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  2. 2012
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INFORMED CONSENT FORM

Study Title: ATTITUDES AND INCLUSIVE PRACTICES: A DILEMMA FOR ELEMENTARY SCHOOL PRINCIPALS AND SPECIAL EDUCATION ADMINISTRATORS
Researcher: Temirra Jacobs-Bell
Email Address: [email protected]
Research Supervisor: Dr. Scott Hollinger
Email Address: [email protected]

You are invited to be part of a research study. The researcher is a doctoral learner at Capella University in the School of Education. The information in this form is provided to help you decide if you want to participate. The form describes what you will have to do during the study and the risks and benefits of the study.
If you have any questions about or do not understand something in this form, you should ask the researcher. Do not participate in the study unless the researcher has answered your questions and you decide that you want to be part of this study.

WHAT IS THIS STUDY ABOUT?
The researcher wants to find out what people think about the present state of elementary school principals’ and special education administrators’ attitudes towards inclusion of students with disabilities in regular education classroom setting in a single study The researcher also wants to evaluate how people attitudes can affect the classroom placement of learners with disabilities.

HOW MANY PEOPLE WILL BE IN THIS STUDY?
About 204 participants will be in this study.

WHY AM I BEING ASKED TO BE IN THE STUDY?
You are invited to be in the study because you are:
• A school administrator and you currently are not serving as a classroom teacher.
• Your primary role or job title is: as a Principal or Assistant Principal, or a Special Education Administrator to include: Director, Assistant Director, Diagnostician, Psychologist, Supervisor, Consultant, Coordinator, Interventionist Occupational Therapist, Physical Therapist, and Speech Pathologist.

All participants will be between 20 and above.
If you do not meet the description above, you are not able to be in the study.
WHO IS PAYING FOR THIS STUDY?
The researcher is not receiving funds to conduct this study.
You do not have to pay to be in the study.

HOW LONG WILL I BE IN THE STUDY?
If you decide to be in this study, your participation will last approximally 15 minutes.

WHAT WILL HAPPEN DURING THIS STUDY?
If you decide to be in this study and if you sign this form, you will do the following things:

• Complete a survey about attitudes titled: School Principals’ and Special Education Administrators’ and Inclusion.Survey.

• Give personal information about your school demographics, training and experience, attitudes towards learners with disabilities, and what is the appropriate classroom placement for learners with disabilities.

While you are in the study, you must:
• Follow the instructions you are given.

• Tell the researcher if you want to stop being in the study at any time.

WILL BEING IN THIS STUDY HELP ME?
Being in this study will not help you immediately, however, the information from this study might help researchers help others in the future. The direct benefits experienced by the individual participants could be a self-realization of their attitude towards inclusion and how they may be improved or remain unchanged. The participants may benefit from the study by highlighting potential training shortfalls and identifying areas where training could be improved or implemented.

ARE THERE RISKS TO ME IF I AM IN THIS STUDY?
No study is completely risk-free. However, we don’t anticipate that you will be harmed or distressed during this study. You may stop being in the study at any time if you become uncomfortable. You should be aware, however, that there is a small possibility that responses could be viewed by unauthorized parties (e.g. computer hackers because your responses are being entered and stored on a web server)

WILL I GET PAID?
You will not receive anything for being in the study.
DO I HAVE TO BE IN THIS STUDY?
Your participation in this study is voluntary. You can decide not to be in the study and you can change your mind about being in the study at any time. There will be no penalty to you. If you do not want to participate in the study, tell the researcher.

WHO WILL USE AND SHARE INFORMATION ABOUT MY BEING IN THIS STUDY?
Any information you provide in this study that could identify you such as your name, age, or other personal information will be kept confidential. The researcher will reassure the participants that their involvement in the study will remain confidential and that no personally identifiable information (PII) such as name, address or contact information will be shared in the study. Precautions taken by the researcher will include removal of PII from the survey responses, blind courtesy copies of all email correspondence sent to the addressees and exclusion of any attributional remarks to any specific person, group, or organizations to ensure confidentiality.. In any written reports or publications, no one will be able to identify you.

The researcher will keep the information you provide in a password protected computer and stored in a locked file cabinet in the researcher’s residence. Only the researcher, research supervisor, and the researcher’s qualified statistician will be able to review this information.

Even if you leave the study early, the researcher may still be able to use your data. Your data may be used from a statistical perspective such as determining the total number of participants and nonparticipants in the study.

WHO CAN I TALK TO ABOUT THIS STUDY?
You can ask questions about the study at any time. You can call or email the researcher at any time if you have any concerns or complaints. You should call or email the researcher at the phone number and email address listed on page 1 of this form if you have questions about the study procedures, study costs (if any), study payment (if any), or if you get hurt or sick during the study.

The Capella Research Integrity Office (RIO) has been established to protect the rights and welfare of human research participants. Please contact us at 1-888-227-3552, extension 4716, for any of the following reasons:

• You have questions about your rights as a research participant.
• You wish to discuss problems or concerns.
• You have suggestions to improve the participant experience.
• You do not feel comfortable talking with the researcher.

You may contact the RIO without giving us your name. We may need to reveal information you provide in order to follow up if you report a problem or concern.
 
