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Informed Consent

* PURPOSE OF THE STUDY
The primary purpose of this study is to assess the relationship between sleep quantity, sleep quality and traditional measures of academic success among randomly selected college students at a mid-size state university in East-central Illinois.

* PROCEDURES
The Pittsburgh Sleep Quality Index (PSQI), developed by Buysse, Reynolds III, Monk, Berman, and Kupfer (1989), will be used to measure sleep quality. To measure sleep quantity, selected items from the Pittsburgh Sleep Diary will be strategically selected and administered to participants. These items will aim to assess participants’ sleep-wake schedules for their typical weekly schedule during the last month of Fall 2010 semester. In order to measure academic performance, students will be asked to report their semester Grade Point Average and to answer a few brief questions inquiring about impediments to academic performance as a result of sleep (absenteeism from class, tardiness, dropped courses or lower grade than expected on project or exam). In addition, students will be asked for some basic demographic information used for the purpose of answering the research questions. All of the above mentioned items will be compiled into one document administered through electronic survey software.

* POTENTIAL RISKS AND DISCOMFORTS
There are no foreseeable risks to participants. There are no safety risks associated with this study. The most important thing is ensuring the confidentiality of all of the participants. This will be done by the use of the consent form, and answering any questions a participant may have. The findings of the present study could assist student affairs professionals in development and implementation of a sleep hygiene education program for students in an effort to improve their overall health and academic performance.

* CONFIDENTIALITY
Any information that is obtained in connection with this study and that can be identified with you will remain confidential and will be disclosed only with your permission or as required by law. Confidentiality will be maintained by not asking, or having the participants write their name on any documents, including surveys. During the course of the study the data will be store on an online survey creation website that requires a username and password to retrieve the data. The only person that will have access to this username and password will be the principal investigator and the EIU Assessment office Graduate Assistant. The online survey creator will be able to receive multiple surveys from the same IP address, ensuring there is no way to find out who took the survey. For the participants that fill out a paper copy of the survey, the principal investigator will hand out and individually collect each survey. Once the principal investigator inputs the data, the surveys will be shredded.


* PARTICIPATION AND WITHDRAWAL
Participation in this research study is voluntary and not a requirement or a condition for being the recipient of benefits or services from Eastern Illinois University or any other organization sponsoring the research project. If you volunteer to participate in this study, you may withdraw at any time without consequences of any kind or loss of benefits or services to which you are otherwise entitled. There is no penalty if you withdraw from the study and you will not lose any benefits to which you are otherwise entitled. If you have any questions or concerns about this research, please contact:

Jennifer Hedges, Principal Investigator
[email protected]
Or
Dr. Charles Eberly, Thesis advisor
[email protected] or 217-581-7235

* RIGHTS OF RESEARCH SUBJECTS
If you have any questions or concerns about the treatment of human participants in this study, you may call or write:

Institutional Review Board
Eastern Illinois University
600 Lincoln Ave.
Charleston, IL 61920
Telephone: (217) 581-8576
E-mail: [email protected]



The following questions relate to your usual sleep habits during the past month only. Your answers should indicate the most accurate reply for the majority of days and nights in the past month. Please answer all questions.

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