2019-2024 PRC-PERS Questions

2019-2024
PRC-PERS Questions

Table of Contents
PERS QUESTIONS, BY SECTION ............................................................................................................................................. 2
CORE RESEARCH PROJECT AND CENTER CHARACTERISTICS .................................................................................................................... 2
INSTITUTIONAL SUPPORT ................................................................................................................................................................ 5
COMMUNITY ADVISORY BOARDS (CAB) ........................................................................................................................................... 6
PARTNERSHIPS ............................................................................................................................................................................. 8
TECHNICAL ASSISTANCE / SUBJECT MATTER EXPERTISE ...................................................................................................................... 10
MENTORSHIP ............................................................................................................................................................................. 11
TRAINING .................................................................................................................................................................................. 12
RESEARCH AND PRACTICE TOOLS ................................................................................................................................................... 14
COMMUNICATION CHANNELS AND ADDITIONAL PRODUCTS ................................................................................................................ 17
BOOKS AND BOOK CHAPTERS ........................................................................................................................................................ 18
BOOKS/BOOK CHAPTERS AUTHORED BY YOUR PRC. ........................................................................................................................... 18
JOURNAL ARTICLES...................................................................................................................................................................... 20
PRESENTATIONS ......................................................................................................................................................................... 22

PRC-PERS DRAFT Questions – FOR INFORMATIONAL PURPOSE ONLY – DO NOT DISTRIBUTE

PERS Questions, by Section
Core Research Project and Center Characteristics
The two award components are Core Research Project and Center activities. There will be one record for each of
these. Do NOT enter individual Center projects.
PERS Questions

Options

Component title
Component type

○ Core Research Project
○ Center activities

Addressing Social Determinants of Health (SDoH)
Does the component address any of the following social
determinants of health related to Economic Stability?
Select all that apply.

□ Employment
□ Food security
□ Housing stability
□ Poverty

Does the component address any of the following social
determinants of health related to Education Access
and Quality? Select all that apply.

□ Early childhood education and development
□ High school graduation
□ Enrollment in higher education
□ Language and literacy
□ Educational attainment in general

Does the component address any of the following social
determinants of health related to Social and
Community Context? Select all that apply.

□ Civic participation
□ Discrimination
□ Incarceration
□ Cohesion within a community
□ Conditions in the workplace

Does the component address any of the following social
determinants of health related to Healthcare Access
and Quality? Select all that apply.

□ Access to health care
□ Access to primary care
□ Health insurance coverage
□ Health literacy

Does the component address any of the following social
determinants of health related to Neighborhood and
Built Environment? Select all that apply.

□ Availability of healthy foods
□ Neighborhood crime and violence
□ Air and water quality
□ Quality of housing
□ Access to transportation

What role does the PRC play in addressing the
selected social determinants of health?
(Text box opens if any SDOH are selected)
Health Topic(s)

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2

Select all the health topic(s) this component addresses.

□ Population health / Cross-cutting health topics
□ Nutrition / Obesity
□ Physical activity
□ Cancer
□ Heart disease / Stroke
□ Dementia / Alzheimer's
□ Diabetes
□ Oral Health
□ Epilepsy
□ Mental health
□ Violence prevention / Injury prevention
□ Healthy pregnancy and post-partum
□ Pregnancy prevention
□ HIV
□ Sexually transmitted diseases (STDs)
□ Alcohol
□ Opioids
□ Marijuana
□ Tobacco use / Vaping
□ COVID-19
□ Other (specify) ____________________

Population
Does this component focus on any of the following
racial or ethnic groups? Select all that apply.

□ American Indian or Alaska Native
□ African American or Black
□ Asian
□ Hispanic or Latinx
□ Native Hawaiian or Other Pacific Islander
□ White
□ Other
□ No specific racial or ethnic group focus

Does this component focus on people with any of the
following disabilities? Select all that apply.

□ Deaf / hard of hearing
□ Intellectual or developmental disability
□ People who use a wheelchair
□ Blind or have low vision
□ Other
□ No specific focus on people with disabilities

Does this component focus on any of the following age
groups? Select all that apply.

□ Infants
□ Youth
□ Young adults
□ Older adults
□ Other
□ No specific age group focus

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3

Are populations characterized by sexual orientation or
gender identity specifically addressed by this
component? Select all that apply.
Does this component focus on any of the following
populations? Select all that apply.

