Mendorf, Sarah https://orcid.org/0000-0002-1297-6014
Teschner, Ulrike
Lehmann, Thomas
Prell, Tino
Mühlhammer, Hannah Maria
Funding for this research was provided by:
Deutsche Forschungsgemeinschaft (413668513)
Bundesministerium für Bildung und Forschung (01GY1804)
Universitätsklinikum Jena
Article History
Received: 20 June 2023
Accepted: 19 September 2023
First Online: 12 October 2023
Declarations
:
: The study was approved by the local ethics committee of the Jena University Hospital, Jena, Germany (approval number 5290–10/17). Written informed consent will be obtained from all patients. We confirm that all methods were carried out in accordance with relevant guidelines and regulations.
: CONSENT FORMFor the survey, consultation and physical examination within the framework of the study: AdhCare, therapy and course of Parkinson’s syndromeThe content, procedure, and risks of the aforementioned research project, as well as the authorization to access the collected data, have been sufficiently explained to me by (doctor’s name). I had the opportunity to ask questions and received answers to them. I had sufficient time to decide whether or not to participate in the project. I have received a copy of the patient or subject information and consent form. I have been informed that participation in this research project is voluntary and that there are no disadvantages to me if I decline, and my therapy will always be conducted according to the usual standards. I have also been informed that I can withdraw my consent at any time and without giving any reasons. The consent can be revoked at any time for the future. The lawfulness of the processing carried out based on the consent until the revocation is not affected by this. Such a revocation does not affect my further medical care. By signing this, I agree to participate in the study “AdhCare” on therapy and course of Parkinson’s syndrome.In addition:[] I agree to obtain therapy-related data from my health insurance for evaluation in the study.[] I do not agree to obtain therapy-related data from my health insurance for evaluation in the study.[] I would like to be informed about the results after the completion of the study.[] I do not want to be informed about the results after the completion of the study.(Patient’s Name) Place, Date (Patient’s Signature).I confirm that I have informed the patient about the nature, significance, scope, and possible risks of the study, and he/she consents to participate.Place, Date (Doctor’s Signature).INFORMATION AND CONSENT FORM FOR DATA PROTECTIONPersonal data and medical records are collected about you in scientific studies. The collection, disclosure, storage, and evaluation of these study-related data are carried out in accordance with legal provisions and require the following voluntary consent before participating in the study:I declare that I consent to the recording of disease data/study data within the clinical study and their pseudonymized disclosure.(Patient’s Name) Place, Date (Patient’s Signature).A sample informed consent form and accompanying patient information can be provided to the author upon request.
: The authors declare that they have no competing interests.