HEP 456 Module 4 Recruitment and Informed Consent Example

Course	HEP 456 Health Promotion Program Evaluation
Module	Module 4
Paper type	Human subjects protection section
Length	About 808 words, 5 pages
Format	APA 7 student paper
School	Arizona State University
Program	BS in Health Education and Health Promotion
Updated	October 2026

Free sample paper for HEP 456 Module 4

Protecting Participants in the Walk With Ease Mesa Evaluation: Recruitment, Consent Form and Consent Process

Student Name

BS in Health Education and Health Promotion, Arizona State University

HEP 456: Health Promotion Program Evaluation

Instructor Name

Month Day, Year

What this page is doingThe title tells the reader that all three graded parts of Section 7 follow in order.

Protecting Participants in the Walk With Ease Mesa Evaluation: Recruitment, Consent Form and Consent Process

7A. Recruitment of Evaluation Participants

All adults who enroll in Walk With Ease Mesa will be invited to take part in the evaluation; people can join every walk whether or not they agree to the surveys. With eight cohorts of up to 15, about 120 people will be invited. The evaluation needs at least 80 completers with pre and post surveys to estimate change in walking minutes with reasonable precision.

Invitations will be made in person at the orientation session before the first walk, by a trained data collector who is not a walk leader, so that participants do not feel their place in the group depends on agreeing. Ethics and independence are two of the five standards in the CDC's evaluation framework (Kidder et al., 2024), and separating recruitment from program staff serves both. A flyer in English and Spanish will describe the surveys. People who cannot read print well will be offered a read-aloud version, and Spanish speakers will be approached by the bilingual community health worker.

Inclusion criteria: enrolled in Walk With Ease Mesa, aged 55 or older, able to give consent. Exclusion: none beyond inability to consent; people with cognitive impairment that prevents understanding will still walk but will not be surveyed.

7B. Informed Consent Form

Title: Evaluation of Walk With Ease Mesa

Evaluator: [Student name], Health Education and Health Promotion student, Arizona State University, under the direction of the course instructor

Purpose: We are studying whether Walk With Ease Mesa helps adults with arthritis walk more and feel better. You are invited because you signed up for the program.

What you will do: Complete a 15-minute survey twice, once when the walks begin and once when they end. The survey asks about walking, pain, how confident you feel managing arthritis and some facts about you, such as age. We will also look at attendance records.

Risks: Some questions about pain or health may feel personal. You can skip any question. There is a small risk that someone could link your answers to you; we take the steps below to prevent this.

Benefits: There may be no direct benefit to you. Your answers will help the city decide whether to keep and improve the program.

Privacy: Surveys will carry a code number, not your name. The list linking names and codes will be kept in a locked file separate from the surveys and destroyed when the evaluation ends. Results will be reported only as group totals.

Voluntary participation: Taking part is your choice. You can stop at any time. Saying no or stopping will not affect your place in the walking program.

Payment: You will receive a $10 grocery gift card after each survey.

Questions: Contact the evaluator at [email]. For questions about your rights, contact the ASU Office of Research Integrity and Assurance.

By signing, you agree that you have read this form or had it read to you, had your questions answered and agree to take part.

Signature, printed name and date.

The revised Common Rule requires consent forms to begin with key information that helps a person decide and to describe purpose, procedures, risks, benefits, confidentiality and voluntary participation (45 C.F.R. § 46.116). The form is kept short and in plain words for that reason.

What this page is doingThe form follows the order of the elements required for consent under the Common Rule, written at a reading level suited to the audience.

7C. Process of Consent

Consent is a conversation, not a signature. The Belmont Report grounds it in respect for persons, which requires that people enter research voluntarily and with adequate information (National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, 1979). The process below will be used with each potential participant.

1. Setting. The data collector meets the person at a table away from the walk leaders, sits at eye level and offers large-print and Spanish versions.

2. Introduction. "I'm helping the city learn whether this walking program works. Taking part in the surveys is separate from the walks, and saying no won't change anything about your group."

3. Review. The data collector reads or summarizes each section of the form, pausing after purpose, what you will do and voluntary participation.

4. Questions. "What questions do you have?" is asked rather than "Do you have any questions?", and the collector waits.

5. Checking understanding. The collector invites the person to describe, as they understand it, the surveys involved and their right to quit.