□ Sexual orientation
□ Gender identity
□ No specific focus on sexual orientation or gender identity
□ Foster care
□ Immigrants, migrants, or refugees
□ Justice-involved
□ Limited English proficiency
□ Low health literacy
□ Low socioeconomic status
□ Military/veterans
□ Pregnant people
□ Other
□ No focus on these populations

Setting
Does this component focus on any of the following
geographic settings? Select all that apply.

Does this component focus on any of the following
intervention settings? Select all that apply.

□ Rural
□ Urban
□ Community
□ Statewide
□ Other
□ No specific geographic setting
□ School(s)
□ Faith-based
□ FQHC(s)
□ Health department(s)
□ Other clinical setting
□ Tribe(s)
□ Work site(s)
□ Other
□ No specific intervention setting

Community Health Workers
Are Community Health Workers used to deliver or
implement intervention(s)?

○ Yes ○ No

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4

Institutional Support
Questions

Options

Monetary Support
Enter the dollar amount and funding period for each provision of monetary support from your academic institution to
your PRC. If the funding has no date wherein the funds must be used, leave “End date” blank.
Which of these options best describes the application process?

○ No application necessary
○ Competitive application process
○ Non-competitive application process

Monetary Support #1 (up to 5 entries)
Amount #1
Funding start date #1
End date #1
In-Kind Support
Describe the in-kind support the PRC receives from your academic
institution.

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5

Community Advisory Boards (CAB)
Enter all boards/committees that advise your PRC, including non-CAB boards, such as a scientific advisory board
made up of researchers in other departments.
PERS Questions

Options

Board name
Is this a CAB or other (non-CAB) advisory board?

○ CAB
○ Other (non-CAB) advisory board

Which of these options best describes the advisory
scope of this board?

○ PRC-wide
○ Core Research Project
○ Center Component
○ Project/activity

CAB Description

Section shows when “CAB” is selected.

Do all members of this CAB sit on another CAB?
(Shows when “Core Research Project,” Center
Component,” or “Project/activity” is selected)

○ Yes ○ No

Enter the name of the other CAB(s).
(Shows if “Yes” is selected.)
How frequently does this CAB generally meet (e.g.,
annually, quarterly, monthly)? Add updates if
frequency changes during the cycle.
Does this CAB have smaller groups or committees
that meet more or less frequently?

○ Yes ○ No

Sub-CAB / Sub-Committee Meeting(s)
You may specify up to 5 additional small
groups/committees. Add updates if frequency
changes during the cycle.

Section shows if “Yes” is selected.

How frequently does this small
group/committee meet? (#1)
Briefly describe the purpose of this small
group/committee, including the name if it has
one. (#1)
Board Representation and Role
Select all types of members on this board:

□ Community member(s) representing population(s) of
focus

□ Community based or other not-for-profit organization
□ Community health provider
□ Health care system
□ Insurer/Payer
□ School/School district
□ Health department - State
□ Health department - Local/Tribal/Territorial
□ Tribe/Tribal organization
□ Other government entity
□ Professional association
□ Another PRC
□ CTSA/CTSI/CTR, PCORI, PBN, or IDeA
□ College/University
□ Business
□ Other (specify) ____________________
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Is the population of focus represented on this CAB?
(Shows if “CAB” is selected AND “Community
member(s)… is NOT selected.)
Briefly describe how the population of focus
is represented on this CAB.
(Shows if “Yes” is selected.)
Select and describe all phases of research/practice
this board advises on and/or actively participates in,
including Core Research Project (CRP) or Center
activities:

○ Yes ○ No

Advises

Actively participates

Research and translation agenda

□

□

CRP design

□

□

CRP implementation

□

□

Interpretation of CRP analyses or evaluation

□

□

Dissemination of CRP findings

□

□

Translation of CRP findings

□

□

Center activities

□

□

Describe board role in ________:
(Open text boxes for each role selected)

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7

Partnerships
Enter partners if:
(1) they played one of the partner roles listed in this section
AND
(2) they engaged with your PRC beyond serving on a CAB or other advisory board.
If PRC is providing TA, but the TA recipient does not play one of the partner roles listed in this section, enter this
information in the Technical Assistance/Subject Matter Expertise section instead.
Survey Question

Options

Partner name
Enter the number of sites/locations involved, if more than one.
Does this partner sit on any CAB or other advisory board?

○

Yes

○

No

Enter the name(s) of the CAB(s).
(Shows if “Yes” is selected.)
Partner Role
From the following options, select all the role(s) the partner plays
or has played for the PRC, and enter a description where
indicated (*).