 
 
DO YOU WANT TO BE IN THIS STUDY?
By clicking the link below you agree to the following statement:
I have read this form, and I have been able to ask questions about this study. The researcher has answered all my questions. I voluntarily agree to be in this study. I agree to allow the use and sharing of my study-related records as described above.
I have not given up any of my legal rights as a research participant. I will print a copy of this consent information for my records.
 
Yes
 
No
 
 
 
School Principals' and Special Education Administrators' and Inclusion Survey
 
 
 
The purpose of this survey is to determine the attitudes of school principals and special education administrators toward the inclusion movement and to gather information about the types of training and experience that school principals and special education administrators have. There are no right or wrong answers so please address the questions to the best of your knowledge and provide what you believe.

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SECTION I- Demographic Information
 
 
 
The following information will be only be used to describe the population being studied.

1. Approximate number of all students in your building/setting:
 
0-250
 
251-500
 
501-750
 
751-1000
 
1000 or more
 
 
 
2. Average class size for all students:
 
0-9
 
10-19
 
20-29
 
30-39
 
40 or more
 
 
 
3. Approximate percentage of students with IEPs in your building/setting: (Do not include gifted learners.)
 
0-5%
 
6-10%
 
11-15%
 
16-20%
 
21% or more
 
 
 
4. Approximate number of students with IEPs in your building/setting that are included in regular education classrooms for at least 75% of their school day: (Do not include gifted learners.)
 
0-20%
 
21-40%
 
41-60%
 
61-80%
 
81%-100%
 
 
 
5. What is your job title?
 
 
 
SECTION II- Training and Experience
 
 
 
1. Your age:
 
20-30
 
31-40
 
41-50
 
51-60
 
61 or more
 
 
 
2. Gender:
 
Male
 
Female
 
 
 
3. Years of full-time regular education teaching experience:
 
0
 
1-6
 
7-12
 
13-18
 
19 or more
 
 
 
4. Years of full-time special education teaching experience:
 
0
 
1-6
 
7-12
 
13-18
 
19 or more
 
 
 
5. Years as an elementary school administrator:
 
0-5
 
6-10
 
11-15
 
16-20
 
21 or more
 
 
 
6. Approximate number of special education credits in your formal training:
 
0
 
1-9
 
10-15
 
16-21
 
22 or more
 
 
 
7. Approximate number of in-service training hours in inclusive practices:
 
0
 
1-8
 
9-16
 
17-24
 
24 or more
 
 
 
8. Mark the areas below that were included in your formal training such as courses,workshops, and/or significant portions of courses (10% of content or more).
 
Characteristics of students with disabilities
 
Behavior management class for working with students with disabilities
 
Academic programming for students with disabilities
 
Special education law
 
Crisis intervention
 
Life skills training for students with disabilities
 
Teambuilding
 
Interagency cooperation
 
Family intervention training
 
Supporting and training teachers to handle inclusion
 
Change process
 
Eliciting parent and community support for inclusion
 
Fostering teacher collaboration
 
Field based experiences with actual inclusion activities

 
 
 
9. Are you certified in special education?
 
No
 
Yes
 
 
 
10. Does your school/setting have a specific plan to deal with crisis
involving students with special needs?
 
No
 
Yes
 
 
 
11. Do you have personal experience with (an) individual(s) with a disability outside the school setting, i.e. family member, friend, etc.?
 
No
 
Yes
 
 
 
If yes, please indicate relationship to you.
 
Self
 
Immediate Family Member
 
Extended Family Member
 
Friend
 
Neighbor
 
Other
 
 
 
 
12. Does your school district’s mission statement include a vision for the inclusion of students with disabilities?
 
No
 
Yes
 
 
13. In general, what has your experience been with the following types of students in the school setting. Mark one level of experience for each disability category.
Negative Experience Somewhat Negative Experience Neutral Somewhat Positive Experience Positive Experience
Specific Learning Disability
Intellectual Disabilities
Emotional Disturbance
Visual Impairment
Hearing Impairment
Speech or Language Impairment
Other Health Impairment
Orthopedic Impairment
Multiple Disabilities
Autism
Traumatic Brain Injury
 
 
 
SECTION III- Attitudes Toward Inclusion of Students with Special Needs
 
 
Please mark your response to each item using the following scale:
Strongly Agree Agree Uncertain Disagree Strongly Disagree
1. Only teachers with extensive special education experience can be expected to deal with students with multiple disabilities in a school setting.
2. Schools with both students with multiple disabilities and students without disabilities enhance the learning experiences of students with multiple disabilities.
3. Students with multiple disabilities are too impaired to benefit from the activities of a regular school.
4. A good regular educator can do a lot to help a student with multiple disabilities.
5. In general, students with multiple disabilities should be placed in special classes/schools specifically designed for them.
6. Students without disabilities can profit from contact with students with multiple disabilities.
7. Regular education should be modified to meet the needs of all students including students with multiple disabilities.
8. It is unfair to ask/expect regular teachers to accept students with multiple disabilities.
9. No discretionary financial resources should be allocated for the integration of students with multiple disabilities.
10. It should be policy and/or law that students with multiple disabilities are integrated into regular educational programs and activities.
 
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