Temperament & Sickness

Consent Form

 
Informed Consent to Participate in Research

You are being asked to participate in the research project described below. Your participation in this study is entirely voluntary and you may refuse to participate, or you may decide to stop your participation at any time. Should you refuse to participate in the study or should you withdraw your consent and stop participation in the study, your decision will involve no penalty or loss of benefits to which you may be otherwise entitled. You are being asked to read the information below carefully, and ask questions about anything you don’t understand before deciding whether or not to participate.

Title: Effects of Parental Treatment and Temperament on Child’s Level of Functioning During Sickness

Student Investigator(s): Lauren E. Harrison
Faculty Sponsor: Mary B. Short, PhD. & Chad Wetterneck, PhD

PURPOSE OF THE STUDY
The purpose of this research is to examine the effects temperament traits and parent treatment have on a child’s level of functioning during sickness.

PROCEDURES
The research procedures are as follows: You will be asked to complete a survey that should take approximately 35 minutes to fill out. These questions will assess various components of your child’s behavior, temperament, resilience, and functioning during and frequency of sickness.

EXPECTED DURATION
The total anticipated time commitment will be approximately 35 minutes.

RISKS OF PARTICIPATION
Possible study risks include discomfort caused by exposure to sensitive questions about their child’s behavior. This risk is expected to be very low, but will be addressed by providing potential participants with sample questions in the consent documentation before they agree to participate. There is a remote risk that online study data could be revealed by a computer hacker if the survey monkey site server were to be compromised. During actual Internet communication procedures or accessing an unprotected wireless system, there is a possible risk of breach of confidentiality or data security. This risk to participants will be minimized by gathering data anonymously.

BENEFITS TO THE SUBJECT
Some participants will be receiving research credit hours for participating in this study. Aside from this, there is no direct benefit received from your participation in this study, but your participation will help the investigators better understand a connection between sleep patterns and behaviors.
CONFIDENTIALITY OF RECORDS
Every effort will be made to maintain the confidentiality of your study records. For online participation, your confidentiality will be kept to the degree permitted by the technology being used. No guarantees can be made regarding the interception of data via the Internet or emails. The data collected from the study will be used for educational and publication purposes, however, you will not be identified by name. For federal audit purposes, the participant’s documentation for this research project will be maintained and safeguarded by Mary Short, Ph.D. for a minimum of three years after completion of the study. After that time, the participant’s documentation may be destroyed.
Your confidentiality will be kept to the degree permitted by the technology being used. No guarantees canbe made regarding the interception of data sent via the Internet by any third parties.

FINANCIAL COMPENSATION
Upon completion of the study, participants will be offered the opportunity to enter to win a $10 gift card. Aside from this, there is no financial compensation to be offered for participation in the study.

INVESTIGATOR’S RIGHT TO WITHDRAW PARTICIPANT
The investigator has the right to withdraw you from this study at any time.

CONTACT INFORMATION FOR QUESTIONS OR PROBLEMS
The investigator has offered to answer all your questions. If you have additional questions during the course of this study about the research or any related problem, you may contact the Student Researcher, Lauren Harrison, by email at lauren.e.harrison11@gmail.com. The Faculty Sponsor, Mary Short Ph.D., may be contacted at phone number 281-283-3412 or by email at shortmb@uhcl.edu. Chad Wetterneck, PhD may be contacted by email at ocdspectrum@yahoo.com.

You have agreed to waive your signature so that your response is completely anonymous. Your voluntary participation in this research project is indicated by completing and returning the survey form (attached). Such participation does not release the investigator(s), institution(s), sponsor(s) or granting agency(ies) from their professional and ethical responsibility to you.



THE UNIVERSITY OF HOUSTON-CLEAR LAKE (UHCL) COMMITTEE FOR PROTECTION OF HUMAN SUBJECTS HAS REVIEWED AND APPROVED THIS PROJECT. ANY QUESTIONS REGARDING YOUR RIGHTS AS A RESEARCH SUBJECT MAY BE ADDRESSED TO THE UHCL COMMITTEE FOR THE PROTECTION OF HUMAN SUBJECTS (281-283-3015). ALL RESEARCH PROJECTS THAT ARE CARRIED OUT BY INVESTIGATORS AT UHCL ARE GOVERNED BY REQUIREMENTS OF THE UNIVERSITY AND THE FEDERAL GOVERNMENT. (FEDERALWIDE ASSURANCE # FWA00004068)
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