Attach 24A-24C BEEA Pre-visit Letters & Script

Attach 24_BEEA pre-visit reminder letters and script.pdf

Agricultural Health Study: A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture (NCI)

Attach 24A-24C BEEA Pre-visit Letters & Script

OMB: 0925-0406

Document [pdf]
Download: pdf | pdf
ATTACHMENT 24

BEEA Pre-Visit Reminder Letter and Confirmation
Call Script for Iowa and NC
24A. BEEA Pre-Visit Reminder Letter for Iowa Respondents
24B. BEEA Pre-Visit Reminder Letter for North Carolina
Respondents
24C. BEEA Pre-Visit Confirmation Call Script

Attachmemt 24A: BEEA IA Pre-Visit Reminder Letter (Both Groups/All Visits)
Study of Biomarkers of Exposures and Effects in Agriculture

Date
To:
Mr. 
From: Charles Lynch, M.D., Ph.D.
Director, Iowa Field Station
This letter is to remind you about our appointment at your home, {STREET
ADDRESS/CITY/STATE/ZIP} on {DATE} at {TIME} for a home visit for the
Biomarkers of Exposures and Effects in Agriculture (BEEA) Study.
We will be calling you within the next week to confirm the appointment and
answer any questions you have.
Please review the information sheet on preparation for the home visit carefully
and follow the instructions precisely. Note that for the duration of the visit, we will need
quiet, uninterrupted time with you, and an area with a table such as a kitchen or dining
room. If you have any questions about the instructions, please ask them when we call
you before the visit.
If you have any questions or concerns, please contact Ellen Heywood, study
coordinator at 1-800-217-1954. Please specify that you are calling about the BEEA
Study. If you have questions or concerns about your rights as a research subject please
contact the Human Subjects Office, 300 College of Medicine Administration Building,
The University of Iowa, Iowa City, Iowa, 52242, (319) 335-6564, or e-mail
[email protected]. Again, we want to thank you for your assistance in making the
Agricultural Health Study an important and successful study of health in the agricultural
community. We look forward to speaking with you soon.

Attachment 24B: BEEA NC Pre-Visit Reminder Letter (Both Groups/All Visits)
Study of Biomarkers of Exposures and Effects in Agriculture

Date
Dear Mr. ,
This letter is to remind you about our appointment at your home, {STREET
ADDRESS/CITY/STATE/ZIP} on {DATE} at {TIME} for a home visit for the Biomarkers of
Exposures and Effects in Agriculture (BEEA) Study.
We will be calling you within the next week to confirm the appointment and answer any
questions you have.
Please review the information sheet on preparation for the home visit carefully and
follow the instructions precisely. Note that for the duration of the visit, we will need quiet,
uninterrupted time with you, and an area with a table such as a kitchen or dining room. If you
have any questions about the instructions, please ask them when we call you before the visit.
If you have any questions or concerns, please contact Margaret Hayslip, study
coordinator toll free at 1-800-424-7883. Please specify that you are calling about the Biomarkers
of Exposures and Effects in Agriculture (BEEA) Study. Again, we want to thank you for your
assistance in making the Agricultural Health Study an important and successful study of health in
the agricultural community. We look forward to speaking with you soon.

Sincerely,

Charles Knott, MPA, PMP
Director, North Carolina Field Station

ATTACHMENT 24C: BEEA PRE-VISIT REMINDER CALL SCRIPT
(BOTH GROUPS/ALL VISITS)

Study of Biomarkers of Exposures and Effects in Agriculture
Hello, Mr. ______________, my name is ____________. I will be coming to your
home to interview you and collect your blood and urine samples as a part of the
Study of Biomarkers of Exposures and Effects in Agriculture.
I just wanted to remind you that the visit is scheduled for (tomorrow/DATE) at
(TIME) (AM/PM).
Did you receive the urine collection kit and instructions, and did you have a
chance to review them? Do you have any questions at this time? Please be sure
to collect this sample on the morning of your home visit and store it in your
refrigerator until I come to pick it up.
IF FIRST/OFF-SEASON VISIT:
Have you had a chance to review the consent form for the home visit? Do you
have any questions at this time? We will review these materials during the visit
(tomorrow).
For the duration of the visit, we will need a quiet area with a table such as a
kitchen or dining room, in which to complete the interview and blood collection.
Do you have space that can be used for these activities?
Do you have any questions or concerns at this time?

CONFIRM ADDRESS AND ASK FOR DIRECTIONS IF NECESSARY.

Public reporting burden for this collection of information is estimated to average five minutes per
response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of
information. An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a currently valid OMB control
number. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch,
6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0406). Do
not return the completed form to this address.


File Typeapplication/pdf
File TitleMicrosoft Word - Attach 24 - BEEA pre-visit reminder letters and script.docx
AuthorMarshall_C
File Modified2010-04-28
File Created2010-04-28

© 2024 OMB.report | Privacy Policy