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    What You Need to Know to Participate

    This document provides information to help you decide whether to join this research study. It is important you understand the responsibilities, risks and benefits of participating.

    Summary Information to Help you Decide Whether to Join this Study

    Study Title Repeating – Email Test
    Study Author Reviewer User
    Principal Investigator Matthew Amsden, CEO Efforia. Dr. Viral Patel Sub-Investigator for Adverse Events
    Sponsor This study is made possible by your payment to join.
    Cost of Products, Services & Information to Participant $0
    Included Products & Services
    Outcome Measures Sense of Agency Scale
    Contact help@efforia.com

    Introduction & Summary

    Welcome to the "Repeating – Email Test" research study hosted on the Efforia platform! Efforia is a registered Delaware B Corporation, which means we consider the public good alongside traditional financial goals. This study is made possible by your participation and support. This document is here to help you understand the key reasons to join or not join this study. The purpose of the study is to explore the effects of specific tasks on the Sense of Agency, which refers to the feeling of control over actions and their outcomes. Your participation is entirely voluntary, and you're free to leave at any time without any penalties. You'll still have access to the products and services you've purchased, and if you prefer not to continue using them, partial or full refunds may be possible. Just reach out to Efforia by email. Before deciding, make sure to ask any questions you have by contacting Efforia, doing your own research, and speaking with any health professionals familiar with your circumstances.

    Purpose of the Study

    This study aims to evaluate the impact of daily tasks on participants’ Sense of Agency, which is an individual's perception of having control over their actions and the outcomes of those actions. The Sense of Agency Scale will be used to measure these effects. Through your participation, we hope to contribute valuable insights to the scientific community and potentially improve personal health decisions.

    What You Will Do as Part of this Study

    While participating in this research study, you will need to: - Be willing and able to follow the study directions and procedures - Tell Efforia about any side effects or problems by communicating with help@efforia.com or online chat. - Ask questions as you think of them, via help@efforia.com or online chat. - Inform Efforia if you change your mind about staying in the study. You may leave the study at any time by communicating with help@efforia.com or chat. Once you've completed enrollment and entered your personal details and communication preferences, you will participate in a daily task titled "Repeating — Task Daily." This involves a series of activities designed to assess specific outcomes. Consistent daily performance of these tasks is crucial for reliable data collection and analysis. You will need to follow a set protocol for each session, including specific treatment activities and measurement procedures, and record your observations as directed.

    The Risks, Discomforts & Benefits of Being in this Study

    There are some unique risks, discomforts, and potential benefits of being in this study that you should understand.

    Consider your Own Risk-Benefit Comfort Level

    It is important to weigh the risks and benefits of participation. This study places more responsibility on you to make the right choice than in a traditionally sponsored trial. Since this is an experimental exercise, there may be possible unknown side effects that the authors are unaware of. Participants have the responsibility to consult with their healthcare providers and conduct further research at sources they find reputable before enrolling in the study.

    Personal and Overall Findings

    Efforia will provide you with both personal outcomes and overall findings. These findings will be available at various data collection points or as they are discovered. The results may impact your interest and willingness to continue in the study. Remember, participation is voluntary, and you may exit at any time by emailing help@efforia.com.

    Possible Benefits of Participation

    No Benefit: A key risk to all studies is that there is no benefit, and that participants receive no benefit from the proposed intervention or treatment, despite the financial payment the participant has made.. There is a possibility that there will be no measurable benefit to you, other than seeing reports that the intervention or treatment had no measurable impact.

    Possible Serious Adverse Events & Side Effects

    In the Case of an Adverse Event

    If you experience any adverse reactions or medical emergencies while participating in the "Repeating — Task Daily" regimen, it is imperative to seek immediate medical attention by calling 911, especially if the symptoms are severe. After addressing any acute medical concerns, please inform Efforia about the incident. This will help us monitor the safety and effectiveness of our interventions and provide necessary support.

