Name of Project: Functional Gastrointestinal Disorders:
You are invited to participate in a study of Bowel Symptoms and Stress.
The purpose of the study is to examine how psychological factors such as
emotions, personality traits, and beliefs influence long term Constipation
and Irritable Bowel Syndrome. We
are also interested in examining the impact of these problems on sufferers’
well-being. This study will help us
understand how psychological interventions can be used to help people who
suffer from constipation or Irritable Bowel Syndrome.
The study is being conducted by Wee-Chong, Tan (email@example.com
Phone 0420851485), Dr Andrew Baillie (firstname.lastname@example.org, 9850 9436)
and Associate Professor Michael Jones (Mike.Jones@psy.mq.edu.au, 9850 8601)
of the Department of Psychology, Faculty of Human Sciences, Macquarie University. This study is being conducted to meet the
requirements for the degree of Doctor of Psychology (Clinical Psychology) under
the supervision of Dr Baillie & A/Prof Jones.
If your are:
18 years old and above, and
If you feel you have some of these problems:
or Diarrhea more than usual
Pain in your
A feeling of
bloating in your tummy/ abdomen
Feeling the urge
to go to the bathroom more than usual
On a regular basis, you are eligible to participate in this
If you decide to participate, you will be asked to to take 30 - 45
minutes of your time to complete a booklet of questionnaires assessing various
aspects of your personal experience.
This is a once off session.
Participation in this study is entirely voluntary: you are not
obliged to participate and if you decide to participate, you are free to
withdraw at any time without having to give a reason and without
To the best of our knowledge and from examining the research done in
this area, no participants have reported adverse effects by completing these
questionnaires. As part of my gratitude
for your participation and your time, upon completion of the online survey, you
will automatically be routed to a lucky draw link where you stand a chance of
winning a $60 book voucher. You will also be able to
download some helpful material to help you manage your bowel problems.
Any information or personal details gathered in the course of the
study are confidential (except as
required by law). No individual will
be identified in any publication of the results.
This is only an online survey and is NOT in
any way a substitute for proper medical consultation and treatment! Your response to this survey cannot be used
for diagnostic or treatment purposes.
feel that your bowel symptoms are severe (e.g., having sharp abdominal pain
constantly, blood in your stool, very frequent diarrhea or constipation, severe
and frequent vomiting/ nausea, severe gastric reflux),
2) Your bowel symptoms are significantly
interfering in your life and wellbeing,
3) You are concerned that your bowel symptoms
might be a sign of more serious medical problems, and/or
4) You have some of the bowel symptoms listed
above (i.e. diarrhea, constipation, abdominal pain, bloating) for a period of
time (i.e. 3 months or more)
You are very strongly encouraged to consult
your general practitioner and to make an appointment with a gastroenterologist. Gastroenterologists
are medical practitioners with expertise in diagnosis and treating bowel
problems. They will be able to conduct
thorough and careful medical tests for you and recommend the best course of
treatment. This is to ensure that your
health and wellbeing are optimally taken care of.
If you feel that you need to obtain a
recommendation to specialist gastrointestinal or mental health treatment in
support of your Bowel Problems,
you can choose to contact us and we can assist in
recommendations. Please note that
by exercising this option, you will no longer remain anonymous to us. We therefore urge you to make full use of the
list of resources we provide below, and to seek a referral to these specialists
via your GP before considering this option.
Nonetheless, in line with our code of conduct as professional and
provisionally registered psychologists, we will be glad to assist in the
recommendations process and keep the information you provide us in strict
confidence. This is a three step process
we recommend you take:
Step 1. Make use
of the contact details provided in the list provided to seek professional
consultation for GI problems or mental issues
Step 2. You are
strongly encouraged to seek out your GP or family practitioner to obtain
referrals for these specialist services
Step 3. You are
given an option to provide their minimal personal and contact details (Name and
contact information ONLY) to the researchers, who will then facilitate the
referral process to these specialists.
Please only take this step only if you feel you need more help, AFTER
taking steps 1 and 2.
This information and data collected would only be accessible by the
researcher and his supervisors (Mr Wee-Chong, Tan, Dr Andrew Baillie and
Associate Professor Michael Jones). A summary of the results of the study will
be available at www.psy.mq.edu.au/staff/abaillie/fc
Should you be interested, please do not hesitate to contact the
researcher at email@example.com/
The ethical aspects of this study have been approved by the
Macquarie University Human Research Ethics Committee. If you have any complaints or reservations
about any ethical aspect of your participation in this research, you may
contact the Committee through the Director, Research Ethics (telephone (02)
9850 7854; email firstname.lastname@example.org). Any complaint you make will be treated in
confidence and investigated, and you will be informed of the outcome.
I have read and understood the information provided above.