Study Title:
SUNRISE: Impact of Sleep Extension on Insulin Sensitivity and

Dietary Intake in Adolescents
Principal Investigator:
Stacey L. Simon, PhD.
COMIRB No:
17-2095
Version Date: 08May2018

You are being asked to be in a research study because you are a (or your child) teenager between 14-19 years old who gets less than 7 hours of sleep on school nights.

This is a prescreening survey to determine if you qualify for the study.

This study plans to learn more about sleep and insulin resistance (insulin not working) in teenagers, and how these things may be related depending on sleep. This is important to know so that we understand how sleep may play a role in health conditions like extra weight gain (increased food intake and less physical activity) and diabetes.

If you join this study, you will have 4 visits: Visit 1 – Consent, Visit 2 – Screening, Visit 3 – Assessment 1, Visit 4 – Assessment 2 some of which involve overnight sleep studies at Children’s Hospital.

Possible discomforts or risks include feeling uncomfortable answering survey questions and breach of confidentiality. Every effort will be made to protect your privacy and confidentiality by using secured and encrypted databases as well as assigning a study identification number to your data. You may choose not to answer this survey at any time but we will be unable to determine if you qualify without a completed survey. It will only take you about 5 minutes to complete. Your answers are very important, so please answer each question as best as you can. If you have questions, please call the Research Team at 720-777-8486.

You may have questions about your rights as someone in this study. If you have questions, you can call the COMIRB (the responsible Institutional Review Board). Their number is 303-724-1055.

By completing this survey, you are agreeing to participate in this research study screening.

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