Appendix E.1 Enrollment Packet Cover Letter: Case Group
Date
Name
Address
City, State, Zip
Dear:
Thank you for your interest in the National CADDRE Study: Child Development and Autism. This packet contains information to get you started in the study. The package has 3 folders that will guide you through the study. Someone from the study will call you in the next week to make sure you received the packet, help you complete materials if needed, schedule the next part of the study, and answer your questions. The folders contained in this packet are:
Yellow Folder: Things You Should Keep
|
Green Folder: Forms to Fill out and Return
|
Blue Folder: Cheek Swab Kit
|
Please read over all of the materials in all three folders.
If you feel that you can complete the materials in the green and blue folders on your own go ahead and fill them out. Please send them back according to the instructions. If you have any questions while you are completing these forms (or want help before you begin), please call <site specific name and number>. <She or he> will be able to help you over the phone or can arrange for study staff to meet you in person.
There is a $25 <site specific…money order, certificate> enclosed. If you complete the entire study, you will receive a total of $315.00.
We are grateful to you for your willingness to participate in this important research study. If you would like to speak to anyone at any point during the study, please call <site specific name and number>. You may also call me directly at <number>.
Sincerely yours,
<Site specific… principal investigator name>
An
Enrollment Packet will be sent to your home.
This
packet will include: YELLOW
Things You Keep Folder 1.
$25.00
2.
A copy of the overall consent form and a study bill of rights for
you to review and keep.
3.
Information about the study including a study flow sheet and guides
for the interview and clinic visits.
GREEN
“Forms to Return”
This
packet will include HIPAA medical records release forms to sign and
return to the study (using the enclosed pre-stamped mailer). It will
take about15 minutes to complete this packet.
BLUE
“Cheek Swab Kit”
This
includes cheek swab consent forms, instructions on how to collect
cheek swabs, and the swabs you use. We ask you to complete these and
return them to the study in the enclosed <<blue>>
mailer. This will take about 20 minutes to complete.
Study
staff can help you with the kit or other parts of the study.
Follow
Up Call
Study
Staff will contact you one week after the enrollment letter is
mailed. During this phone call, the study staff will:
1.
Answer any questions you have about the study or the materials sent
to you in the enrollment packet.
2.
Schedule follow up visits with you and your child to complete the
remaining parts of the study. The scheduling of these will be
flexible to fit your schedule.
Clinical
Visit (In your home or at a clinic) The
study staff will meet with you to complete some parts of the study
and answer questions. Study staff will:
1.
Review the study informed consent with you and ask you to sign it
for you and for your child.
2.
Ask questions about your child’s development and behaviors.
They can ask them by phone or meet you in person. It will take
around 3 hours to complete this interview. You may be asked
questions about how they react.
4.
Take a sample of your blood. 5.
Play with your child using specific toys during a child
developmental evaluation. Take blood from your child. We will also
collect a small sample of hair from your child’s head. This
visit will last around 2 hours. This
visit will last around 6 hours, but can be scheduled in parts if you
think this is too long.
Caregiver
Telephone Interview
The
study staff will set up a time to call to ask you questions about
the medical history of your child. This interview will also include
questions about when you (or the biological mom) was pregnant with
your child. Only the biological mom will be asked the questions
about her pregnancy. If someone else completes the interview,
certain sections will be skipped. The interview will last about 1
hour.
Thank
you for taking part in our important study!
First
Questionnaire Packet The
study staff will assist you in answering questions about your
family’s medical history. These can be done with study staff
at your home or the clinic, over the telephone, or mailed to you to
complete on your own. These questionnaires will take about 1 hour to
complete.
Follow
Up Call
During
this phone call, the study staff will:
1.
Answer any questions you have about the study.
2.
Explain and schedule the Second Questionnaire Packet.
3.
Explain and schedule the clinical visits. The scheduling of these
will be flexible to fit your schedule.
Second
Questionnaire Packet The
study staff will assist you in answering questions about your
child’s behavior. These can be done with study staff at your
home or the clinic, over the telephone, or mailed to you to complete
on your own. These questionnaires will take about 1 hour to
complete.
Third
Questionnaire Packet During
the clinic visit, the study staff will show you how to fill out diet
and stool diaries. You can complete these on your own at home. These
diaries will take about 1 hour to complete.