□ Developing a research and translation agenda*
□ Planning research/study design*
□ Implementing interventions *
□ Analyzing data, conducting evaluation,
interpreting findings

□ Developing/disseminating research or practice
tool(s)*

□ Translating research findings *
□ Training others on implementation *
□ Scaling up interventions *
Describe role, _________:
(Text box opens for each role selected)
Select research or practice tool: (#1)
(Shows when “Developing/disseminating..” is selected. Up
to 3 entries.)

Drop-down list of previously entered tools

Select whether this partner was involved in tool’s
development, dissemination, or both. (#1)
(Shows when “Developing/disseminating..” is selected. Up
to 3 entries.)

□ Development
□ Dissemination
Core Research Project

Center activities

Indicate whether the partner role applies to the Core
Research Project (CRP), Center activities, or both.
(Shows when the roles are selected above)
Developing a research and translation agenda

□

□

Planning research/study design

□

□

Implementing interventions

□

□

Analyzing data, conducting evaluation, interpreting
findings
Translating research findings

□

□

□

□

Training others on implementation

□

□

Scaling up interventions

□

□

Resource Provision
Did this partner provide monetary or in-kind resources to your
PRC?

○

Yes

○

No

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Select whether this partner provided monetary or in-kind
resources, or both.
(Shows if “Yes” is selected.)

□ Monetary
□ In-kind

Partner Type
Which of these options best describes the type of organization?

○ Community-based or Non-profit organization
○ Community health provider
○ Health care system
○ Insurer/payer
○ School/school district
○ College/University
○ Health department - State
○ Health department - Local/Tribal/Territorial
○ Tribe/tribal organization
○ Other government entity
○ Professional association
○ Another PRC
○ CTSA/CTSI/CTR, PCORI, PBN, or IDeA
○ Business

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9

Technical Assistance / Subject Matter Expertise
Describe technical assistance and/or subject matter expertise provided by your PRC to others. PRC service on
advisory boards should be entered here.
PERS Questions

Options

Description of Technical Assistance (TA) / Subject Matter Expertise (SME)
Select all groups that received TA or SME from your PRC. Enter a
description as prompted.

□ Advisory boards
□ Community members
□ Community organizations
□ Health department - Local
□ Health department - State
□ Health department - Tribal
□ Health department - Territorial
□ Other researchers
□ Policy makers
□ Other

Briefly describe TA/SME provided and any significant
outcomes.
(Opens text box for each group selected)
Funding
Did your PRC receive funding for providing TA or SME to
health departments?
(Rows appear for each health department type selected above)

Yes

No

Health department – Local

○

○

Health department - State

○

○

Health department – Tribal

○

○

Health department - Territorial

○

○

COVID-19
Describe any TA/SME provided in response to the COVID-19
pandemic, including who it was provided to.
Describe any outcomes of TA/SME provided in response to the COVID19 pandemic.

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10

Mentorship
Formal or informal mentoring programs where the experiences and content for each learner may be different.
Even if the program has a structure (e.g., fellowship program designed with objectives to build capacity of postdocs to conduct community engaged research), if the experiences (e.g., faculty worked with, projects
participating on) of each fellow/intern/mentee are different, enter it in this section.
The number of mentees should be updated continuously over the cycle. Ensure that the data reflect the total
number of unique mentees for the cycle.
PERS Questions

Options

Mentorship program provided

□ Student mentoring program
□ Postdoctoral/faculty mentoring program

Briefly describe student mentoring programs
(including fellowships, internships, etc.).
(Shows when student program selected)
Briefly describe postdoctoral/faculty mentoring
programs.
(Shows when postdoctoral/faculty program
selected)
Number of People Mentored
Number of
people
mentored

Two or fewer
semesters

More than two
semesters

High school students

N/A

N/A

Undergraduate students

N/A

N/A

N/A

N/A

Category

Master’s students

(formula add all
Master’s)

Doctoral students

(formula add all
Doctoral)

Postdoctoral staff

(formula add all
Postdoctoral)

Faculty
Total number of people mentored:
(Automatically calculated)

(formula: add all people mentored)

Evaluation
Select each category of outcomes being
monitored/evaluated (if known).

□ Participant satisfaction
□ Knowledge acquisition
□ Knowledge application
□ Participants achieving ultimate intended
outcomes

Describe evaluation of mentorship activities/programs
including when and how outcome data are collected.

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11

Training
Formal or informal training programs where all participants experience the same content and experiences,
notwithstanding minor differences (e.g., small group breakouts in a workshop). Trainings entered in this section
must have been conducted live (in person or via webinar).
PERS Questions

Option

Training name
Training date
Number of attendees
Were there repeat occurrences of this training?

