Informed Consent to Participate in a Research Study

- November 24, 2020

Informed Consent to Participate in a Research Study

Institution:

Name of Researcher:

Name of Supervisor:

I Lubna, student of MS Clinical Psychology in Forman Christian College (A charted university) is researching on a topic about cyberbullying. Through your participation researcher will be able to explore experiences of cyberbullying in university students. This study will help researcher to recommend some ethical steps to initiate by university policymaker. For this your role of participation will help in contribution towards betterment of society.

In this form I will ask few questions related to participant in a given demographic sheet. After that three questionnaires will be given to be filled. The researcher will be able to incorporate actual results with the help of participant’s honesty. Participants have chance to withdraw at any stage but they are most welcome to complete this form. The anonymity and confidentiality will be kept and the information will be only viewed by researcher and the supervisor for academic purpose.

After filling the form if you find any need to seek psychological assistance following are the details mentioned. Please feel free to contact on this email id.

Name of Researcher: Ms. Lubna, Email id: javediqbal786.blogspot.com

Consent: Your signature below indicates that you have decided to participate in the study.

Research Participant

Signature ________________________________ Date ________________

Demographic Profile

Instructions:

There are questions given below in which, participants need to read carefully and then respond to the item which best match to their identity You are highly encouraged to take part in this research and be the one for bringing change in our society. For this you are appreciated to give answers genuinely and honestly.

___________________________________________________________________________

Age (years):

_______________

Gender:

Male

b. Female

Specify (if other): ___________________

Birth Order (Specify):

_____________________

Monthly Income (Specify):

____________________

Educational Qualification (choose an option):

BA
BSc
MA
MPhil
MS
Specify (if others): _______________________

Years of Education (Please specify year of education of the program in which you are currently enrolled):

_____________________

Academic Status (Please indicate the semester or year of your continuing study program, also mark tick on the program and whether its semester or year):

1. B. A/ B.Sc.; Semester/Year

a. 1^st-semester b. 2^nd-semester c. 3^rd-semester d. 4^th semester

b. e. Specify other_______________

2. MA/ MPhil/MS/PhD; Semester/Year

a. 1^st-semester b. 2^nd-semester c. 3^rd-semester d. 4^th semester

e. Specify other_______________

Major (Please mention your subject in which you are majoring from the respective university):

_______________________

Internet usage (For how many day, month or years in your past you were socially active on social media/app/websites?):

_______________________

Time frame of Internet usage (How much time do you spend in a day i.e. 24 hours on a social media/app/website?):

________________________

Cyberbullying is a form of cybercrime in which the preparator tries to harm through social engine network i.e. sharing personal images/personal content, false rumors, memes, jokes, threats to leak personal contents, giving hate speech, pressurizing to communicate on social app/website etc. All of this has been done without consent of the victim. (Please choose an option in which you have ever experienced cyberbullying)

a. Suffered

b. Witnessed

c. Heard

d. Countered

e. Survivor

f. Specify (if other) ____________________________

If you ever experienced, witnessed, countered, or heard about any cyberbullying event in your past or present, whether it has caused a traumatic or shocking experience for you?

Yes
No
Specify (if not) ___________________________

Questionnaire 1

Instructions:

There are two dimensions of this scale cyber victim. For this questionnaire we are using one dimension to use scale. The dimension, "Done to me", expresses being a Cybervictim. For Cybervictim scale, the scoring is as follows: Never = 1, rarely = 2, sometimes = 3, often = 4, and always=5. Indicate your answer in the following box and mark tick the option.

(Please consider these items in the statement as have been done to you.)

Items	Done to me
Items	Always	Often	Sometimes	Rarely	Never
Sexual bullying in a virtual environment
making disturbing sexual noises by hiding the phone number
taking an unauthorized and inappropriate image
Sending the inappropriate images taken unauthorised to others via SMS and/or mail, posting on the net, or duplicating and distributing with CD.
Blackmailing with the inappropriate and unauthorized images taken
Disturbing someone by sending sexual message or mail even though he/she is unwilling
Forcing someone to watch sexual content or movies
Creating and spreading sexual rumours via internet/telephone
Blocking and damaging in a virtual environment
forcing someone to leave a chat room or a game site
sending messages, emails, or videos to people by using the name of someone who is aimed to be harmed
designing a website which could harm someone
hacking and destroying an e-mail address
hacking into a personal computer and intentionally harming files
Intentionally sending virus emails
threatening via internet or telephone
filling mailboxes to prevent receiving emails
Creating rumours in the virtual environment
mocking someone for the model of his phone or computer
spreading the negative information obtained about someone in the virtual environment
creating and spreading humiliating rumours via internet or telephone
spreading personal information via e-mail or message

Questionnaire 2

Instructions:

Here are a number of characteristics that may or may not apply to you. For example, do you agree that you are someone who likes to spend time with others? Please write a number next to each statement to indicate the extent to which you agree or disagree with that statement.

Disagree strongly

Disagree a little

Neither agree nor disagree

Agree a little

Agree Strongly

1 2 3 4 5

I see Myself as Someone Who...

____1. Is talkative __ 23. Tends to be lazy

____2. Tends to find fault with others ------24. Is emotionally stable, not easily upset

____3. Does a thorough job

_____4. Is depressed, blue

____25. Is inventive

____26. Has an assertive personality

_____5. Is original, comes up with new ideas 27. Can be cold and aloof

---------6. Is reserved __28. Perseveres until the task is finished

____7. Is helpful and unselfish with others

_____8. Can be somewhat careless

_____9. Is relaxed, handles stress well

____29. Can be moody

___30. Values artistic, aesthetic experiences

____31. Is sometimes shy, inhibited

_____10. Is curious about many different things __ 32. Is considerate and kind to everyone

--------11. Is full of energy 33. Does things efficiently

_____12. Starts quarrels with others 34. Remains calm in tense situations

_____13. Is a reliable worker 35. Prefers work that is routine

_____14. Can be tense 36. Is outgoing, sociable

_____15. Is ingenious, a deep thinker __ 37. Is sometimes rude to others

_____16. Generates a lot of enthusiasm

______38. Makes plans and follows through with them

_____17. Has a forgiving nature 39. Gets nervous easily

_____18. Tends to be disorganized 40. Likes to reflect, play with ideas

______19. Worries a lot 41. Has few artistic interest

20. Has an active imagination 42. Likes to cooperate with others

_______21. Tends to be quiet 43. Is easily distracted

_______22. Is generally trusting

______44. Is sophisticated in art, music, or literature

Questionnaire 3

Instructions

Below is a list of statements dealing with your general feelings about yourself. Please indicate how strongly you agree or disagree with each statement.

1. On the whole, I am satisfied with myself.