Monday, February 13, 2012

Do you have a Teenager with ADHD? Would you (or your teenager) agree to complete a survey reflecting on those years for my new book?

(You will see an informed consent form below as well as a parent survey.)

 Hi Everyone:

I was wondering if I could ask you for some help. I am writing a proposal for a new book on teenagers with ADHD. If any of the parents of teenagers with ADHD out there (if your child is college age, you can still reflect) would not mind, I would so appreciate if you (parents) would complete the survey below for me, which asks you to reflect on your teenager with ADHD's teenage years. If your teenager would agree to complete a survey themselves, please email me and I will email one to them immediately.

PLEASE, HOWEVER,  PRINT OUT this INFORMED CONSENT FIRST, SIGN IT, or have your TEENAGER SIGN IT if they are completing a survey, and EMAIL BOTH THE INFORMED CONSENT AND THE SURVEY to my email address, which is estamrapoport@gmail.com. You will be helping some of the over 5,000,000 students with ADHD. Thank you!!!

If you need a separate email with the informed consent and/or the survey attached, please let me know. Thanks so much again.

Dr. Rapoport
Dr. Esta M. Rapoport



Research on Teenagers with ADHD



Informed Consent Form





1.      The study that you will participate in will involve research.



2.      The purpose of the research is to determine how teenagers have been affected by having attention-deficit/hyperactivity disorder (ADHD) in terms of their academic achievement, social interaction, making and keeping friends, self-esteem and self-confidence.



3.      You will answer questions in the format of a written survey. The answers to the questions in the survey will be collated, organized, and analyzed so that they serve as supportive documents for the topics in my book.



4.      There will be no foreseeable risks or discomforts to you.



5.      The benefit that you may reasonably expect from the research is a better understanding of the difficulties that teenagers with ADHD experience as a result of the symptoms of their ADHD.



6.      No real names will be used in the reporting of the answers to questions from the survey that Dr. Esta M. Rapoport distributes, whether online or by hard-copy. Any quotes that are used by Dr. Rapoport will include faux names.    

7.      You will be able to contact me, Esta M. Rapoport, at estamrapoport@gmail.com to ask any pertinent questions about the research as well as your rights.

8.      Your participation is purely voluntary, and any refusal to participate or discontinue  participation at any time will not involve any penalty or loss of any benefits to which you were otherwise entitled.



I have read and understood the information on this Informed Consent Form. I have agreed to participate in the research, and have received a copy of the Informed Consent Form.                                            

                                                 ____________________________________________

Dr. Esta M. Rapoport
Questionnaire for Parents

  1. When and in what circumstance did you tell your child that he/she had ADHD?
  2. How did you describe ADHD to your child?
  3. How were you certain that your child understood what having ADHD meant?
  4. How did your child feel about having ADHD?
  5. What symptoms did your child exhibit as a young child?
  6. What symptoms did your child exhibit as a teenager?
  7. What symptoms did you exhibit as a child that diminished when you became a teenager?
  8. What added symptoms did you exhibit as a teenager that you did not exhibit as a young child?
  9. How did the symptoms of ADHD affect your teenager’s school work and grades?
  10. How did you feel about the fact that your child had ADHD?
  11. How did you respond to your child about the fact that he/she had ADHD?
  12. How sympathetic were you to your child at the time you told him that he had ADHD?
  13. How supportive were you to your child with ADHD when he experienced difficulties as a teenager?
  14. How has ADHD been difficult for your child as a teenager?
  15. How has having ADHD affected your teenager‘s self-esteem and/or self-confidence?
  16. How did having ADHD affect your teenager’s social life, specifically making and keeping friends?
  17. As a teenager, what did your child tell his friends about having ADHD?
  18. As a teenager, what did your child tell his extended family about having ADHD?
  19. If your teenager told his friends about having ADHD, what was their reaction?
  20. Was your child bullied (teased) as a teenager?
  21. What do you think was the cause of being bullied? (teased)
  22. How was being bullied (teased) related to your teenager having ADHD?
  23. What kind of techniques or methods did you teach your child that would stop him from being bullied?(teased)

         



        

     






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