful 10-15 minute session.
Participation is fully voluntary and all personal information shall remain confidential, including personal records. A research number will be assigned as reinforcement to anonymity amongst participants and all data recorded is to be locked and under full supervision in a filing cabinet during regular office hours. The researchers, however, shall be responsible for breaking certain aspects of the contract within certain circumstance. First, Participants revealing or exhibiting the use of child or elder abuse shall be reported to the authorities. Researches are also responsible for reporting any signs of self-harm or potential harm that may affect the lives of others.
Participants in this study will help enrich the understanding of how lithium alters taste. Please do note that there is very little risk for partaking in this study, but if concerned, it is important to also note that all participants have the right to withdraw at any time. No collected information shall be used against an individual who ceases to participate. The individual will not be disciplined or harmed in any way and shall receive the awards they are entitled to.
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By signing this letter I have agreed to act as a participant in the study. All information and procedures about the study have been explained. I understand the possible risks and benefits that may result from this experience and that I may contact the head supervisor, Ms. Koot, if I have any further questions. I have also been informed that I am permitted to withdraw from the study at any given time and will be fully compensated for any research related injuries.
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Participant Signature Name (print) Date
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Researcher’s Signature Name (print) Date
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