Appendix E.1 Enrollment Packet Cover Letter: NIC/Subcohort Groups
Date
Name
Address
City, State, Zip
Dear:
Thank you for your interest in the National CADDRE Study: Child Development and Autism. This packet contains information to get you started in the study. The package has 3 folders that will guide you through the study. Someone from the study will call you in the next week to make sure you received the packet, help you complete materials if needed, schedule the next part of the study, and answer your questions. The folders contained in this packet are:
Yellow Folder: Things You Should Keep
|
Green Folder: Forms to Fill out and Return
|
Blue Folder: Cheek Swab Kit
|
Please read over all of the materials in all three folders.
If you feel that you can complete the materials in the green and blue folders on your own go ahead and fill them out. Please send them back according to the instructions. If you have any questions while you are completing these forms (or want help before you begin), please call <site specific name and number>. <She or he> will be able to help you over the phone or can arrange for study staff to meet you in person.
There is a $25 <site specific…money order, certificate> enclosed If you complete the entire study, you will receive a total of $235.00.
We are grateful to you for your willingness to participate in this important research study. If you would like to speak to anyone at any point during the study, please call <site specific name and number>. You may also call me directly at <number>.
Sincerely yours,
<Site specific… principal investigator name>
An
Enrollment Packet will be sent to your home.
This
packet will include: YELLOW
Things You Keep Folder 1.
$25.00
2.
A copy of the overall consent form and a study bill of rights for
you to review and keep.
3.
Information about the study including a study flow sheet and guides
for the interview and clinic visits.
GREEN
“Forms to Return”
This
packet will include HIPAA medical records release forms to sign and
return to the study (using the enclosed pre-stamped mailer). It will
take about15 minutes to complete this packet.
BLUE
“Cheek Swab Kit”
This
includes cheek swab consent forms, instructions on how to collect
cheek swabs, and the swabs you use. We ask you to complete these and
return them to the study in the enclosed <<blue>>
mailer. This will take about 20 minutes to complete.
Study
staff can help you with the kit or other parts of the study.
Follow
Up Call
Study
Staff will contact you one week after the enrollment letter is
mailed. During this phone call, the study staff will:
1.
Answer any questions you have about the study or the materials sent
to you in the enrollment packet.
2.
Schedule follow up visits with you and your child to complete the
remaining parts of the study. The scheduling of these will be
flexible to fit your schedule.
Caregiver
Telephone Interview
The
study staff will set up a time to call to ask you questions about
the medical history of your child. This interview will also include
questions about when you (or the biological mom) was pregnant with
your child. Only the biological mom will be asked the questions
about her pregnancy. If someone else completes the interview,
certain sections will be skipped. The interview will last about 1
hour.
First
Questionnaire Packet The
study staff will assist you in answering questions about your
family’s medical history. These can be done with study staff
at your home or the clinic, over the telephone, or mailed to you to
complete on your own. These questionnaires will take about 1 hour to
complete.
Follow
Up Call
During
this phone call, the study staff will:
1.
Answer any questions you have about the study.
2.
Explain and schedule the Second Questionnaire Packet.
3.
Explain and schedule the clinical visits. The scheduling of these
will be flexible to fit your schedule.
Second
Questionnaire Packet The
study staff will assist you in answering questions about your
child’s behavior. These can be done with study staff at your
home or the clinic, over the telephone, or mailed to you to complete
on your own. These questionnaires will take about 1 hour to
complete.
Clinical
Visit (In your home or at a clinic) The
study staff will meet with you to complete some parts of the study
and answer questions. Study staff will:
1.
Review the study informed consent with you and ask you to sign it
for you and for your child.
2.
Take a sample of your blood. 3.
Play with your child using specific toys during a child
developmental evaluation. Take blood from your child. We will also
collect a small sample of hair from your child’s head. This
visit will last around 1 1/2 hours, but can be scheduled in parts if
you think this is too long.
Thank
you for taking part in our important study!
Third
Questionnaire Packet During
the clinic visit, the study staff will show you how to fill out diet
and stool diaries. You can complete these on your own at home. These
diaries will take about 1 hour to complete.
Page
File Type | application/msword |
File Title | Cover Letter: Case Group |
Author | cdc |
Last Modified By | pax1 |
File Modified | 2007-06-04 |
File Created | 2007-06-04 |