Clinical trial: NCT03979872
Section: Alternatives
Subsections: Alternative Procedures

You have the option not be part of this study. You can decide to stop at any time.  
FOOTER FOR IRB **USE ONLY**
Version: K0218  
| University of Utah                                                          |
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| Institutional Review Board Approved 9/4/2019 Expires 4/28/2021 IRB_00116807 |
Clinical trial: NCT03979872
Section: Confidentiality
Subsections: Authorization For Use Of Your Protected Health Information|How We Will Protect And Share Your Information:

Signing this document means you allow us, the researchers in this study, and others working with us to use some information about your health for this research study. This is the information we will use and disclose in our research records:  
| University of Utah                                                          |
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- We will do everything we can to keep your information private but we cannot guarantee this.  
Study information will be kept in a secured manner and electronic records will be password protected. Study information may be stored in your research record but not in your medical record.  
- In order to conduct this study and make sure it is conducted as described in this form, the research records may be used and reviewed by others who are working with us on this research:
o Members of the research team at University of Utah o Members of the University of Utah U of U Health Research facilities team who will process saliva samples o Members of the research team at Memorial Sloan Kettering Cancer Center o The University of Utah Institutional Review Board (IRB), which reviews research involving people to make sure the study protects your rights
- If we share your identifying information with groups outside of University of Utah Health, they may not be required to follow the same federal privacy laws that we follow. They may also share your information again with others not described in this form.  
- If you do not want us to use information about your health, you should not be part of this research. If you choose not to participate, you can still receive health care services at University of Utah Health.
What if I decide to Not Participate after I sign the Consent and Authorization Form?  
You can tell us anytime that you do not want to be in this study and do not want us to use your health information. You can also tell us in writing. If you change your mind, we will not be able to collect new information about you, and you will be withdrawn from the research study. However, we can continue to use information we have already started to use in our research, as needed to maintain the integrity of the research. This authorization does not have an expiration date.
Clinical trial: NCT03979872
Section: Possible Risks, Discomforts, and Inconveniences
Subsections: Risks

Although unlikely, it is possible that participation in this study could involve risks to you.  
Risks of Answering Study Questions: There is minimal risk from answering the study questions.  
You do not have to answer any questions that you do not want to answer. You may stop answering questions at any time. All of your answers will remain confidential and will only be seen by the study team. Risks of UVR Photo: You may be shown an image of your face taken with a UV camera. You might also be shown other skin damages caused by sun (e.g., sunburn, aging, mole excision scars).  
Some participants may be uncomfortable or concerned about indications of sun damage that may show up in the pictures. UV images will be produced, and these images may be used in forthcoming academic publications or conference presentations. Risks of Genetic Testing: If you do have a gene change that increases the chance of getting cancer, there are some risks from learning this. These include psychologic or emotional distress, loss of employment, or loss of insurance. Your family members could become upset to learn that they could be at increased risk, or that they may need increased screening or preventative surgeries. If at any point prior to, during, or after participation in this study, you want to talk about inherited risk factors that may increase you or your family members' risk of cancer and/or other diseases, we can refer you to a genetic counselor.  
Unforeseen Risks: There may be risks from taking part in this study that are not known to the researchers right now. They may find out new risks while the study is going on. If this happens, the research staff will tell you the new information, whether it may affect you, and what, if anything, to expect.
Clinical trial: NCT03979872
Section: Procedures
Subsections: Study Procedures

