Registration and Consent Form

To find out more about the study, please read the following Explanatory Statements:

Information for parent participation Information for child participation

By completing this Registration and Consent Form, you are telling us that:

  • You understand what you have read in the Explanatory Statement and consent to be contacted by the TOPS research team
  • You consent to take part in this research study
  • You have discussed the project with your teenager and that they have agreed to take part too.
  • You consent to the research team contacting your teen to obtain their agreement to participate in the research study
  • You consent to the research team contacting your teen’s mental health care provider, to inform them of your participation in this study
  • You consent to the data you provide being used in a de-identified format by the TOPS research team for reporting or publication purposes.
  • Parent Information

  • Registration Information

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  • Your Family’s Characteristics

  • Child Information

    The online parenting program is designed to be personalised for your parenting of the teenage child who is currently receiving treatment for depression or anxiety. To enable the program to tailor the program to this child, please provide the following details.

    • What treatment is your teen currently undertaking for this current episode of depression or anxiety?  (Tick as many as appropriate)
    • Medication
    • Individual face-to-face psychological therapy
    • Group face-to-face psychological therapy
    • What treatment has your teen been prescribed for this current episode of depression or anxiety? (Tick as many as appropriate)
    • Medication
    • Individual face-to-face psychological therapy
    • Group face-to-face psychological therapy
    • For the following questions, if not applicable, please choose the 'Not applicable' option.
      • Has your teen ever been diagnosed with any of the following sleep-related conditions? You may choose more than one options.
      • None, or not that I am aware of
      • Insomnia (significant difficulty falling asleep or staying asleep)
      • Hypersomnia (sleeping excessively, more than I would like to)
      • Sleep apnea (abnormal pauses in breathing during sleep)
      • Narcolepsy (excessive daytime sleepiness and possibly falling asleep at inappropriate times)
      • Sleepwalking
      • Sleep terrors (awakening from sleep with panic)
      • Bruxism (teeth grinding)
      • Periodic limb movement disorder (limbs move involuntarily during sleep)
      • Restless legs syndrome (an irresistible urge to move a part of the body, often legs, to stop uncomfortable or odd sensations)
      • Is your teen currently experiencing any of the following sleep-related conditions? You may choose more than one options.
      • None, or not that I am aware of
      • Insomnia (significant difficulty falling asleep or staying asleep)
      • Hypersomnia (sleeping excessively, more than I would like to)
      • Sleep apnea (abnormal pauses in breathing during sleep)
      • Narcolepsy (excessive daytime sleepiness and possibly falling asleep at inappropriate times)
      • Sleepwalking
      • Sleep terrors (awakening from sleep with panic)
      • Bruxism (teeth grinding)
      • Periodic limb movement disorder (limbs move involuntarily during sleep)
      • Restless legs syndrome (an irresistible urge to move a part of the body, often legs, to stop uncomfortable or odd sensations)
    • Medical Health Practitioner/Medical Professional

      Please provide details of their mental health practitioner/medical professional.

    • It is important your teen is under the care of a mental health professional in order to participate in this study. A member of the research team will be in touch to discuss this with you.

    Consent

    I consent to the following:

    • I agree to participate in this study, and I give consent for my child to be contacted by a member of the research team to discuss the study.
    • My participation will involve:
      1. A tailored feedback report and a web-based parenting program, comprising of up to 9 modules, which will be recommended for me based on my survey responses.
      2. Practical strategies to parent more confidently with tailored goals to help put these strategies into practice.
      3. Regular contact with a TOPS-coach via videoconferencing to help me apply strategies to my own situation.
    • Only one of my children (who is aged between 12-17 years) can take part.
    • I have spoken with my teenager about participating in this study and explained the level of commitment that would be expected from them, and my teenager is willing to be contacted by the research team about this study. I understand that my teenager can decide to take part or not when the researcher contacts them. I understand that I will be able to take part in this study with or without my teenager.
    • My teenager will be contacted by phone by a member of the research team from the Monash University School of Psychological Sciences. The purpose of the phone call is to discuss with my teenager the Youth Explanatory Statement to ensure they understand what participation in the research will mean for them. If my child agrees to take part, the researcher will provide my child with their own login details. My teenager’s online assessments (including the phone call) will take approximately 30-40 minutes. My teenager will be asked to complete an assessment at the beginning of the research (baseline), one month after baseline, four months after baseline, and 12 months after baseline.
    • Completion of an online assessment that will take approximately 50-65 minutes. I will be asked to complete an assessment at the beginning of the research (baseline), one month after baseline, four months after baseline, and 12 months after baseline.
    • As I complete each module, I will receive a coaching session (via video-conference). These will take between 30-40 minutes. These coaching sessions are to help me to apply the information I receive to my situation.
    • All information provided by my child and I will be kept strictly confidential within the limits of the law (i.e., unless the researchers believe that my child or I may be at risk of harm to ourselves or others), and will be accessible only by researchers involved in this study.
    • I will not be informed about any of my child’s responses to the surveys, unless my child reveals that they or someone else is likely to be hurt, or has problems with depression or anxiety that may require further support.
    • I also understand that we are free to withdraw our consent and discontinue our participation at any time without explanation. We would also be able to withdraw any unprocessed identifiable data previously supplied, prior to the final report being written. After this time, we will not be able to withdraw our data.
    • Our decision whether or not to participate will not prejudice any future relationship we may have with Monash University or the University of Melbourne.
    • The research data gathered from the results of the study may be published, provided that we cannot be identified.
    • The information I provide during this study may be used for other research purposes, in a non-identifiable form. Such future studies will be subject to approval from the relevant Ethics Committee.

    Any concerns about the scientific aspects of the study can be directed to Associate Professor Marie Yap via email, marie.yap@monash.edu

    Any complaints about the ethical aspects of the research may be directed to the Executive Officer, Monash University Human Research Ethics Committee (MUHREC), Monash University, Clayton, Vic 3800, email: muhrec@monash.edu, phone 03 9905 2058, fax 03 9347 6739.