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Worcester State University (WSU)- Consent to Participate in Research Project Title: Education, Adjustment, and Well-Being During Times of Social Distancing Principal Investigator: Jaime F. Vallejos M.D., M.P.H. Co-Investigators: Sue Foo M.Ed., Ed.D. Cheryl Hersperger Ph.D., RN., PHNA-BC Mariana C. Calle Ph.D., M.S., RD You are invited to volunteer for a research study. You are asked to take part of this study because you are a high school student who is 18 or older and will be starting college soon, or you are a college or university student or are a faculty member teaching in a K-12 or university environment. The goal of this research is to understand the impact and changes due to social distancing brought upon the COVID-19 Pandemic. - It is important that you know that: Your participation is entirely voluntary.
You may decide not to take part in this research project. If you agree to participate in this study you will just respond to this survey. There will be no follow up and there are no other steps for you to complete afterward. There are none This study does not involve any treatment; Therefore there is no physical risk to your participation in this study. You may experience some emotional discomfort or fatigue when you are answering the questions in the survey about your well being. Please note that you are not required to answer any questions that make you uncomfortable and may decide to not complete the survey even once started. No identifiable personal information is being collected therefore there is no risk for inadvertent release of data that can be traced back to the participant. There is no direct benefit to you from being in this study. However, your participation will help better understand how students and faculty have been affected by COVID-19 and this can help schools and universities adapt and respond in the upcoming semesters. There will no cost to you from being in this research study. There will be no compensation for participating in this study. Your privacy is important to us. The information provided in this survey is confidential. This survey contains no personally identifiable information and responses cannot be traced back to you. All responses are compiled and analyzed as a data set. Your participation in this study is entirely voluntary. Once the questionnaire is completed and submitted the individual data is compiled and cannot be retrieved. Before you proceed, feel free to ask any questions you may have about the study or about the rights as a research subject. If other questions occur to you later, you may contact Dr. Jaime F. Vallejos at 508-929-8542. (The principal investigator). You may take as much time as needed to think this over. If at any time before or after answering the questionnaire you would like to discuss the study or your research rights with someone who is not associated with the research study, you may contact the WSU Internal Review Board Chair, Dr. Robert A. Brooks, at rbrooks@worcester.edu. The telephone number is 508-929-8974.
I agree to and understand all the following terms of participation:* must provide value
I agree to the terms of participation
Date* must provide value
Today M-D-Y
How did you hear about this study?* must provide value
From school administrator
From teacher/faculty member
School or university website
From peer or word of mouth
Social media
Other
Other:
Worcester State University (WSU) Member Check here if you are a WSU Student or Faculty Member:
Study participant role:* must provide value
Over 18 high school student
Over 18 college or graduate student
K-12 teaching faculty member
K-12 substitute teacher
College or university teaching faculty member
College or university adjunct instructor
Current Grade or College Level:* must provide value
12th Grade
College Freshman
College Sophomore
College Junior
College Senior
Graduate Student
Were you enrolled in a technical school, charter school or community college in the past 60 days?* must provide value
Yes
No
Were you teaching in a technical school, charter school or community college in the past 60 days?* must provide value
Yes
No
What is your highest education degree earned?* must provide value
Bachelor's
Bachelor's and Master's
Bachelor's, Masters', and Doctorate
Bachelor's, Masters', Doctorate and additional Degree
Age:* must provide value
18-19
20-24
25-44
45-55
56 and over
In what county is your current school or university located? (If your county is outside of Massachusetts please select other)* must provide value
Barnstable Berkshire Bristol Dukes Essex Franklin Hampden Hampshire Middlesex Nantucket Norfolk Plymouth Suffolk Worcester Other
State* must provide value
AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Please specify what state you are in
County Please specifiy county (i.e. Nassau County)
Race:* must provide value
African American/Black
American Indian/ Native American
Asian
