Draft Jan 30, 2012

Sample wording to be included in the informed consent form or information sheet provided at time consent is sought where a draw is held to compensate research participants.

[k1]

Compensation or Incentive

To thank you for your contribution to the research project, you will be given the option to enter your name in a draw to win ______[k2]valued [k3] at ______.

The draw is open to all research participants who enter their name in the draw, regardless of whether they decide to withdraw from further participating in the research project.

On______[k4], a name will be randomly selected amongst those who have entered and the person whose name is drawn will be informed by[k5]______. To win the prize, the person must correctly answera skill testing question. If the person cannot be reached [k6]within 14 days from the date of the draw, the prize will be awarded to the second name that is randomly selectedand so on until the prize has been awarded. The odds of winning a prize are ______[k7].The prize must be accepted as awarded or forfeited and cannot be redeemed for cash.[CS8]

Yourname[k9], ______that you provide when you enter the draw is collected for the purposes of contacting you if your name is selected in the draw. Your name and the contact informationyou have provided will be kept confidential and then destroyed once the prizes have been awarded.{Note: this can be inserted into the paragraph on confidentiality}

We reserve the right to cancel the draw or cancel the awarding of the prize if the integrity of the draw or the research or the confidentiality of participants is compromised {can be removed if does not apply to the project}. The draw is governed by the applicable laws of Canada.

[k1]If participants are compensated through a draw, provide the details of the draw in the informed consent statement/information letter: for example, who is eligible, the odds of winning, the method for determining the winner(s), the prize(s) to be won, when and how the winner(s) will be notified.

You can do a draw if the participants are under 18 if they have the ability to understand and agree to participate in the research.

[k2]Insert the description of the prize or prizes

[k3]The prize value should not be significant enough to unduly influence participation in the study. You can delete the first part of the sentence if there is only one prize so the sentence would read as follows: The total value of the prize is ____ (Canadian dollars)

[k4] Insert date of the draw and if the date is not yet known, you could insert: “ Upon completion of the study, …” or similar wording to state when the name will be selected

[k5]Indicate for example. by phone, email, mail, fax}

[k6]You can set another rule that suits the circumstances where the winner can’t be reached but must provide information on the procedure

[k7]If you cannot calculate the odds of winning, you could insert alternative wording such as

The odds of winning a prize will depend on the number of eligible entries received.

[CS8]Can be removed if the prize is cash.

[k9]Insert the personal information that is collected – email address, phone number