    Introduction and Summary of Known Risks

    The "Repeating — Task Daily" regimen, despite its seemingly benign nature, could potentially lead to a range of side effects and adverse reactions. These reactions can vary from mild to severe, depending on individual health status, pre-existing conditions, and other factors.

    The following is a summary of known risks. However, research is limited, and there may be risks not covered by this document, risks that are currently unknown or unforeseen. Please consider these risks carefully, do your own research, and talk to a professional who knows you well and has expertise in this area, like your personal physician.

    Serious Adverse Events (SAEs)

    Potential Serious Adverse Events associated with the "Repeating — Task Daily" regimen may include, but are not limited to:

    Theoretical side effects Relative incidence Recovery
    Frustration and irritation Medium likelihood Subsides with use
    Cognitive impairment, intoxication, or loss of control Low likelihood Corrects after discontinuation
    Mental Health Discomfort Low to medium likelihood Subsides with use

    Risks

    Risks associated with the treatment may include, but are not limited to:

    • Gastrointestinal Symptoms: The repetitive nature of the task may induce stress, potentially leading to mild gastrointestinal issues such as nausea or discomfort. These are usually anecdotal and subside as the participant adapts to the regimen.
    • Mental Health Discomfort: Prolonged engagement in monotonous tasks might exacerbate or contribute to stress, anxiety, or depressive symptoms, particularly in susceptible individuals.
    • Cognitive Impairment: There is a theoretical risk of decreased cognitive function due to the repetitive nature of the task, which might lead to reduced mental flexibility or creativity.

    Efforia's limitations in providing direct medical support

    Efforia is not equipped to provide direct medical support or emergency services. Participants are advised to contact their healthcare provider or local emergency services in the event of serious health issues.

    Long-term Dependence Issues

    No long-term dependence has been definitively linked with the "Repeating — Task Daily" regimen. However, psychological dependence on routine or fear of missing daily tasks could potentially develop, especially in individuals with a predisposition for obsessive-compulsive behaviors.

    Legality for Use

    The "Repeating — Task Daily" regimen does not involve any prohibited substances or methods under current regulations by the World Anti-Doping Association, National Collegiate Athletic Association, or general corporate workplace standards. However, participants should consider the mental health implications and personal performance impacts that could indirectly affect their compliance with institutional or professional standards.

    Inappropriate Participants Inclusion/Exclusion

    Under the Efforia minimal risk protocol, within which this study is reviewed for safety and human subjects ethics, all individuals over the age of consent are eligible, however, it is the responsibility of participants to determine if their unique circumstances make participation inappropriate.

    Based on the risks informed consent, intervention, and outcome measures, here is a table identifying the kinds of people who should avoid being part of this trial:

    Category of Individual Contraindications Reason
    Pregnant or breastfeeding women Potential unknown effects on fetus/infant The intervention may pose risks to fetal or infant health and development.
    Individuals with severe allergies Potential for allergic reactions The intervention may contain allergens or trigger severe allergic responses.
    Immunocompromised individuals Increased risk of infection or complications The intervention may affect immune responses or pose a risk of infections.
    People with chronic illnesses Potential interference with current treatment The intervention could interact negatively with existing medications or treatments.
    Individuals with mental health disorders Potential exacerbation of symptoms The intervention may have psychological side effects or worsen mental health conditions.

    Privacy & Security Risks

    We are doing everything we can to keep your data private and confidential. However, there is no such thing as no risk. Potential participants should review the Efforia general privacy policy, available here: https://efforia.com/privacy-policy/ There may be certain limits to your privacy rights: - We may reach out to local help if we believe you may be a harm to yourself or others. - Regulators, like the FDA or similar agencies, or Institutional Review Boards may review records that have your identifying information.

    What to do if you have a study related injury

    If necessary, seek local medical care first. Efforia cannot provide emergency medical care or diagnosis. It is important to contact Efforia if you experience any problems, side effects, or a study-related injury after receiving necessary treatment. We want to make sure others are aware of potential risks.

