CONSENT FORM

Title of Project: The Study of Resilience within Rural General Practitioners

1. I have read and understood the 'Information Sheet' for this project. 2. The nature and possible effects of the study have been explained to me. 3. I understand that the study involves participating in a recorded interview and

completing 3 self-report questionnaires.

4. I understand that participation involves the risk that the information discussed during the interview may elicit distressing thoughts and / or emotions, and that support will be provided if need be.

5. I understand that all research data will be securely stored on the University of Tasmania premises for five years [or at least five years], and will then be destroyed. 6. Any questions that I have asked have been answered to my satisfaction.

7. I agree that research data gathered from me for the study may be published provided that I cannot be identified as a participant.

8. I understand that the researchers will maintain my identity confidential and that any information I supply to the researcher(s) will be used only for the purposes of the research.

9. I agree to participate in this investigation and give permission for Patricia Aitken from the University of Tasmania to contact me.

10. I understand that I may withdraw at any time without any effect, and if I so wish, may request that any data I have supplied to date, be withdrawn from the research.

Name of Participant

Phone number Signature

Date

Statement by Investigator

I have explained the project & the implications of participation in it to this volunteer and I believe that the consent is informed and that he/she understands the implications of participation

If the Investigator has not had an opportunity to talk to participants prior to them participating, the following must be ticked.

The participant has received the Information Sheet where my details have been provided so participants have the opportunity to contact me prior to consenting to participate in this project.

Name of Investigator/s Patricia Aitken - Researcher Ph: 03 6437 0950 or 0438 370 951 Dr Ali Maginness - 03 6430 4585

Signature of Investigator Date

Appendix E

Appendix F

Psychological Scales

1 The Connors Davidson Resilience Scale, self-report Psychological measure of Resilience

2 Depression Anxiety and Stress Scale, self report Psychological measure

3 Five Facet Mindfulness Questionnaire, self-report Psychological measure

CDRS

Please circle the answer that is most descriptive of you. N o t tr u e a t a ll R a rel y t ru e So me ti me s t rue O fte n tr u e T ru e n ea rl y a ll o f th e ti m e

Able to adapt to change _{0 1 2 3 4}

Close and secure relationships _{0 1 2 3 4}

Sometimes fate and God can help _{0 1 2 3 4}

Can deal with whatever comes _{0 1 2 3 4}

Past success gives confidence for a new challenge _{0 1 2 3 4}

See the humorous side of things _{0 1 2 3 4}

Coping with stress strengthens _{0 1 2 3 4}

Tend to bounce back after illness or hardship _{0 1 2 3 4}

Things happen for a reason _{0 1 2 3 4}

Best effort no matter what _{0 1 2 3 4}

You can achieve your goals _{0 1 2 3 4}

When things look hopeless, I don’t give up _{0 1 2 3 4}

Know where to turn for help _{0 1 2 3 4}

Under pressure, focus and think clearly _{0 1 2 3 4} Prefer to take the lead in problem solving _{0 1 2 3 4}

Not easy discouraged by failure _{0 1 2 3 4}

Think of self as a stronger person _{0 1 2 3 4}

Make unpopular or difficult decisions _{0 1 2 3 4}

Can handle unpleasant feelings _{0 1 2 3 4}

Have to act on a hunch _{0 1 2 3 4}

Strong sense of purpose _{0 1 2 3 4}

In control of your life _{0 1 2 3 4}

I like challenges _{0 1 2 3 4}

DAS S

Please read each statement and circle a number 0, 1, 2 or 3 which indicates how much the statement applied to you

over the past week. There are no right or wrong answers. Do not spend too much time on any statement.

The rating scale is as follows:

0 Did not apply to me at all

1 Applied to me to some degree, or some of the time

2 Applied to me to a considerable degree, or a good part of time 3 Applied to me very much, or most of the time

1 I found myself getting upset by quite trivial things 0 1 2 3 2 I was aware of dryness of my mouth 0 1 2 3 3 I couldn't seem to experience any positive feeling at all 0 1 2 3 4 I experienced breathing difficulty (eg, excessively rapid breathing,

breathlessness in the absence of physical exertion)

0 1 2 3

5 I just couldn't seem to get going 0 1 2 3 6 I tended to over-react to situations 0 1 2 3 7 I had a feeling of shakiness (eg, legs going to give way) 0 1 2 3 8 I found it difficult to relax 0 1 2 3 9 I found myself in situations that made me so anxious I was most

relieved when they ended

0 1 2 3

10 I felt that I had nothing to look forward to 0 1 2 3 11 I found myself getting upset rather easily 0 1 2 3 12 I felt that I was using a lot of nervous energy 0 1 2 3 13 I felt sad and depressed 0 1 2 3 14 I found myself getting impatient when I was delayed in any way

(eg, lifts, traffic lights, being kept waiting)

0 1 2 3

15 I had a feeling of faintness 0 1 2 3 16 I felt that I had lost interest in just about everything 0 1 2 3 17 I felt I wasn't worth much as a person 0 1 2 3 18 I felt that I was rather touchy 0 1 2 3 19 I perspired noticeably (eg, hands sweaty) in the absence of high

temperatures or physical exertion

0 1 2 3

Subject number _________ Date _________________