Participant Information Sheet & Consent Form

 PARTICIPANT INFORMATION SHEET

Participants name
Researcher’s name
Area of research	Human Computer Interaction - Personal health tracker app
Module code	KV5003
Module Tutor’s name	Prof. David Kirk

Purpose of study:

Collecting information for designing a personal health tracker based on feedback and the ideas of potential users.

What you will be asked:

You will be asked questions to do with your level of fitness, eating habits and if/how often you use fitness apps. Questions based around personal health tracker will be used to shape and build the foundations for our app based on what the user wants or think would be needed within a personal health tracker.

Data that will be collected:

Data that will be collected will include some personal details which include your level of fitness, eating habits, how long you exercise, how many times you exercise per week, whether you use exercise apps and what you would want from and exercise/fitness app. All of this information as previously mentioned will be used by the researchers to shape the overall design of the app and outside of the team the data does not get used. All data via the questionnaires will be stored on those questionnaires and no external device or website.

RESEARCH PARTICIPANT CONSENT FORM

Name of participant
Researcher’s name
Title of research study	Human Computer Interaction – Personal Health Tracker
Module code	KV5003
Module tutor’s name and email address	Prof. David Kirk    david.kirk@northumbria.ac.uk
Researcher’s Email	Joelyons98@hotmail.co.uk

Brief description of nature of research and involvement of participant:

User research for a personal health tracker app. The participant will be asked various questions focused around nutritional habits, exercise habits and the use of other personal health trackers.

Statement of participant^* consent (please tick as appropriate)

I confirm that:

I have been briefed about this research project and its purpose and agree to participate*                   𑂽

I have discussed any requirement for anonymity or confidentiality with the researcher                     𑂽

I understand that I have the right to withdraw from participation at any point                                    𑂽

I agree to data collected about me being processed by the researcher                                                 𑂽

^* Participants under 18 (or other ‘vulnerable populations’ cannot be involved in this research).

Information will be kept by the university for a period, and destroyed in accordance with university policy on the retention of data. No one will be able to access the information except our research group and university professionals.

Any additional concerns and requests from the participant:

Signed                                                                      Date                       

Standard statement by researcher

I have provided information about the research to the research participant and believe that he/she understands what is involved.

Researcher’s signature           ……………………………………….

Date                                         ……………………………………….