Thank you for your considered participation. My name is Mischelle Miller-Raftery and I am a doctorial student in psychology at California Southern University. I am conducting a study on potential prenatal environmental triggers of autism. The goal of this study is to better understand the potential effects on a fetus when exposed to certain environmental triggers. This study is being conducted under the supervision of Barbara Lackey, PhD., Professor of Psychology, Southern California University.
This survey is for mothers of children who have been diagnosed with autistic spectrum disorder (Asperger’s Syndrome, autism, and pervasive developmental disorder-not otherwise specified). This survey asks general questions about your environment and lifestyle choices during pregnancy. You will be asked to fill in each question for the time period during your pregnancy with the child who was diagnosed with autism. The premise of this study is to look for trends between environmental exposures and autism. Specifically, this study explores multiple exposure combinations which might have occurred during your pregnancy. The goal of this study is to explore the possible environmental influences on autism. This study could potentially help professionals and mothers make informed decisions with regards to environmental exposures and life style choices during pregnancy in an effort to reduce the recurrence of autism.
To qualify for the study, you must meet the following criteria. • Your child must have been diagnosed with autism spectrum disorder including Asperger’s Syndrone, autism, and pervasive developmental disorder- not otherwise specified. • Your baby must have been considered full-term (born after 37 weeks). • Your child must have no other developmental diagnosis. • Controlled group – Have a child over the age of three with no known illness diagnosis.
Your participation in this study should take about 25 minutes to fill out the questionnaire. If you need more information about the study, or have a particular question, please email Mischelle Miller-Raftery at email@example.com or call (310) 994-9278. If you would prefer to complete this study non-electronically, please send me an email with your name and address and a survey will be mailed to you. We greatly appreciate your participation in this study.