Download:
pdf |
pdfAppendix P:
Report to Participant – Normal Values (Mailed
Follow-up)
Page 1 of 6
SAMPLE LETTER – NORMAL RESULTS
(Version 0.5)
«TITLE» «PARTICIPANT FIRST» «PARTICIPANT LAST»
«STREET ADDRESS 1»
«STREET ADDRESS 2»
«CITY», «STATE» «ZIP CODE»
«DATE»
Dear «TITLE» «PARTICIPANT LAST»:
On behalf of the entire GuLF Study team, I want to thank you for your dedication in completing
your telephone interview and home visit. We know that it took a considerable amount of your
time to do all of this and it is greatly appreciated.
As part of your participation in the GuLF Study, you met with «HVA name» on «date» and
completed a questionnaire and a number of clinical evaluations. Our records indicate that all of
your evaluation findings were normal. The enclosed report summarizes your evaluation results
and includes the results of your lung function test «[IF IN BIOMEDICAL SUBCOHORT] and
complete blood count», which were not provided to you during your visit. These results were
also normal.
If you have any questions about your results or need assistance with a referral for health care,
please call the study center toll-free at 1-855-NIH-GULF (1-855-644-4853).
As you know, the GuLF Study is a long-term study and we plan to keep in touch with you for at
least the next ten years.
•
We will send you newsletters each year with the latest updates on the study.
Keeping you posted on GuLF Study events and findings is important to us.
•
Every two years, we will ask you to complete a short telephone interview and answer
questions about your health and environment.
•
In the years between calls, we will contact you by mail to request updated contact
information.
•
ADDITIONAL TEXT FOR BIOMEDICAL SUB-COHORT: << You may also be invited
to participate in additional studies with our research partners. >>
Please keep in touch and visit our website at www.nihgulfstudy.org for news about the GuLF
Study. If you have any questions, please call us toll-free at 1-855-NIH-GULF (1-855-644-4853).
Page 2 of 6
Our hours are Monday through Saturday (9am – 9pm) and Sunday (12pm – 6pm) Eastern Time
[TIME ADJUSTED TO LOCAL TIME ZONE].
Sincerely,
Dale Sander
Principal Investigator, GuLF Study
National Institute of Environmental Health Sciences
National Institutes of Health
Page 3 of 6
SAMPLE REPORT OF FINDINGS
Date of Study Visit:
Name:
Age:
Gender:
«Date»
«Participant Name»
«Age»
«Gender»
Body Measurements
Height:
«feet, inches»
Weight:
«pounds»
Body Mass Index:
«BMI»
Advice:
Your BMI indicates that your weight is in the normal range for
adults of your height. Maintaining a healthy weight may reduce
the risk of chronic diseases associated with overweight and
obesity.
If height and/or weight were not measured, omit the standard
text and the results table. Display the following message:
Your BMI could not be calculated because we did not have
complete height and weight measurements from your home visit.
Blood Pressure
Measurement 1
Measurement 2
Measurement 3
Average
Systolic BP
«SBP»
«SBP»
«SBP»
«SBP»
Diastolic BP
«DBP»
«DBP»
«DBP»
«DBP»
Advice:
Your blood pressure
readings are (mm Hg)
Systolic BP <120 AND
Diastolic BP <80
This is
considered
Normal
You are advised to
Your Blood Pressure is within
normal limits. Talk to a health care
provider about healthy lifestyle
choices that you can take to
prevent high blood pressure.
If blood pressure was not measured, omit the standard text and the results table. Display the
following message:
Page 4 of 6
Blood pressure measurements were not taken during your visit. Therefore, we cannot provide
you with meaningful results.
Urine glucose (sugar)
Results:
Recent symptoms of diabetes:
«No»
Previously diagnosed with diabetes:
«Yes/No»
Urine Glucose Result:
«Negative»
Advice: Your results are negative. No follow-up action is required.
Lung Function Test
Your Best Values
Predicted Values
% of Predicted
FVC (L)
«value»
«value»
«value»
FEV1 (L)
«value»
«value»
«value»
FEV1 / FVC (%)
«value»
«value»
«value»
The purpose of the pulmonary function test, also known as spirometry or lung function test, is to
determine how your lung function compares to normal lung function for someone of your age,
gender, race, and height. The table above provides your results for three measurements.
•
The forced vital capacity (FVC) is the maximal or total amount of air you can forcefully
breathe out after taking a deep breath.
•
The 1-second forced expiratory volume (FEV1) is the amount of air that you can breathe out
in the first second of exhaling.
•
The FEV1 / FVC (%) is the calculation of the ratio of FEV1 to FVC.
The table also compares your results to predicted values for a healthy, non-smoking person of the
same age, height, sex, and race.
Your results have been reviewed by an expert in lung function testing. Please note that any
abnormal test result is not a diagnosis of disease; that determination can only be made a health
care provider following a complete medical examination.
Interpretation: Your lung function test results were within normal limits.
If results could not be interpreted due to low quality:
Interpretation: Your lung function test results were not interpretable.
If lung function testing was expected, but not done, was expected, but not done, omit the
standard text and the results table. Display the following message:
Page 5 of 6
A lung function test was not completed during your home visit.
If the test was not performed by the participant, omit the entire section.
Complete Blood Count
Result
Units
Flag
Normal Range
Total White Blood
Cell Count
«value»
(x103/µL)
«value»
«value»
-
«value»
Hemoglobin
«value»
(g/dl)
«value»
«value»
-
«value»
Hematocrit
«value»
(%)
«value»
«value»
-
«value»
Platelet Count
«value»
(x103/µL)
«value»
«value»
-
«value»
Advice: Your results are normal. You are encouraged to share your results with your health
care provider at your next appointment.
If blood collection was expected, but not done, omit the standard text and the results table.
Display the following message:
A blood sample for the complete blood count was not collected during your visit.
If the participant is not in the biomedical sub-cohort, omit entire section.
Page 6 of 6
| File Type | application/pdf |
| Author | Richard Kwok |
| File Modified | 2011-01-14 |
| File Created | 2011-01-14 |