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PRINCIPALINVESTIGATOR:AlanaClaxton,SarabethHarrill,CassandraStamper,BrittanySteinhardt

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

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SubjectInitials_____

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