6. Decision. The person may sign now or take the form home and decide at the next session. No one is asked twice in the same day.

7. Copy. Each participant receives a copy of the signed form with the contact information.

Data collectors will complete CITI social and behavioral research training before recruitment, and the protocol will be submitted to the ASU Institutional Review Board, which will decide whether it qualifies as exempt.

References

General requirements for informed consent, 45 C.F.R. § 46.116 (2025).

Kidder, D. P., Fierro, L. A., Luna, E., Salvaggio, H., McWhorter, A., Bowen, S.-A., Murphy-Hoefer, R., Thigpen, S., Alexander, D., Armstead, T. L., August, E., Bruce, D., Clarke, S. N., Davis, C., Downes, A., Gill, S., House, L. D., Kerzner, M., Kun, K., . . . Young, K. (2024). CDC program evaluation framework, 2024. MMWR. Recommendations and Reports, 73(6), 1-37. https://doi.org/10.15585/mmwr.rr7306a1

National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research. U.S. Department of Health, Education, and Welfare. https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/read-the-belmont-report/index.html

What the HEP 456 Module 4 instructions ask for

Module 4 in HEP 456 completes Section 7 of the Program Evaluation Plan, human subjects protection. You submit three separate parts: 7A describes how you will recruit evaluation participants, 7B is an informed consent form built on the course template, and 7C describes the consent process you would follow when talking with a potential participant. Section 7D is the CITI certificate, worth 40 points on its own. Use the template in the module for 7B, keep the language at a level your participants can read and make sure recruitment and consent are separated from receiving the program itself. Remember that recruitment for the evaluation must stay separate from enrollment in the program itself, so people can walk without being surveyed.

How the HEP 456 Module 4 example is put together

The sample's 7A section explains who will be invited, by whom, how many and why the inviter is not a walk leader, with inclusion and exclusion criteria. The 7B form follows a template order: purpose, procedures, risks, benefits, privacy, voluntary participation, payment and contacts, written in short plain sentences. The 7C section grounds consent in the Belmont Report and lists seven steps of the conversation, with sample wording, a check of understanding and the option to decide later. The consent form is written in short sentences and second person, explains privacy steps in concrete terms and states twice that saying no will not affect the walking program.

HEP 456 Module 4 rubric: what earns full marks

Section 7 is graded in parts: 16 points for recruitment, 16 for the consent form and 20 for the consent process. Readers check that recruitment avoids pressure, that the form contains every required element in plain language, that confidentiality steps are concrete and that the consent process includes time for questions and a check of understanding. Marks drop for forms full of jargon, for recruitment by people who control access to the program, for missing statements that participation is voluntary and for consent processes that end at a signature. The CITI certificate, worth 40 points, is graded on completion, so finish it early. In 7C, specific wording, a teach-back check and time to decide separate strong answers from lists of principles.

HEP 456 Module 4 help: mistakes that cost marks

Ask who could feel pressured to say yes, and put recruitment in different hands. Read your consent form aloud and replace any word your participants might not know. Include every element the template asks for. Script the opening lines of the consent conversation. Add a teach-back question. Complete CITI training early, since its certificate is due before this section. If the template's elements are unclear, the desk can explain each one. Consider literacy, vision, hearing and language for your participants and plan for each. Keep the form to one or two pages; long forms are rarely read.

Write yours, or have the desk draft it

This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.

More HEP 456 and BS in Health Education and Health Promotion sample papers

HEP 456 Module 4 questions, answered

Where can I find a free HEP 456 Module 4 sample paper?

This page holds the full Section 7: recruitment, a consent form and the consent conversation.

What are the parts of Section 7 in the HEP 456 evaluation plan?

7A recruitment, 7B the consent form, 7C the consent process and 7D the CITI certificate.

What must an informed consent form include?

Key information, purpose, procedures, risks, benefits, confidentiality, voluntary participation and contacts for questions.

Who should recruit evaluation participants?

Someone who does not control access to the program, so people do not feel pressured to agree.

How do I check that a participant understood the consent form?

Use teach-back: have them tell you, as they understand it, what taking part involves and how to withdraw.

HEP 456 Module 4 Section 7: Participant Recruitment, Consent Form and Consent Process Example