Attachment 24_Phase_IV_HFUP_Letters

Attachment 24_Phase_IV_HFUP_Letters.pdf

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

Attachment 24_Phase_IV_HFUP_Letters

OMB: 0925-0406

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Attachment 24: AHS Phase IV Health Follow-Up Letters

24.1). AHS Phase IV Health Follow-Up Participant Invitation Letter
24.2). AHS Phase IV Health Follow-Up Next of Kin Invitation Letter
24.3). AHS Phase IV Health Follow-Up Website Letter

Agricultural Health Study
Health Follow Up Survey Center
Social & Scientific Systems, Inc.
1009 Slater Road, Suite 120
Durham, North Carolina 27703
1-855-443-2692

Date

www.aghealth.org
Executive Committee
Michael C. R. Alavanja, DrPH
Occupational and Environmental
Epidemiology Branch
National Cancer Institute
National Institutes of Health
U.S. Department of Health and
Human Services
Laura Beane Freeman, PhD
Occupational and Environmental
Epidemiology Branch
National Cancer Institute
National Institutes of Health
U.S. Department of Health and
Human Services
Jane A. Hoppin, ScD
Epidemiology Branch
National Institute of Environmental
Health Sciences
National Institutes of Health
U.S. Department of Health and
Human Services
Dale P. Sandler, PhD
Epidemiology Branch
National Institute of Environmental
Health Sciences
National Institutes of Health
U.S. Department of Health and
Human Services
Kent Thomas, BSPH
U.S. Environmental Protection Agency
National Exposure Research
Laboratory
Cynthia J. Hines, MS, CIH
Division of Surveillance, Hazard
Evaluations, and Field Studies
National Institute for Occupational
Safety and Health

Coordinating Center
Marsha Dunn, MPH
Westat
Charles F. Lynch, MD, PhD
University of Iowa
Department of Epidemiology

«FirstName»«LastName», <>
«Address1»«Address2»
«City», «State»«Zip»
Dear Mr./Mrs. «LastName» <>:
Thank you for your continued participation in the Agricultural Health Study
(AHS). You are an essential member of this study. The involvement of
people, just like you, helps us learn about how agricultural and
environmental factors may affect the health of farmers and their families.
Occasionally, we contact everyone in the AHS to update information
about their health. Enclosed is a brief questionnaire about your health as
well as a contact update form for you to complete. These are separate
documents to help us protect your privacy. If you have any questions or
need assistance completing it please call us at 1-855-443-2692 or see our
survey website, www.aghealthsurvey.org.
Also enclosed is a copy of the most recent AHS Study Update. We hope
you enjoy it and learn something new about the study.
Even if you are retired or no longer farming, your involvement is very
important to us. Your participation in this or any activity of the AHS is
voluntary. You remain in the Agricultural Health Study even if you do not
participate at this time.
Again, we want to thank you for your assistance in making the Agricultural
Health Study an important and successful study in the agricultural
community.
Sincerely,

Jane Hoppin, ScD

04FEB2013

Agricultural Health Study
Health Follow Up Survey Center
Social & Scientific Systems, Inc.
1009 Slater Road, Suite 120
Durham, North Carolina 27703
1-855-443-2692

Date

www.aghealth.org
Executive Committee
Michael C. R. Alavanja, DrPH
Occupational and Environmental
Epidemiology Branch
National Cancer Institute
National Institutes of Health
U.S. Department of Health and
Human Services
Laura Beane Freeman, PhD
Occupational and Environmental
Epidemiology Branch
National Cancer Institute
National Institutes of Health
U.S. Department of Health and
Human Services
Jane A. Hoppin, ScD
Epidemiology Branch
National Institute of Environmental
Health Sciences
National Institutes of Health
U.S. Department of Health and
Human Services
Dale P. Sandler, PhD
Epidemiology Branch
National Institute of Environmental
Health Sciences
National Institutes of Health
U.S. Department of Health and
Human Services
Kent Thomas, BSPH
U.S. Environmental Protection Agency
National Exposure Research
Laboratory
Cynthia J. Hines, MS, CIH
Division of Surveillance, Hazard
Evaluations, and Field Studies
National Institute for Occupational
Safety and Health

