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Assessing the Moderating Role of Grit in the Relationship Between Glass Child Syndrome Severity and Academic Performance in High School Students with a Chronically Ill or Disabled Sibling.

You are being asked to participate in a research project that will investigate if Grit can moderate the relationship between High Glass Child Severity and low academic performance. This research project is being conducted by Isabella Diaz, a junior at Sacred Heart Academy (Hempstead, NY). This study, which is all you are agreeing to at this point, should take approximately 15-20 minutes to complete. This study poses minimal risk to participants. However, if you experience discomfort in answering any of the questions, you are free to withdraw from the study at any time. Choosing to discontinue the study will not adversely affect your relationship with the researchers or with Sacred Heart Academy in any way. Your participation in this study will be a valuable contribution to the understanding of how Grit can moderate the relationship between High Glass Child severity and low academic performance. All information you provide will be kept in the strictest confidence, and your identity will not be connected to your results in any way. If you have any questions, comments, or concerns, please contact Stephen J. Sullivan, Ph.D. (516-581-6593; sully49@gmail.com) or Isabella Diaz (isabelladiaz328@gmail.com). If you would like to talk to someone not directly connected with this study, feel free to contact Dr. Beth Feinman, Sacred Heart Academy ScienceDept. Chair (516-483-7383; bfeinman@sacredheartacademyli.org); or Mrs. Kim Hearney, the Chairperson of the Sacred Heart Academy Counseling Department (khearney@sacredheartacademyhempstead.org). 

Please read the following important definitions before you begin:

Developmental Disability: Any of various conditions that usually become apparent during infancy or childhood and are marked by delayed development or functional limitations especially in learning, language, communication, cognition, behavior, socialization, or mobility. (CDC)

Physical Disability: A limitation on a person’s physical functioning, mobility, dexterity or stamina. (USA, United Spinal Association)
 
Chronic Illness: Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. (CDC)

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Please Note: In order to participate in this study, you must meet all of the requirements below. If you do not meet all of these requirements, please discontinue participation. CHECK ALL BOXES *
Required

Parent/Guardian Consent: BY CHECKING “I CONSENT” BELOW, YOU ARE INDICATING THAT YOU ARE 18 YEARS OF AGE OR OLDER, YOU ARE THE LEGAL GUARDIAN OF THE  INDIVIDUAL LISTED BELOW, YOU HAVE READ AND UNDERSTOOD THE INFORMATION PROVIDED ABOVE, AND YOU AGREE TO ALLOW YOUR CHILD TO PARTICIPATE IN THE STUDY.


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Participant Assent: BY CHECKING “I ASSENT” BELOW, YOU ARE INDICATING THAT YOU FIT ALL OF THE REQUIREMENTS FOR THIS STUDY, YOU HAVE READ AND UNDERSTOOD THE INFORMATION PROVIDED ABOVE, AND YOU AGREE TO PARTICIPATE IN THE STUDY. 



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ID Number: Please answer if you are a Sacred Heart student. Your data will be removed from the spreadsheet if you or your parents change your mind about involvement in this research. Please give your ID number so that we can find your deidentified information.
Phone Number: Please answer if you are not a Sacred Heart Academy student.  Your data will be removed from the spreadsheet if you or your parents change your mind about involvement in this research.  Please provide the last five digits of your cell phone number so that we can find your deidentified information at a later time if necessary.   
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