Registration for the Twin Brains Study
If your twins/multiples are currently in grades 3-8 (or will be next fall), your family may be eligible to participate in the Twin Brains Study at the University of Texas. Our research team is interested in how life events and circumstances contribute to children's brain development and academic success. Your family can earn up to $200 by participating in our study ($100 per twin/multiple).
If your family agrees to participate, you will be asked to complete a survey and bring the twins/multiples to our lab at UT for up to two visits. During the first visit, your children will fill out a survey and take tests that measure a variety of abilities. We will also collect a small hair sample (about the width of a matchstick) to test the levels of certain hormones. If your children are eligible for the second visit, they will watch a movie and play games while our team takes pictures of their brains.
Our lab uses Magnetic Resonance Imaging (MRI) to take pictures of the brain. MRI does not use x-rays or radiation; it uses a magnetic field and radio waves to build images. The risk of having an MRI is not greater than risks children experience in everyday life. Each child will receive a picture of their brain if they participate in the MRI visit.
If you are interested in participating in either Visit 1 (survey and cognitive tests) or Visit 2 (MRI scan and games), please fill out the information below. After you sign up, we will contact you to answer any questions you might have about participating and to schedule an appointment to visit the lab. Please let us know if you have any questions prior to enrolling by emailing the lab at twinbrainsUT@gmail.com or calling 512-471-1406.
Parent First & Last Name(s)
Today Y-M-D
I think that the twins are:
Identical
Fraternal
I don't know
What category or categories best describes the twins' race? (Choose all that apply)
White
Hispanic/Latino
Black/African-American
Asian
Other
please describe / por favor describa
The following items refer to the twin that was born FIRST: First Name
Male
Female
Has Twin 1 begun menstruation?
Yes
No
Is Twin 1 currently on any form of hormonal birth control?
Yes
No
What grade is this twin in (if it is summer, what grade will he/she enter in the fall)?
What school does he/she attend (if it is summer, what school will he/she enter)?
The following items refer to the twin that was born SECOND: First Name
Male
Female
Has Twin 2 begun menstruation?
Yes
No
Is Twin 2 currently on any form of hormonal birth control?
Yes
No
What grade is this twin in (if it is summer, what grade will he/she enter in the fall)?
Complete this only if different from response for Twin1
What school does he/she attend (if it is summer, what school will he/she enter)?
Complete this only if different from response for Twin1
How did you hear about the study?
I received a letter or phone call.
I heard about the study from a friend.
I found the website when browsing the Internet.
I saw the Twin Project commercial.
Other
please describe / por favor describa
Which part(s) of the study is your family willing to participate in or hear more about? (Check all that apply)
Visit 1: Child survey and cognitive tests
Visit 2: MRI scan and games
Major medical, neurological, psychological, or hormonal (endocrine) disorder
Twin 1
Twin 2
Neither twin
Medication taken for reasons other than cold, flu, allergy, or headache (please be sure to note steroid based medication in particular)
Twin 1
Twin 2
Neither twin
Please describe
Braces or other extensive dental work (permanent retainer, spacers, palate expander)
Twin 1
Twin 2
Neither twin
Please describe. If applicable, when will the equipment be taken off?
Twin 1
Twin 2
Neither twin
Type of procedure, approximate month & year, outcome (was it resolved?), and ongoing medical care.
Please describe
Ear surgery or cochlear implant
Twin 1
Twin 2
Neither twin
Twin 1
Twin 2
Neither twin
Twin 1
Twin 2
Neither twin
Nerve stimulator implant (T.E.N.S unit)
Twin 1
Twin 2
Neither twin
Implanted infusion pump for insulin or other medication
Twin 1
Twin 2
Neither twin
Twin 1
Twin 2
Neither twin
Enter the model, approximate month and year of implantation, and ongoing medical care.
Please describe
Injury (especially to the eye) involving a metal object
Twin 1
Twin 2
Neither twin
Please describe
Glasses or contact lenses
Twin 1
Twin 2
Neither twin
Strabismus (crossed eyes, either now or earlier in life)
Twin 1
Twin 2
Neither twin
Twin 1
Twin 2
Neither twin
Concussion with loss of consciousness
Twin 1
Twin 2
Neither twin
Heart arrythmia, irregular heartbeat, or other heart problem
Twin 1
Twin 2
Neither twin
Please describe
Body piercing that cannot be removed
Twin 1
Twin 2
Neither twin
Admitted to a hospital after birth for any reason not described above
Twin 1
Twin 2
Neither twin
Please describe
Any other medical or psychological problem not listed above (e.g., history of seizures, claustrophobia)
Twin 1
Twin 2
Neither twin
Please describe
Optional: You can use the space below to include a message to us, including information about additional multiples.
Submit
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