My name is Ashton Burnham, and I am an Honors Thesis student at Towson University. I am conducting a study to see how chronic illness in
childhood effects wellbeing and success in adulthood. Specifically, I am
looking to see how those who had a chronic illness in childhood (diagnosed before
the age of 16) and those who did not have a chronic illness in childhood,
differ in their development in adulthood with regards to their well-being,
success, and their ability to form close relationships. This study is designed
to look at all 3 of these characteristics in adults (those over the age of 18).
In this study you will be asked to complete a questionnaire
on your childhood experiences with chronic illness, success, well-being, and
ability to form close relationships. This study should take no more than 25 to 30 minutes to complete. Your participation in this study is dependent upon you being over the age of 18, any participant who is not over the age of 18 will have their participation terminated from the study.
There are no physical risks or discomforts associate with
this procedure. If you feel distress as a result of responding to the question
for this study, then you are encouraged to contact one of the places listed on
the counseling resource list provide with your questionnaire packet.
One direct benefit to you will be the counseling resource
guide provided at the end of the study. No other direct benefits will be
provided to you. It is hoped that results of this study will reveal the
importance that the experience of chronic illness in childhood has on a person’s
well being and success in their adult life, a much neglected area of study.
Your participation in
this study is entirely voluntary. You do not have to participate in this study.
If you choose to participate, you may discontinue your participation at any
time during the study. If you are a student, non-participation will not affect class standing.
All information about your responses will remain
Your name will never be linked to your responses. If
you have any questions, you may ask them at any time during the study. If you
should have questions you can call me, Ashton Burnham at (443)
547-5484, Dr. Kim Shifren at (410) 704-6239, or call Dr. Elizabeth Katz,
chairperson of the institutional review board for the protection of Human
Participants at Towson University at (410) 704-2236. You may also contact me, Ashton Burnham, through email at email@example.com.