The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

23vmirnMCGbk4eGI9DUXICe2ou5vormmJxxZytpKQAK92YFDfhMwybVULctaftPh4oscyZTrmw7

Screening Form

To express interest in our study, please complete this screening form.

Thank you!

PLAY TO ZZZ'S STUDY INFORMATION AND SCREENING FORM

Thank you for your interest in the UMass Play to Zzz'z study, which is exploring "Effects of Enhanced Physical Activity on Sleep and Cognitive Performance in Early Childhood." Before you officially enroll in this study, we will be asking you to complete a screening questionnaire. It should take you no more than 10 minutes to complete.

If your child is determined ineligible to participate, your completed questionnaire data will be deleted. (If you opt in to being contacted about future studies, we will only keep your email address and name.)

If your child is determined eligible to participate, the completed questionnaire will become part of the study materials. We will protect your information as confidential and safeguard it from unauthorized disclosure. Only research personnel will have access to the information contained in your screening questionnaire.

If the screening questionnaire indicates that you are eligible to participate, we will proceed to obtaining your written informed consent for participation in this study. If you have any questions, please contact the primary investigator at cstlaurent@umass.edu before proceeding.

OVERVIEW OF THE STUDY

We are hoping to learn more about the influences of movement and sleep on one another and cognitive performance in young children. Key to this study are three research sessions conducted over a 2-week period. At the first session, we will explain the study to your child and ask for their assent to participate, have them complete a brief cognitive assessment on an iPad tablet, and give them a watch that we will ask them to wear during the study period. This watch has an accelerometer which will measure your child's activity and sleep. We will also give you as the caregiver a questionnaire, a daily sleep diary, and instructions for the two 'experimental' days. The experimental days will consist of either a day with you and your child following a typical routine or a day with your child participating in more physical activity/movement than a typical day. In the evenings of the two experimental days, we will ask your child to play a memory game and then if they are willing, set up the sleep monitoring equipment for them to wear overnight. The following morning, we will ask your child to play the memory game again and complete another brief cognitive activity. We anticipate the risk of participating in this study to be low. You and your child will be compensated up to $250 for participation in this study.

If you would like more information or have questions about the study, you may contact the primary investigator, Christine St. Laurent (cstlaurent@umass.edu).

If you are interested in participating in the study, please take a few minutes to answer the following questions to determine your child's eligibility to participate.

Yes

Is your child between the ages of 48 and 71 months (4 years to 5 years, 11 months)?

* must provide value

reset

Has your child been diagnosed with a sleep disorder (other than mild parasomnia) or a developmental disability?

* must provide value

reset

Does your child use sleep-effecting or psychotropic medications?

* must provide value

reset

Does your child have an interfering handicap (e.g., hearing or vision impairment)?

* must provide value

reset

Has your child transitioned out of regular napping?

* must provide value

reset

Does your child have any medical restrictions for participating in structured physical activity?

* must provide value

reset

Do you and your child have access to a computer with an internet connection in your home for online sessions with our research team?

* must provide value

reset

Your full name (parent/caregiver):

* must provide value

Your child's age (in months):

* must provide value

Email address:

* must provide value

Your phone number:

Would your child be willing to wear (or attempt to wear) a portable sleep monitor overnight (twice during the study)?

Yes

reset

If your child is not eligible for this current study, would you like to be contacted by our research team regrading future opportunities?

Yes

reset

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.