Thank you for your interest in our study! Please read this statement of consent before deciding to complete our screening survey.

Participation in this research study is completely voluntary. Please read the information below and ask questions about anything that you do not understand before deciding if you want to participate. A researcher listed below will be available to answer your questions. 

The purpose of this research project is to screen and recruit participants for Dr. Katharine Simon's ongoing sleep and development studies. We plan to enroll 100 youth between the ages of 9 and 13 years to investigate the link between sleep, memory, and mental health. This is a fully remote study using mobile health apps, Minecraft and wearable devices to track your child's sleep/wake patterns.  

This screening study involves multiple components:

(1) Screening Questionnaires – You will be asked to fill out this survey that describes your child's development, puberty, sleep habits, mental health, and other characteristics. The data will be collected online on this website.

(2) Follow-up: After the completion of this screening survey, you will receive a follow-up email or phone call from us in the next 4-6 weeks detailing the studies that your child is eligible to participate in.

(3) Lab Database - We would like to keep your information in our database and contact you about research studies your child/adolescent is eligible for 5 years. You can “opt out” and select a different time frame to remain in our participant system. 

The screening survey takes approximately 15 minutes to complete. Your participation in this screening survey today does not require your participation in any future studies.  Your contact information will remain in our participant database for the total amount of time you have indicated.

There is a potential risk of anxiety, fatigue, or embarrassment when completing the questionnaire. There may be some risks to being in this study that we don’t know about now.  However, by participating in this study, you will learn about whether you are eligible to participate in any of the lab's ongoing research studies. Our research has helped society learn more about the relations between sleep, memory, and health.  

You do not have to participate in this study. Your participation is voluntary.
 

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IF I HAVE QUESTIONS?
If you have any comments or questions regarding the conduct of this research or your rights as a research subject, please contact the Office of Research at the University of California, Irvine by phone: 949-824-7295, by email: irb@research.uci.edu, or by mail: 141 Innovation Drive, Suite 250, Irvine, CA 92697.

Contacts: 
• Katharine Simon, PhD, University of California, Irvine
Study email: sleepinpediatrics@gmail.com


Please click the "Arrow" button below to complete the survey. Thank you!