    Study related injury care and compensation

    Efforia is not able to offer financial compensation nor to absorb the costs of medical treatment should you be injured as a result of participating in this research. Efforia makes no commitment to provide free medical care or payment for any unfavorable outcomes resulting from participation in this research.

    In the case of medical emergency

    In the case of medical emergency please dial 911 immediately. Do not attempt to contact Efforia until after the emergency has passed. Access local in person medical assistance immediately. If at any time you feel like you may be a danger to yourself or others, please dial 988 for the National Suicide Prevention hotline. Help is available.

    Alternatives to Participating in the Study

    Since this study is for research only, the only other choice would be not to be in the study. If this study does not seem quite right, or too expensive for your specific purposes, Efforia is dedicated to making other studies available. You may click on the Efforia logo at the top of the page to find a different study that may be more appropriate.

    Your Rights as a Participant:

    Efforia upholds the same high ethical standards in research as seen in pharmaceutical and academic studies, despite only hosting and not sponsoring or conducting these studies. Your participation in this study is completely voluntary, and you are free to withdraw at any time without any adverse consequences. You are not giving up any rights by signing this document. Efforia may remove you from the study if you have violated Efforia's overall terms and conditions, privacy policy, or have a conflict of interest. Efforia may also remove you from the study in the interest of safety based on individual or community findings.

    Privacy and Confidentiality:

    You have a right to privacy and confidentiality in this research effort. Your personal information is protected through robust measures ensuring anonymity or confidentiality. All data processing is designed to safeguard personal data against unauthorized access and misuse.

    Right to Your Own Results:

    Participants have the right to a complete explanation of the research once their involvement concludes, particularly if the study involves any form of deception like placebos or controls.

    The Right to Leave a Study without Penalty at Any time:

    If you decide to withdraw from the study, you can do so at any time by visiting your Profile page, selecting "Your Protocols," and clicking "Leave." Upon leaving, you will be refunded for any consumable products that have not yet been shipped. For non-consumable products, a full refund will be issued upon their return in accordance with our return policy. This ensures that you can participate in the study with the assurance that your financial contributions are handled fairly and with respect for your consumer rights.

    Conflict of Interest Statement

    As part of our commitment to ethical conduct and transparency in our citizen science clinical trial, it is essential to disclose the unique structure of our study. This clinical trial is hosted by Efforia, but it is uniquely sponsored by you, the participants. Efforia serves solely as the platform provider and does not sponsor or influence the study outcomes. Efforia takes a transaction fee on all the products and services included in this protocol. Otherwise, we have no financial interest or conflicts of interest. To further reduce conflicts of interest, we will remind you once if you do not complete enrollment in this study. We will not remarket to you, nor otherwise push you to join the study.

    How we Reduce Conflicts of Interest:

    Participants have a role in reducing conflicts of interest as well. It is crucial that you do not have any financial relationship with the intervention methods or measurement providers used in the trial, nor should you be employees, investors, stakeholders, or protocol authors associated with these entities. Participation under such conflicts of interest could significantly compromise the study's integrity and the validity of its results.

    Consequences of Conflict of Interest Non-Compliance:

    Should you fail to disclose such a conflict of interest or if a breach of this policy is discovered, you will be subject to immediate suspension from this platform and payments may not be refunded.

    By joining this trial, you affirm that you understand the above conflict of interest restrictions and agree to comply fully with them. Your participation is valued, and your adherence to these guidelines ensures the validity and reliability of our collective scientific efforts.

    Data Protections:

    Your data will be collected, used, and protected in accordance with data protection laws. You own your own data, which will be housed on Efforia indefinitely until you tell us to delete it by emailing help@efforia.com.