Native Hawaiian or other Pacific Islander
White
More than one race
Do not want to report
Unknown
Ethnicity Hispanic/Latino:* must provide value
Yes
No
Do not want to report
Unknown
Gender:* must provide value
Man Non-Conforming Trans- Man Woman Non-Binary Transgender Trans-Woman Not Listed (Please Specify)
Please Specify:
Are you currently having a difficult time securing a place to live?* must provide value
Yes
No
Have you had difficulties securing a place to live in the past?* must provide value
Yes
No
What is your current living situation?* must provide value
Living at home
Living with friends
Living alone
Other
How many other people in total are you living with?* must provide value
1 (household of 2)
2-5 (household of 3-6)
More than 6
I live alone (household of 1)
How would you rate your level of internet connectivity? (Access and quality of internet connection)* must provide value
Appropriate
Slightly appropriate
Unsure
Slighty inappropriate
Inappropriate
What device are you mostly using to do school work/teaching?* must provide value
Laptop
Chromebook
Desktop
Cell phone
Tablet
More than one device
What device are you currently using to fill out this questionnaire?* must provide value
Laptop
Chromebook
Desktop
Cell phone
Tablet
Other device
My transition to online learning was smooth* must provide value
Strongly Agree
Agree
Neutral
Disagree
Strongly disagree
My transition to online teaching was smooth* must provide value
Strongly Agree
Agree
Neutral
Disagree
Strongly disagree
Which of the following actions facilitated the transition to online learning? (Check all that apply)* must provide value
Computer provided by school
Internet access provided by school
Technical support provided by teachers
Technology knowledge by faculty/teachers
Structured online class schedules
Constant communication by teachers and school administrators
Support by parents
Support by relatives
Clear class continuation plan
Support by peers
None of the above
Other
Other factors- Please describe
Which of the following actions facilitated the transition to online teaching? (Check all that apply)* must provide value
Computer and or software provided by school
Internet access provided by school
Technical support and or training provided by school administration
Your own current technology knowledge
Guidance by your school, district or university
Constant communication with administrators
Support from relatives
Participation by students
Support by peers
None of the above
Other
Other factors- Please describe
Which actions made transition to online learning more difficult? Check all that apply:* must provide value
No access to a computer
No internet access
No technical support provided by school
Lack of technology knowledge by faculty/teachers
Unstructured online class schedules
Lack of communication by teachers and school administrators
Lack of support by parents
Lack of support by relatives
Lack of clear class continuation plan
Lack of peer support
Lack of motivation
Lack of access or decreased access to food
Increased uncertainty
Increased anxiety
None of the above
Other
Other factors- Please describe
Which actions made transition to online teaching more difficult? Check all that apply:* must provide value
No access to a computer
Limited or no internet access
No technical support provided by school or administration
My lack of technology knowledge
Lack of clear guidance on class schedule, content or continuity by school or administration
Lack of communication by school administrators
Lack of support by parents- Not engaging with the education of their children
Lack of support by relatives- Creating a difficult teaching environment at my home
Lack of clear class continuation plan by state administrators
Lack of peer support
Personal lack of motivation
Lack of access or decreased access to food
Increased uncertainty/anxiety
Additional Meetings
Committee Work
Service Work
Increased uncertainty
Increased anxiety
Increased parent/student interactions
None of the above
Other
Other factors- Please describe
What is your perception of the amount of school work you have been doing since the stay-at-home period? * must provide value
Much higher
Higher
About the same
Lower
Much lower
Not applicable
Did COVID-19 change/alter your plans for the future? * must provide value
Yes
No
Unsure
If yes how?
How do you see your future education plans in comparison to before the social distancing due to the COVID-19 pandemic?
* must provide value
About the same
Slightly changed
Dramatically changed
Check all that apply: Changing originally chosen school to attend (College or grad school)
Postponing starting college
Taking a gap year
Taking less classes than planned
Graduating later than originally planned
Postponing graduate school
Working in lieu of going to school
Monetary challenges prevent me from proceeding
Other
Other- please explain
How do you see your future teaching plans in comparison to before social distancing due to the Covid-19 pandemic?