First you will meet with a study coordinator. You may ask as many questions as you like. If you decide to be in this research study, you will be asked to sign this form. There will be two in-person study visits and one remote study visit. At each visit you will be asked to complete a survey asking questions about things like your sun protection behaviors. These visits will last a maximum of 90 minutes. We will also ask general information about you such as age. You'll have an equal chance of being in each group.  
- If you are randomized to receive education about skin cancer risks and prevention: Study staff will review information about risk factors for skin cancer, and general advice about skin cancer prevention behaviors. You will be provided with a written summary of this counseling. If you have questions about the information you receive, you will be encouraged to contact the study team. We will follow-up with you via phone calls, text messages or emails (whichever you prefer).  
- If you are randomized to the UV photo arm of the study: Study staff will review information about risk factors for skin cancer, and general advice about skin cancer prevention behaviors. We will take your photo in ultraviolet light, and you will receive your personalized UVR photo that shows skin damage from the sun. You will be provided with a written summary of these results. If you have questions about the information you receive, you will be encouraged to contact the study team. We will follow-up with you via phone calls, text messages or emails
(whichever you prefer).  
- If you are randomized to the genetic testing arm of the study: Study staff will review information about risk factors for skin cancer, and general advice about skin cancer prevention behaviors.  
You will provide a saliva sample that will be tested for MC1R gene variants that are known to be associated with an increased risk for developing skin cancer, and will receive a summary of these genetic test results. You will be provided with a written summary of these results. If you have questions about the information you receive, you will be encouraged to contact the study team. We will follow-up with you via phone calls, text messages or emails (whichever you prefer). If you have additional concerns or questions about your genetic testing results, we will refer you to speak with a genetic counselor or to HCI's Family Cancer Assessment Clinic for further information and additional testing.  
- If you are randomized to receive both genetic testing and a UV photo: Study staff will review information about risk factors for skin cancer, and general advice about skin cancer prevention behaviors. We will take your photo in ultraviolet light, and you will receive your personalized UVR photo that shows skin damage from the sun. You will provide a saliva sample that will be tested for MC1R gene variants that are known to be associated with an increased risk for developing skin cancer, and will receive a summary of these genetic test results. You will be provided with a written summary of these results. If you have questions about the information you receive, you will be encouraged to contact the study team. We will follow-up with you via phone calls, text messages or emails (whichever you prefer). If you have additional concerns or  
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questions about your genetic testing results, we will refer you to speak with a genetic counselor or to HCI's Family Cancer Assessment Clinic for further information and additional testing.  
Regardless of what group you are in, you will return for a study visit four weeks after your first visit.  
You will receive any relevant results and information collected from your first visit. We will also ask you some questions about your sun protection behaviors and experience in the study. About one month later, will we ask you to complete another survey. This survey can be done remotely, such as online or over the phone. We may contact you once more after this final survey to ask you questions verbally about your experience participating in the study.
Clinical trial: NCT03979872
Section: Purpose of Research
Subsections: Study Background And Purpose

Although skin cancer usually affects people later in life, it is becoming increasingly common in young adults. Ultraviolet radiation (UVR) exposure from the sun is the main risk factor for development of skin cancer, so efforts to reduce UVR exposure should start early in life. College students are at high risk for engaging in unintentional and intentional tanning behaviors that increase their UVR exposure, and they use inadequate sun protection strategies when they are outdoors.  
The purpose of this study is to test several risk communication strategies to improve college students' engagement in skin cancer prevention behaviors, including sun protection behaviors  
| University of Utah                                                          |
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| Institutional Review Board Approved 9/4/2019 Expires 4/28/2021 IRB_00116807 |  
  
(sunscreen, protective clothing, shade, peak UVR hours avoidance) and avoiding tanning behaviors (indoor, outdoor, unintentional).
Clinical trial: NCT03979872
Section: Voluntary Participation
Subsections: Voluntary Participation

Participation in this research study is voluntary. You have the option to not be part of this study.  
Your decision to participate or not participate will not affect any other part of your care or studies at the University of Utah. Refusal to take part or stopping participation will not result in any penalty or loss of benefits to which you are entitled. Your decision to take part or not take part will not affect your legal rights, available remedies or the quality of health care that you will receive at this hospital.
Clinical trial: NCT03979872
Section: Withdrawal from Study
Subsections: Right Of Investigator To Withdraw

We expect to continue the study until all participants have been enrolled and all of their information has been collected. However, the study may be stopped at any time by the researchers at this institution. The researcher may also withdraw you from the study without your approval. One reason this may happen is because the researcher feels it is necessary for your health and safety. Another reason is if the entire study is stopped.