Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

QUESTIONNAIRE ON YOUNG IMMIGRANTS’ BELIEFS ABOUT EXCLUSIVE TAP WATER CONSUMPTION (EDI)

Hi,

We are inviting you to complete an online questionnaire that lasts approximately 15 to 20 minutes. The questions will be about your beliefs on tap water consumption and include sociodemographic information. The data collected will be used to better understand factors that can influence tap water consumption among young immigrants and will eventually be used to develop interventions to encourage tap water intake among this population. This study is funded by VITAM – Centre de recherche en santé durable [Research center in sustainable health].

By participating in this research, you will be able to contribute to the advancement of knowledge on this topic. No other disadvantages than the time it takes to complete the questionnaire was identified. To thank you for your participation, you will be emailed a $20 electronic gift card for a sports store (Decathlon) at the latest one month after you completed the questionnaire. You are free to participate or not in this study.

Information and Consent Form

Title of the Research Project

Water, diversity and immigration: Study on young immigrants’ (14-17 years) beliefs on tap water consumption

Principal Investigator:

Dominique Beaulieu, RN, PhD (community health), Professor in the Department of Health Sciences (DHS), Université du Québec à Rimouski (UQAR) - Campus de Lévis.

Co-investigators:

  • Lydi-Anne Vézina-Im, PhD (nutrition), Adjunct Professor in the DHS, UQAR - Campus de Lévis
  • Simone Lemieux, RD, PhD (nutrition), Professor in the School of Nutrition, Université Laval

Collaborators:

  • Jalila Mafhoum, RN, MS, Collectif Vital
  • Marie-Claude Paquette, RD, PhD, Institut national de santé publique du Québec
  • Adam El Kotel, Immigrant student partner

Anonymity Measures:

The following measures will be applied to ensure that the information you provide remains anonymous:

  • Data will be collected confidentially.
  • At the end of the questionnaire, you will be asked to give your contact information in another form to send you the electronic $20 gift card for a sports store (Decathlon). Your contact information will not be associated with your responses to this questionnaire. Also, they will be deleted no later than three months after the end of the study.
  • Your name will not appear on any documents.
  • Your answers will never be shared with others.
  • All electronic documents of this study will be kept on the password-protected computer of the principal investigator for seven years and be destroyed afterwards.
  • The results will be published in a scientific journal and presented at scientific meetings, but it will not be possible to identify any participant.

 

Participant Consent

If you decide to participate in this study, this means that you freely agree to participate according to the conditions mentioned in this document. You also free to withdraw at any time without prejudice and without to justify your decision.

If you have any questions about this project, you can contact the main investigator: Dominique Beaulieu, by telephone 418-833-8800 extension 3349 or by email: Dominique_Beaulieu@uqar.ca

For any ethical questions regarding your participation in this research project, you can contact the Research Ethics Committee of Université du Québec à Rimouski by email: cer@uqar.ca

********************

If you want to keep a copy of this information form, click on this link.

 
Close