* must provide value
About the same
Slightly changed
Dramatically changed
Check all that apply: Changing plans to enhance online learning
Learning new teaching technologies and techniques
Assigning students more at home work
Assigning students less at home work
Considering teaching less or retiring
Considering changing careers
Continue teaching but considering teaching at a closer location
Other
Other- Please explan
Are you confident/hopeful about your next steps after graduation and the future?* must provide value
Yes
No
Unsure
Please explain:
Do you feel the transition to online teaching has affected you and your family?* must provide value
Yes
No
Unsure
If yes, describe how:
Do you feel the transition to online learning has affected you and ultimately your learning and grades?* must provide value
Yes
No
Unsure
If yes, describe how:
With all the changes brought by social distancing due to the COVID-19 pandemic, do you feel your home setting is conducive to teaching online effectively?* must provide value
Yes
No
Unsure
What are some of the factors/conditions that make your home less conducive to teaching online? Check all that apply: Poor or sporadic internet connection
Small space/Limited number of rooms
School-aged children in the home
Increased responsibilities around the house
Lack of access to childcare
Other
Other, please explain:
What benefits, if any have there been to working away from the school/campus setting? (Choose all that apply)* must provide value
More time to plan classes
More time to learn new skills and technologies
More time to spend with family
More time to multi-task
There has been no benefit
Other- Please explain
Other, please explain:
Overall how has social distancing due to the COVID-19 pandemic affected you or your family?* must provide value
Not at all
Very little
Somewhat
A lot
To a great extent
In general, what has your overall level of uncertainty been during the last 60 days of the stay at home period?* must provide value
No uncertainty
Slight uncertainty
Moderate uncertainty
High uncertainty
Extreme uncertainty
In general, what has your overall level of anxiety been during the last 60 days of the stay at home period?* must provide value
No anxiety
Slight anxiety
Moderate anxiety
High anxiety
Extreme anxiety
During the last 60 days of social distancing due to the COVID-19 pandemic, how has your work (non-school related) schedule changed?* must provide value
I am working more
I am working less
I lost my job due to COVID-19
Not applicable (no change), or I do not work
During the last 60 days of social distancing due to the COVID-19 pandemic, how has your work schedule changed?* must provide value
I am working more
I am working less
I lost my job due to COVID-19
Not applicable (no change), or I do not work
How would you rate the level of work-related stress during the last 60 days of the stay at home period? * must provide value
Very high
High
None
Low
Very low
How would you rate the level of home-related stress during the last 60 days of the stay at home period? * must provide value
Very high
High
None
Low
Very low
How would you rate the level of school-work related stress during the last 60 days of the stay at home period? * must provide value
Very high
High
None
Low
Very low
In which of the following areas has social distancing due to the COVID-19 pandemic affected you? Check all that apply:* must provide value
Feeling alone or loneliness
Feeling removed from family
Feeling removed from friends
Finances
Employment
Family- Those living with you
Family Members that don't live with you
Relationships
None of the above
Other
Other, please explain
On a scale 1-5 where 1 is the lowest and 5 is the highest, how would you rate your loneliness?* must provide value
1 2 3 4 5
What are some daily activities you engaged in during the social isolation period to maintain your mental and physical well-being? Check all that apply:* must provide value
Eating
Walking, jogging, running
Yoga
Physical Exercise (Weights)
Meditation
Entertainment (Listening to music, watching TV, video games)
Engaged in social media
Reading
Crafts
Gardening
None of the above
Other
Other- Please describe
In which of the following have you noticed changes? (check all that apply)* must provide value
Eating
Exercising
Mood
Sleep
Weight
None of the above
Which of the following applies to changes in eating?* must provide value
Overeating
Undereating
Other
Other: Please explain
Which of the following best describes your changes in exercising?* must provide value
Overexercising
Underexercising
Other
Other: Please explain
Which of the following best describes your changes in mood?* must provide value
Increased sense of happiness
Decreased sense of happiness
Other
Other: Please explain
Which of the following best describes your changes in sleep?* must provide value
Increased sleep
Decreased sleep
Other
Other: Please explain
Which of the following best describes the changes in your weight?* must provide value
Weight loss
Weight gain
Other
Other: Please explain
How confident are you filling out medical forms by yourself?* must provide value
Not at all
A little bit
Somewhat
Quite a bit
Extremely
Not Applicable, I have never had to fill out a medical form by myself
How often do you have someone help you read hospital or doctor's office materials?* must provide value
Always
Often
Sometimes
Occasionally
Never
How often do you have problems learning about your medical condition because of difficulty understanding written information? * must provide value
Always
Often
Sometimes
Occasionally
Never
How often do you have a problem understanding what is told to you about your medical condition?* must provide value
Always
Often
Sometimes
Occasionally
Never
How confident are you filling out medical forms by yourself?* must provide value
Not at all
A little bit
Somewhat
Quite a bit
Extremely
Is there any other information (Non-Identifiable) that you would like to share with us regarding how COVID-19 and social distancing has changed your life?
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