HLP Data Request

Obtaining the Healthy Living Project (HLP) Data

Prospective users must read and agree to the data use agreement by sending an e-mail contract to Scott Comulada at scomulad@ucla.edu.  Required information to include in the e-mail contract is given below.  Once approved, we will mail you a CD with the data on it.  Please allow 14 business days for us to respond to your request. 

Data Use Agreement

Information obtained from a study participant during the conduct of research is confidential and is collected with the intent that it be used only for statistical reporting or research purposes. Therefore, it is necessary to insure, to the fullest extent possible, that any use of such data be limited to research by legitimate investigators, and in accordance with applicable national and international laws and this Data Use Agreement (DUA). Use of such data for any other reason, particularly those resulting in the disclosure of personal information, will be prosecuted to the fullest extent of the law.

Before research data ("Data") can be released to you, you must agree to the following provisions. For the purposes of this DUA, the term "Data" includes information collected or any derivatives thereof, including copies, summaries, subsets, and compilations of the Data. By requesting and receiving Data from the UCLA Center for Community Health, hereafter referred to as "UCLA", the Recipient of the Data ("Recipient" or "You") agrees to the following:

1. You certify that the statements made in the Data Request Form (submitted separately) are complete and accurate

2. You agree not to release data obtained under this agreement to any other person. All access to data must be approved via this application process. All data recipients must complete a Data Use Agreement and Data Request Form.

3. You agree not to use the Data for purposes other than those described in your request and research plan and as approved by your Institution's IRB.

4. You will establish and maintain the appropriate administrative, technical, and physical safeguards (e.g., use of locked storage facilities, and passwords with a minimum of six characters, including alpha-numeric characters as well as symbols, etc.) to protect the confidentiality of the data and to prevent unauthorized use or access to the Data.

5. If you leave your current employer (institution), you will notify UCLA within 30 days regarding the disposition of all copies of the data and will adhere to UCLA's instructions and all applicable IRB guidelines. You may not take any copies (or partial copies) of the data when you leave

6. You will not attempt to link, nor permit others to link, the Data with individually identified records (e.g., name, detailed demographic information that may identify tile individual) in any other database.

7. Neither you nor anyone else having access to these data will attempt to learn the identity of any of the study participants. In the event that you discover or are able to deduce the identity of a specific participant, you agree not to reveal the information nor attempt to contact the individual(s).

8. You agree not to release any findings or information derived from the Data if such findings contain any combination of data elements that might allow for identification or the deduction of a study participant's identity.

9. You agree to subject any findings or manuscripts proposed for public release (e.g., abstracts, presentations, publications) for review by NIMH and the Steering Committee of this trial, and your institution prior to release to ensure that data confidentiality is maintained, that individual study participants cannot be identified, and to confirm the analysis of the data. You agree to abide by any decisions made by NIMH or the Steering Committee of this trial in regards to changes necessary to assure confidentiality, and will not submit such documents for publication until receiving approval to do so. You agree that approval may be withheld for any reason deemed in violation of this agreement, such as, data presentation that may result in the identification of participants.

10. You will report immediately to UCLA any use or disclosure of the Data other than as permitted by this DUA, and will take all reasonable steps to mitigate the effects of such improper use or disclosure, cooperating with all reasonable requests by UCLA towards that end.

11. You agree that in the event NIMH or the Steering Committee of this trial determines or has a reasonable belief that you have violated any terms of this agreement, termination of this DUA will occur and you will be required to return the Data and all derivative files. UCLA may also seek legal action against you or your Institution to prevent any disclosure of Data by you to any individual or institution not approved to receive the Data. You understand that as a result of this determination or reasonable belief that a violation of this agreement has occurred, UCLA may also refuse to release further data to you. In addition, UCLA will report any misuse or improper disclosure of Data to the Office of Human Research Protections (OHRP) and any applicable Institutional Review Boards (IRBs), as well as to other authorized entities as required by applicable law.

12. You agree to destroy all copies of Data at or before the expiration date of this DUA or, where directed by UCLA, to retum such Data to UCLA per its instructions. You will certify such destruction or return by signing and returning to UCLA a Certificate of Data Return or Destruction form, provided by UCLA.

13. You agree that either party may terminate this agreement upon thirty days written notice. Upon any termination or the expiration of this DUA, Recipient will return or destroy, at UCLA's instruction, all copies of Data, derivatives, or portions thereof in its possession.

14. This Agreement shall be construed in accordance with the laws of the State of California, and in a manner that supports compliance by UCLA and Recipient with all applicable requirements of HIPAA (Health Insurance Portability and Accountability Act), the Privacy Rule, and the Privacy Act of 1974.

15. The Terms and Conditions of this DUA are for the sole benefit of UCLA and the Recipient and do not create any third pasty beneficiary rights.

16. Any publication, presentation and repost prepared using this data must acknowledge the Trial as follows:

Cooperative agreements between the National Institute of Mental Health and the University of California, Los Angeles (U10MH057615); HIV Center/Research Foundation for Mental Hygiene/New York State Psychiatric Institute (U10MH057636); Medical College of Wisconsin (U10MH057631); and University of California, San Francisco (U10MH057616).

The following items are required prior to approval of this Data Use Agreement and release of the Data. Please indicate if the following items are attached:

-A Data Request Form that describes the data request and the research plan.
-A copy of the current IRB approval from your Institution for this activity.

E-mail contract

"HLP data contract

I agree to the terms of the data use agreement. Data provided under this agreement shall be held by me, the investigator, research staff, and the institution in strictest confidence and will not be shared with other investigators."

The following information must be provided:

Name of investigator:
Investigator's institution:
Department:
Street Address:
City/State/ ZIP code:
Telephone:
FAX (optional):
E-mail:

Title of proposed research project using HLP data:

Description of how the HLP data will be used.

Please include your name at the bottom of the e-mail as an electronic signature signifying your agreement with the terms of the data use agreement.