You are invited to
participate in a research project entitled Pediatric
Feeding and Swallowing Disorders in the Schools designed to analyze the
current practices of professionals working in the schools with children
ages 3-21 who may exhibit feeding and swallowing disorders, (not eating
According to the American Speech-language Hearing
Association, "Feeding and swallowing disorders (also known
as dysphagia) include difficulty with any step of the feeding process—from
accepting foods and liquids into the mouth to the entry of food into the
stomach and intestines. A feeding or swallowing
disorder includes developmentally atypical eating and drinking behaviors,
such as not accepting age-appropriate liquids or foods, being unable to use
age-appropriate feeding devices and utensils, or being unable to self-feed.
According to the National Institute of Mental
Health,"Eating disorders are actually serious and often fatal illnesses
that cause severe disturbances to a person’s eating behaviors. Obsessions with
food, body weight, and shape may also signal an eating disorder. Common eating
disorders include anorexinervosasa, buliminervosasa, and binge-eating
The study is being
conducted by Pam Holland, Associate Professor at Marshall University and
graduate students Kesley Dowler, Brianna Miluk, Jessica Treskolaski and
undergraduate student Kaitlin Hackworth from Marshall University and has been approved by the Marshall
University Institutional Review Board (IRB). This research is being
conducted as part of the class requirements for Kelsey Dowler, Brianna Miluk,
Jessica Treskolaski and Kaitlin Hackworth.
This survey is
comprised of 21 multiple choice and short answer questions which will take
approximately 10 minutes to complete. Your replies will be anonymous, so do not
type your name anywhere on the form. There are no known risks involved
with this study. Participation is
completely voluntary and there will be no penalty or loss of benefits if you
choose to not participate in this research study or to withdraw. If you choose not to participate you can
leave the survey site. You may choose to
not answer any question by simply leaving it blank. Once you complete the survey you can delete
your browsing history for added security.
Completing the on-line survey indicates your consent for use of the
answers you supply. If you have any questions about the study you may
contact Pam Holland at 304-696-2985.
If you have any
questions concerning your rights as a research participant you may contact the
Marshall University Office of Research Integrity at (304) 696-4303.
By completing this
survey you are also confirming that you are 18 years of age or older.
Please print this
page for your records.
In what state do you currently reside?