    What you can do to improve your privacy and security:

    As part of participating in this study, you will receive notifications via e-mail, SMS, or push notification when new study tasks like questionnaires and reminders are ready for you. You can adjust your communication preferences in the Efforia application at any time. If you do not want to receive notifications from this study, do not press the Accept button. You can decide not to join this study and will not receive notifications. To ensure others don’t see these alerts, you should make sure your phone or desktop computer and your e-mail accounts are protected by a password, pin, or other form of “access control.” You should also avoid sharing your accounts with others or sharing your account passwords. As this study is hosted in Efforia, it is governed by a set of privacy and confidentiality standards that put you, as a participant, in control. You can learn more about Your Privacy and Security rights on Efforia here: https://efforia.com/privacy-policy.

    Who will have access to your data?

    Efforia will have access to your data. There may be partners who also have access to your data (like labs and connected health devices).

    What will we do with your data?

    We will use the data to show you your own personal results and pool your results with other participants to provide general outcomes. We will not use your information connected with your name or anything that connects the data with you without your permission.

    Authorization to Use and Disclose Protected Health Information

    If you decide to take part in this study, the study doctor and study staff may use and share protected health information (PHI) about you to conduct the study. Protected health information may come from your medical or research records. Protected health information may include the following: - Name - Location - Dates - Phone Numbers - Email Addresses - Internet protocol (IP) address numbers The study staff may share protected health information about you with the following authorized users to ensure the quality of the study conduct and study data: - Efforia - The Office of Human Research Protections (OHRP); - Univo Institutional Review Board; and - University of Portsmouth Ethics Review Board - Other regulatory agencies Once your protected health information has been shared with authorized users, it may no longer be protected by federal privacy laws and could possibly be used or disclosed in ways other than what is listed in this section. Your permission to use and share protected health information about you will end after you have completed the study and any after study related activities unless you revoke your permission sooner. You can revoke your permission to use and share protected health information about you at any time by contacting the study doctor listed on the first page of this document. If you revoke your permission, you will not be able to stay in this study. No new protected health information will be collected after your request has been received. The protected health information about you that has already been collected may still be used and given to others as described in this section. If you decide not to sign and date this document, you will not be able to take part in the study. However, you may continue to use and consume anything you've purchased to be part of the study outside the study.

    California Experiential Research Subject’s Bill of Rights:

    Participants are encouraged to review the California Experiential Research Subject Bill of Rights. For more information on privacy, please refer to Efforia's privacy policy.

    Who to Contact for Questions or Concerns

    If you have questions, concerns, or complaints about this study or to report a study related injury, contact: HELP@EFFORIA.COM OR CLICK THE CHAT BUTTON ON YOUR SCREEN We will immediately respond with an automated message giving you a sense of how long a more meaningful response will take based on the volume of other requests. (646) 679-2479. If no one is available, please leave a message. We will typically respond to telephone messages in three to five business days. If you are unable to reach anyone at the number(s) listed above and you require immediate (life-threatening) medical attention, please dial 911 in the US/Canada or 999 in the UK and/or go to the nearest emergency room. If you do not want to talk to the investigator or study staff, if you have concerns or complaints about the research, or to ask questions about your rights as a study subject you may contact Univo IRB. Univo IRB is an independent committee that helps to protect the rights and welfare of research participants. If you have any questions about your rights and welfare as a research participant, or have concerns or complaints regarding this research study, please contact Univo IRB (919) 910-7743 or via email at info@univo-group.com.
 Univo IRB
 4509 Creedmoor Road Suite 403
 Raleigh, NC 27612


    Additional questions and closing

    Efforia and Univo have approved the information in this consent form and has given approval to publish this study. This does not mean Efforia or BRANY have approved your being in the study. You must consider the information in this consent form for yourself and decide if you want to be in this study. If you have questions, please contact help@efforia.com. It is up to you to do additional research and talk to your physician before joining a study.

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    By signing this document with an electronic signature, I agreee that such signature will be as valid as handwritten signatures to the extent allowed by local law.
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