Use this document as a template for designing an informed consent form for your research project

700 WordsApr 23, 20193 Pages
Use this document as a template for designing an informed consent form for your research project for ENC1102 Title: Treatment of Post-Traumatic Stress Disorder (PTSD). Researcher: Tim Witvoet You are invited to participate in a research study. The following information is being provided to help you make an informed decision on whether to participate. If you have any questions, do not hesitate to ask. Purpose: The purpose of this study is to determine the proper treatment for people diagnosed with PTSD. And the alternatives that could be assessed for treatment. Participants: The participants in this study are at random selection. Procedures: This study will be in the form of 25 questions. Participants will not be required to…show more content…
Up to 20% of these people go on to develop PTSD. As of today, that’s 31.3 million people who did or are struggling with PTSD. An estimated 8% of Americans – that’s 24.4 million people – have PTSD at any given time. An estimated 1 out of 10 women develops PTSD; women are about twice as likely as men. Among people who are victims of a severe traumatic experience 60 – 80% will develop PTSD. 1. Are you a Male Female 2. Are you White Black or African-American Hispanic American Indian or Alaskan Native Asian Native Hawaiian or other Pacific Islander 3. What’s is your age range? 18-20 21-29 30-40 41-50 Over 50 4. What is your highest level of education? Some High School High School Graduate Some College College Graduate 5. Are you a veteran or currently serving in the armed forces? Yes No 6. Have you been diagnosed with PTSD? No Yes 7. Do you know anyone who has been diagnosed with PTSD? Yes No N/A 8. What is your relation to them? Self Friend Family Member 9. Who is currently treating you? Psychiatrist Psychologist Medical Practitioner Other (please specify)______________________________________ N/A 10. How did you get PTSD? Military service Police or Fire department Hospital worker Accident Abused Assaulted Illness or injury Natural disaster Family related N/A 11. How long have you had PTSD? Less than a year 1-2 years 3-4 years 5-6 years More than 6 years N/A 12. Do you have trouble falling asleep? No Yes N/A 13. How many hours a night do

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