Steps To Complete

Consent
Time To Complete: 2 Minutes

Pain Information
Time To Complete: 2 Minute

Instructions
Time To Complete: 1 Minute

Record A Video
Time To Complete: 3-5 Minutes

Questionnaires
Time To Complete: 10 Minutes

Please read through this consent form and respond to the questions below it. Your consent needs to be given before moving on to the task.

Title of Research Study: PainStory: Narratives of Chronic Pain Patients

Investigators: Pavel Goldstein, PhD and Tor Wager, PhD

Why am I being invited to take part in a research study?

We are inviting you to take part in this study because you are age 18+, have a chronic pain condition and are interested in participating.

What should I know about a research study?

  • Whether or not you take part is up to you.
  • You can choose not to take part.
  • You can agree to take part and later change your mind.
  • Your decision will not be held against you.
  • You can ask all the questions you want before you decide

Why is this research being done?

The present research aims to help us gain a better understanding of the subjective experiences of chronic pain patients by analyzing their pain-related narratives.

What happens if I say yes, I want to be in this research study?

You will be asked to:

Specify your pain condition, to rate you pain level, pain interferences (e.g. “How much did pain interfere with your day to day activities?”) and to speak about your pain experience while our web system records your narrative . As an optional part of the study you will be asked to complete additional questionnaires about childhood experience, sleep quality, perception of the pain condition, emotional states regulations and awareness in relation to your pain condition (e.g. “I felt upset”) and about your mental health (e.g. “I felt depressed”). All self-report questions will appear in multiple-choice format where you should just choose a description that fits you by a single click. You will report your pain using a slider and video recording of your pain negative will be performed using a user-friendly plugin.

How long will the research last?

We expect the main part of the study to take approximately 15 minutes, and the last (optional) part should take around 30 minutes.

How many people will be studied?

We expect about 4000 people to be in this research study.

What happens if I do not want to be in this research study?

You can leave the research at any time and it will not be held against you.

What happens if I say yes, but I change my mind later?

You can leave the research at any time it will not be held against you. Data collected to the point of withdrawal may still be used for analysis and scientific study. However, if you don’t want to share with us your pain narrative after recording it, you may start over the recording, replacing your initial recording with an empty one. Your data are always kept de-identified and confidential.

Is there any way being in this study could be bad for me?

There will be no potential harm to you.

Will being in this study help me in any way?

Benefits of participation include any satisfaction you may feel from contributing to scientific research, also sharing your pain narrative might have a therapeutic effect.

What happens to the information collected for the research?

Efforts will be made to limit the use and disclosure of your personal information to people who have a need to review this information. We cannot promise complete secrecy. Organizations that may inspect and copy your information include the IRB and other representatives of this organization.

We may retain your data after the study for future research. It will be stored on an encrypted server on the CU-Boulder network, and will be de-identified so that it contains no information indicating your name or personal information.

Who can I talk to?

If you have questions, concerns, or complaints, or think the research has hurt you, talk to the research team at the Cognitive and Affective Neuroscience Laboratory at the University of Colorado at Boulder’s Department of Psychology, 345 UCB, Boulder, CO 80309-0345. The lab can be reached at 303-492-4299.

You can also contact the Principal Investigator, Tor Wager, PhD at [email protected] This research has been reviewed and approved by an Institutional Review Board (“IRB”). You may talk to them at (303) 735-3702 or [email protected] if:

  • Your questions, concerns, or complaints are not being answered by the research team.
  • You cannot reach the research team.
  • You want to talk to someone besides the research team.
  • You have questions about your rights as a research subject.
  • You want to get information or provide input about this research.

Video Release Consent Form

Your video will not be posted on any public website and cannot be downloaded by any computer user on or off campus. Also, your name and any other personally identifying information will not be associated with your video recording at any time.

Please indicate below your permissions for the Cognitive and Affective Neuroscience Laboratory at the University of Colorado at Boulder (CANLab) to use your video recording:

Do you consent to participate in this research study?