REQUEST TO PARTICIPATE IN A RESARCH STUDY
Dear Colleague,
I am conducting a research study to complete my Educational Specialist degree, Ed.S., at Georgia Southern University in Statesboro, GA. Below please find the information that you will need about this study. Although your participation is not mandatory, I do respectfully request that you consider being part of this study. If you choose not to be part of this study, no response is necessary. If you have any questions please address them to me at steve@stevegjones.com or you may call my office 10am-6pm Tuesday-Thursday at (912) 897-9799.
If you choose to be part of this study please go to the following site and fill out the survey:
http://www.surveymonkey.com/s.aspx?sm=e3neq1i8Mdj7M70dA44DIg_3d_3d
Purpose of this study: Suggestibility tests are a convenient way to determine the degree to which a client will enter a hypnotic state. The HGSHSA (Harvard Group Scale of Hypnotic Suggestibility, Form A) has been used for over 30 years to determine the level of hypnotic suggestibility of individuals. This test will be easily administered to an individual or a group. This investigator's study will determine the degree to which this test is currently used by practicing hypnotherapists. It will also determine the benefits and challenges faced by hypnotherapists when using this test. The investigator will use a ten-question survey to determine the degree to which hypnotherapists use suggestibility tests when dealing with clients. With results of this survey information, the investigator will be able to evaluate the usefulness of the HGSHSA.
Benefits:
The benefits to society as a result of this study include giving hypnotherapists a greater insight as to the usefulness of suggestibility scales. With this knowledge they will be better equipped to help people in the future.
Duration/Time required from the participant: under one hour.
Statement of Confidentiality: Steve G. Jones and Dr. Charles A. Reavis will have access to the information obtained in this study. Data will be maintained in a secure location for three years and then destroyed.
Right to Ask Questions: Participants have the right to ask questions and have those questions answered. If the participant has questions about this study, please contact the researcher named above or the researcher's faculty advisor, whose contact information is located at the end of the informed consent. For questions concerning your rights as a research participant, contact Georgia Southern University Office of Research Services and Sponsored Programs at 912-478-0843.
Compensation: There is no stipend, credit or other incentive for participation in the study.
Voluntary Participation: People receiving this form do not have to participate in this research; they may end their participation at any time by telling Steve G. Jones, not returning the instrument or other options. Additionally, they do not have to answer any questions that they do not want to answer.
Penalty: There is no penalty for deciding not to participate in the study; participants may decide at any time that they do not want to participate further and may withdraw without penalty or retribution.
Participants must be 18 years of age or older to consent to participate in this research study. If an individual consents to participate in this research study and to the terms above, they should sign their name and indicate the date below.
Title of Project: Application of Suggestibility Tests among Hypnotherapists
Principal Investigator: Steve G. Jones, 107 Picket Row Savannah, GA 31410, (912) 897-9799, steve@stevegjones.com
Faculty Advisor: Dr. Charles A. Reavis, 1045 Golf Club Road Statesboro, GA 30458, (912) 478-5307, carevis@georgiasouthern.edu
Completion and return of the survey implies that you agree to participate and your data may be used in this research.
Sincerely,
Steve G. Jones, M.Ed.
Clinical Hypnotherapist