1. Informed Consent

Investigator: Grace Carlson, M.A., doctoral student in clinical psychology

Study Title: The Effects of Parent Stress and Childhood ADHD Severity on Parental Treatment Choice

I am a student at The Chicago School of Professional Psychology. This study is being conducted as a part of my dissertation requirement for Doctorate of Psychology in Clinical Psychology.

I am asking you to participate in a research study. Please take your time to read the information below and feel free to ask any questions before consenting to this document. 

Purpose: This study will examine internal parenting factors and their relationship to their child’s ADHD treatment choice. By studying this topic, I hope to further educate parents and providers about the influences on ADHD treatment choice.

Procedures: After agreeing to an electronic consent form, you will complete an online survey that consists of five separate questionnaires. The survey will take approximately 15-20 minutes to complete.

Risks to Participation: There is emotional risk associated with participation in this study. Questions from the survey might trigger emotions concerning your parenting practices, beliefs, or stress associated with parenting a child with ADHD. Once you have completed the survey, you will be provided with a link to mindfulness meditation practices and local support groups for parents of children with ADHD in all states.

Benefits to Participants: You will not directly benefit from this study. However, I hope the information learned from this study may benefit society in our understanding of how parents make treatment choice decisions.

Alternatives to Participation: Participation in this study is voluntary. You may withdraw from study participation at any time without any penalty.

Confidentiality: During this study, information will be collected about you and your child for the purpose of this research. This includes age, sex, race, mental health status, martial status, and education, which will remain anonymous. Email addresses will be collected if you wish to be included in a gift card raffle and will be kept separate from survey responses.

Your research records may be reviewed by federal agencies whose responsibility is to protect human subjects participating in research, including the Office of Human Research Protections (OHRP) and by representatives from The Chicago School of Professional Psychology Institutional Review Board, a committee that oversees research.

Questions/Concerns: If you have questions related to the procedures described in this document please contact:

Grace Carlson at vgc0183@ego.thechicagoschool.edu or
Dr. Tiffany Keller at tkeller@thechicagoschool.edu.

If you have questions concerning your rights in this research study you may contact the Institutional Review Board (IRB), which is concerned with the protection of subjects in research project. You may reach the IRB office Monday-Friday by calling 312.467.2343 or writing: Institutional Review Board, The Chicago School of Professional Psychology, 325 N. Wells, Chicago, Illinois, 60654.

Question Title

1. Consent to Participate in Research


I have read the above information and have received satisfactory answers to my questions. I understand the research project and the procedures involved have been explained to me. I agree to participate in this study. My participation is voluntary and I do not have to consent to this form if I do not want to be part of this research project.