Coordinating Center
Marsha Dunn, MPH
Westat
Charles F. Lynch, MD, PhD
University of Iowa
Department of Epidemiology

«FirstName»«LastName», <>
«Address1»«Address2»
«City», «State»«Zip»
Dear «FirstName/LastName»:
«FirstName/LastName, suffix of Deceased» was a member of the
Agricultural Health Study (AHS), a large health study of farmers and their
spouses in Iowa and North Carolina. As a participant of the AHS,
«he/she» provided valuable information to help us learn how agricultural
and environmental factors may affect the health of farmers and their
families.
We want to extend our condolences for the loss of your loved one. We
are hoping you are willing to honor «his/her» commitment to the AHS by
providing some additional information about «his/her» health history.
Please know that protecting this information is a priority for the AHS.
Everything you provide will be kept confidential and only used in
summary reports.
We have enclosed a brief questionnaire for you, or someone more
knowledgeable about «him/her», to complete and return. This should take
no longer than 15 minutes to complete. If there is someone more
appropriate for us to contact to obtain this information, please call us tollfree at 1-855-443-2692.
Also enclosed is a copy of the most recent AHS Study Update. If you
have questions about the study as a whole, please visit our website,
www.aghealth.org. If you have questions about this survey, visit the
survey website, www.aghealthsurvey.org. We appreciate your help in
providing us this important information.
Sincerely,
Jane Hoppin, ScD

04FEB2013

Agricultural Health Study
Health Follow Up Coordinating Center
Social & Scientific Systems, Inc.
1009 Slater Road, Suite 120
Durham, North Carolina 27703
1-XXX-XXX-XXXX

Date

www.aghealth.org
Executive Committee
Michael C. R. Alavanja, DrPH
Occupational and Environmental
Epidemiology Branch
National Cancer Institute
National Institutes of Health
U.S. Department of Health and
Human Services
Laura Beane Freeman, PhD
Occupational and Environmental
Epidemiology Branch
National Cancer Institute
National Institutes of Health
U.S. Department of Health and
Human Services
Jane A. Hoppin, ScD
Epidemiology Branch
National Institute of Environmental
Health Sciences
National Institutes of Health
U.S. Department of Health and
Human Services
Dale P. Sandler, PhD
Epidemiology Branch
National Institute of Environmental
Health Sciences
National Institutes of Health
U.S. Department of Health and
Human Services
Kent Thomas, BSPH
U.S. Environmental Protection Agency
National Exposure Research
Laboratory
Cynthia J. Hines, MS, CIH
Division of Surveillance, Hazard
Evaluations, and Field Studies
National Institute for Occupational
Safety and Health

Coordinating Center
Marsha Dunn, MPH
Westat
Charles F. Lynch, MD, PhD
University of Iowa
Department of Epidemiology

«FirstName»«LastName», <>
«Address1»«Address2»
«City», «State»«Zip»
Dear Mr./Mrs. «LastName» <>:
Thank you for your continued participation in the Agricultural Health Study
(AHS). We recently sent you the latest AHS Study Update and a brief
questionnaire. We have not heard from you yet and want to make sure you
have the chance to participate. If you have already returned your
questionnaire in the mail, we thank you. If you haven’t, please read on for
other ways you can participate in this important health study.
We understand that your time is important. We want to provide you with
convenient options (paper, web, or phone) to complete to the questionnaire.
Enclosed is another copy, if paper is your choice.
If you prefer to complete the questionnaire on the internet, you may do so
by going to our secure website and entering the username and password
below. The username and password are unique to you and should not be
used by anyone else. This is one of the many ways we protect your
privacy.
Website:
Username:
Password:
If you prefer to complete the questionnaire by telephone, we will call you.
We will begin telephone interviews in the spring. If you have any questions
about the study or want to schedule your telephone interview, please call us
at 1-xxx-xxx-xxxx.
We look forward to hearing from you.
Sincerely,

Jane Hoppin, ScD


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File TitleMicrosoft Word - Attachment 24_Phase_IV_HealthFollowUp_Letters.docx
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File Modified2013-02-05
File Created2012-10-09

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