TITLE OF RESEARCH STUDY: Failure to Treat: A Qualitative Examination of Reasons for Treatment Nonresponse Among Clients with Minoritized Identities
Introduction and Background Information
You (referred to as you in the rest of this document) are invited to take part in a research study examining reasons for treatment nonresponse and therapy needs. The study is being conducted under the direction of Dr. Clarissa Ong at the University of Louisville.
Why is this study being done?
The purpose of this study is to learn more about why people with minoritized identities may not be benefiting from psychotherapy and identify their needs from psychotherapy and/or a therapist more broadly.
What will happen if I take part in the study?
Participation in this study will begin by answering questions in a screening survey. Responses to screening survey questions will be used to determine whether you are eligible to continue participating in the remainder of the study procedures.
If you are determined to be eligible, continued participation in the study will involve completing a virtual interview (60-90 min) and an online survey (20-30 min). In the virtual interview, a researcher will provide opportunity to discuss information in this consent document. You will also be asked questions about your experiences with therapy and your needs from therapy as well as to provide feedback on a therapy worksheet designed to help with treatment planning. In the online survey, you will be asked questions about your general and psychological functioning.
You may decline to answer any question that may make you uncomfortable, or, if applicable, which may make you prosecutable under law. Your participation in this study will last for up to 1 week (you will have 1 week to complete the survey post-interview).
What are the possible risks or discomforts from being in this research study?
Physical: Sitting for an extended period can lead to physical discomfort or fatigue.
Psychological: The duration and depth of the interview might be mentally exhausting or overwhelming for some individuals.
Social: Sharing information about their experiences with therapy may indirectly affect how you interact with their social network (e.g., talk more about it with friends).
Economic: You may need to make time for the interview, which could impact your work or personal responsibilities.
What are the benefits of taking part in the study?
You may or may not benefit personally by participating in this study. The possible benefits of this study include having a space to share your experiences with therapy. The information collected may not benefit you directly; however, the information may be helpful to others.
Will I be paid?
You will be paid by prepaid card for your time, inconvenience, or expenses while you are in this study. You will receive $60 in the form of an Amazon gift card via email after you complete the interview and survey. If you only complete the interview portion of the study, you will receive a $40 gift card.
Because you will be paid to be in this study, your name, address and social security number may be collected to issue payment. In addition, the study team will keep records of how much you are paid. If you are a student, your payment may be reported to the Financial Aid Office.
You may be sent a Form 1099 if you are paid $600 or more in one year. This will not include payments you receive as reimbursement for actual expenses based on receipts or actual miles traveled. We are required by the Internal Revenue Service to collect this information and you may need to report the payment as income on your taxes. You can still be in the study even if you do not want to be paid.
How will my information be protected?
The data collected about you will be kept private and secure by storing study data on storage media, that is approved by UofL Information Security, with access restricted to members of the study team. A key linking study IDs to identifying information will be password-protected and stored on the same UofL Information Security approved data storage media. In addition, study team members will only use password-protected devices to access study data.
Individuals from the Department of Psychological and Brain Sciences, the Institutional Review Board (IRB), the Human Subjects Protection Program Office (HSPPO), the University of Louisville, and other regulatory agencies may inspect these study records. In all other respects, however, the data will be held in confidence to the extent permitted by law. Should the data be published, your identity will not be disclosed.
Will my information be used for future research?
Your data will be stored and shared for future research without additional informed consent if identifiable private information, such as your name and medical record number, are removed. If identifying information is removed from your data, the data may be used for future research studies or given to another investigator for future research studies without additional consent from you.
Can I stop participating in the study at any time?
Taking part in this study is completely voluntary. You may choose not to take part at all. If you decide to be in this study, you may change your mind and stop taking part at any time. You will not be penalized or lose any benefits for which you qualify.
Who can I contact for questions, concerns and complaints?
If you have any questions about the research study, please contact Dr. Clarissa Ong at 617-539-6348.
If you have concerns or complaints about the research or research staff and you do not wish to give your name, you may call this toll free number: 1-877-852-1167. This is a 24 hour hot line answered by people who do not work at the University of Louisville.
If you have any questions about your rights as a research participant, you may call the Human Subjects Protection Program Office at (502) 852-5188. You may discuss any questions about your rights as a research participant, in private, with a member of the Institutional Review Board (IRB).
Acknowledgment
This document tells you what will happen during the study if you choose to take part. By answering screening survey questions, you agree to take part in this study.
You are not giving up any legal rights to which you are entitled by consenting to this study. You can save this consent form for your records.

Clarissa Ong, Ph.D. (PI)