Parent & Patient Information Statement
KEY INFORMATION
• We are screening eligibility for a project to test a new mobile phone app for tracking outcomes in Anorexia Nervosa treatment.
• Your and your child's participation in this research screening is completely voluntary.
• Your and your child's participation will take approximately 10-15 minutes.
• You and your child will be asked to complete a brief eligibility survey. More detailed information on the procedures can be found below.
• There is no more risk in this screen than experienced in everyday life or as part of routine psychological testing.
• There are no immediate benefits to participating in the screen. More detailed information on the benefits can be found below.
• Your alternative to participating in this research study is not to participate.
INTRODUCTION
The Department of Psychology at the University of Kansas supports the practice of protection for human subjects participating in research. For adults who are 18 and older, the following information is provided for you to decide whether you wish to participate in the present study. For parents of children under 18, this information is provided for you to decide whether you wish for your child to participate in the present study. You should be aware that even if you or your child agree to participate, you or your child are free to withdraw at any time without penalty. Your decision to participate or withdraw from this study will not affect your or your child's current or future treatment.
We are conducting this screen to determine whether you and your child are eligible to participate in a research study to test a new mobile phone app that was created to help track and improve patient outcomes during treatment of anorexia nervosa. If your child is deemed eligible, you and your child will be invited to complete a follow-up survey and interview with our research staff to enroll in the study. Enrolling and participating in the study is entirely voluntary; you and your child may choose to not enroll and participate following this screen. This screen will entail completion of a brief online survey to determine if your child qualifies for this research study. Participation in the screening is expected to take approximately 10-15 minutes to complete. The content of the survey should cause no more discomfort than you or your child would experience in your everyday life or as part of routine psychological testing procedures. You and your child are free to skip any items that make you or your child uncomfortable.
Although participation in the screen may not benefit you or your child directly, your child may be eligible to participate in study procedures following the screen. If your child participates in the study, your child may benefit from improved treatment outcomes because of the mobile-phone app. Your and your child's participation is solicited, although strictly voluntary. Your and your child's name will not be associated in any way with the research findings. Your identifiable information will not be shared unless (a) it is required by law or university policy, or (b) you give written permission.
It is possible, however, with internet communications, that through intent or accident someone other than the intended recipient may see your response.
You and your child will not be paid for taking the eligibility screening survey.
In addition to the research team, this study's research records may be reviewed by the National Institute of Health (NIH), the Food and Drug Administration (FDA), the Office for Human Research Protections, CMH Office of Research Integrity at Children's Mercy - Kansas City, and by departments at the University of Kansas and Children's Mercy - Kansas City responsible for regulatory and research oversight. Information obtained from this study will be kept a minimum of seven years for publication purposes, as researchers are required to keep information this long for verification purposes. You (or your child) will not be identified by name in any publication of the research results.
If you would like additional information concerning this study before or after it is completed, please feel free to contact us by phone or mail.
Please select whether or not you would like to participate in this screening survey, and select whether or not you would like your child to participate. Clicking 'yes' indicates your willingness to take part in this screening survey, to allow your child to participate in this screening survey, and that you are at least 18 years old. If you have any additional questions about your rights as a research participant, you may call (785) 864-7429 or write the Human Research Protection Program (HRPP), University of Kansas, 2385 Irving Hill Road, Lawrence, Kansas 66045-7563, email irb@ku.edu.
Sincerely,
Dr. Kelsie T. Forbush, Ph.D.
Principal Investigator
Department of Psychology
Wakarusa Research Facility
Room 124
University of Kansas
Lawrence, KS 66049
(785) 864-6525
kforbush@ku.edu