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TITLEOFPROJECT:
HowDoesSingleParentHouseholdUpbringingShapeRelational
Communication?
EASTTENNESSEESTATEUNIVERSITY
INSTITUTIONALREVIEWBOARD
ThisInformedConsentwillexplainaboutbeingaparticipantinaresearchstudy.Itisimportantthatyou
readthismaterialcarefullyandthendecideifyouwishtobeavolunteer.
PURPOSE
Thepurpose(s)
ofthisresearchstudyisexploreandbetterunderstandhowsingleparenthousehold
upbringingisassociatedwithrelationalcommunicationstyles.Youarebeingaskedtotakepartinthis
studybecauseyouarebetweentheagesof18to25andidentifyashavingbeenraisedinasingleparent
environment.
DURATION
Youwillbeaskedtoattendanapproximately45minutetoanhourfocusgroupattheCarnegieHotelat
6:30,dinnerstartingat6:00.
PROCEDURES
Duringthisfocusgroup,youwillbeaskedquestionsregardingyourupbringingandstylesof
communicating.Thesessionwillbeaudiotaped.Youarefreetoanswerornotansweranyquestionthat
isasked.
ALTERNATIVEPROCEDURES/TREATMENTS
Therearenoalternativeproceduresortreatmentsforthisstudy.
POSSIBLERISKS/DISCOMFORTS
Thepossiblerisks
associatedwiththisstudyareminimal.Giventhesubjectofthestudy,theparticipants
mayexperiencesomediscomfortinansweringsomequestions.Theparticipanthastherighttodecline
answeringanyquestionintheinterview.
POSSIBLEBENEFITS
Thepossiblebenefits
ofyourparticipationisadeeperunderstandingofhowyourupbringingrelatesto
howyouinteractwithothersonadailybasis.Attheconclusionofthestudy,resultswillbemailedto
eachparticipant.
Ver.09/24/15
Page1of2
SubjectInitials_____
PRINCIPALINVESTIGATOR:AlanaClaxton,SarabethHarrill,CassandraStamper,BrittanySteinhardt
TITLEOFPROJECT:
HowDoesSingleParentHouseholdUpbringingShapeRelational
Communication?
VOLUNTARYPARTICIPATION
Participationinthisresearchexperimentisvoluntary.
Youmayrefusetoparticipate.Youcanquitatany
time.Ifyouquitorrefusetoparticipate,thebenefitsortreatmenttowhichyouareotherwiseentitledwill
notbeaffected.YoumayquitbycallingDr.KellyDorgan,whosephonenumberis4234397564.You
willbetoldimmediatelyifanyoftheresultsofthestudyshouldreasonablybeexpectedtomakeyou
changeyourmindaboutstayinginthestudy.
CONTACTFORQUESTIONS
Ifyouhaveanyquestions,problemsorresearchrelatedproblemsatanytime,youmaycallfocusgroup
moderatorsorDr.KellyDorganat4234397564.
FocusGroupModerators
SaraBethHarrill4234537948
CassandraStamper4239468038
AlanaClaxton4234804869
BrittanySteinhardt4238360023
CONFIDENTIALITY
Everyattemptwillbemadetoseethatyourstudyresultsarekeptconfidential.Acopyoftherecordsfrom
thisstudywillbestoredinapasswordprotected,encodedelectronicdevicebelongingsolelytothe
researchersofthisgroupforatleast1yearaftertheendofthisresearch.Theresultsofthisstudymaybe
publishedand/orpresentedatmeetingswithoutnamingyouasasubject.Allpersonalidentifierswillbe
removed,sonoonewillknowyouoryourcontactinformation.Althoughyourrightsandprivacywillbe
maintained,personnelparticulartothisresearch(Dr.KellyDorgan,DepartmentofCommunication)have
accesstothestudyrecords.Yourrecordswillbekeptcompletelyconfidentialaccordingtocurrentlegal
requirements.Theywillnotberevealedunlessrequiredbylaw,orasnotedabove.
Bysigningbelow,youconfirmthatyouhavereadorhadthisdocumentreadtoyou.Youwillbegivena
signedcopyofthisinformedconsentdocument.Youhavebeengiventhechancetoaskquestionsandto
discussyourparticipationwiththeinvestigator.Youfreelyandvoluntarilychoosetobeinthisresearch
project.
Signature:
Date:
Ver.09/24/15
Page2of2
SubjectInitials_____