○ Yes ○ No

Repeated Training (same training name)
You may specify up to 5 additional occurrences of this training.

Section shows if “Yes” is selected.

Training date (#1)
Number of attendees (#1)
Grand total of attendees at all training occurrences
Training Details
Was this training recorded and made accessible online for later
viewing?
Online training URL:
(Shows if “Yes” is selected.)
Number who have accessed the recording, if available:
(Shows if “Yes” is selected.)
Time frame used to determine this number:
(Shows if “Yes” is selected.)
Start date / End date
Select the training topic(s).

(calculated)

○ Yes ○ No

□ Awareness of effective population-based
approaches (including general public health
approaches)

□ Conducting applied prevention research
□ Evaluating programs, practices, policies,
and/or systems

□ Implementing effective interventions
□ Other (specify) ____________________
Indicate audience type(s) of training attendees.

Funding
Which component is associated with this training?

Select all funding sources used:

Health Topic(s)
Does this training address a specific health topic?
(Shows if Center activities is the selected component)

□ Academic faculty/researchers
□ Community stakeholders/NGO reps
□ Community health workers
□ Other health care practitioners
□ Public health professionals
□ Public health/med students
□ Tribes/tribal organizations
□ Other (specify) ____________________
○ Core Research Project
○ Center activities

□ PRC Core/Center award
□ Other funding
○ Yes

○ No

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Select all the health topic(s) this training address:
(Shows if “Yes” is selected)

□ Population health / Cross-cutting health
topics

□ Nutrition / Obesity
□ Physical activity
□ Cancer
□ Heart disease / Stroke
□ Dementia / Alzheimer's
□ Diabetes
□ Oral Health
□ Epilepsy
□ Mental health
□ Violence prevention / Injury prevention
□ Health pregnancy and post-partum
□ Pregnancy prevention
□ HIV
□ Sexually transmitted diseases (STDs)
□ Alcohol
□ Opioids
□ Marijuana
□ Tobacco use / Vaping
□ COVID-19
□ Other (specify) ____________________
Related Tool(s)
Does this training discuss or relate to use of a reported
research or practice tool?
Select research or practice tool (#1) (up to 3 entries):

○ Yes

○ No

Drop-down list of previously entered tools

Evaluation
Select each category of outcomes that was evaluated for this
training, if any:

□ Participant satisfaction
□ Knowledge acquisition
□ Knowledge application
□ Participants achieving ultimate intended
outcomes

Describe evaluation efforts, including when and how outcome
data are collected.
COVID-19
Was this training developed in response to the COVID-19
pandemic?

○ Yes ○ No

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13

Research and Practice Tools
Enter publicly available tools that were developed, adapted, and/or newly disseminated by your PRC in the
current cycle. Do not report tools that have been developed solely for PRC use and will not be disseminated to
others.
PERS Questions

Options

Tool Description
Tool name
Primary intended use

□ Research
□ Practice

Which of these options best describes this tool’s stage of
development/dissemination?

o
o
o

New tool developed
Significant adaptation from existing tool
New dissemination of existing tool

Briefly describe this tool and its stage of
development/dissemination.
What year was this tool originally developed?
(Shows if “Significant” or “New dissemination” are
selected)
What is the source of the existing tool?
(Shows if “Significant” or “New dissemination” are
selected)
Is this part of a toolkit or suite of tools?

o Your PRC

o

Other source

○ Yes ○ No

Name of toolkit or suite of tools:
(Shows if “Yes” is selected)
Describe the toolkit or suite of tools:
(Shows if “Yes” is selected)
Funding
Which component is associated with this tool?

□ Core Research Project
□ Center activities

Select all funding sources used:

□ PRC Core / Center award
□ Other funding

Health Topic(s)
Does this tool address a specific health topic?
(Shows when Center activities is the component selected)

○ Yes ○ No

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14

Select all the health topic(s) this tool addresses:
(Shows if “Yes” is selected)

□ Population health / Cross-cutting health topics
□ Nutrition / Obesity
□ Physical activity
□ Cancer
□ Heart disease / Stroke
□ Dementia / Alzheimer's
□ Diabetes
□ Oral Health
□ Epilepsy
□ Mental health
□ Violence prevention / Injury prevention
□ Health pregnancy and post-partum
□ Pregnancy prevention
□ HIV
□ Sexually transmitted diseases (STDs)
□ Alcohol
□ Opioids
□ Marijuana
□ Tobacco use / Vaping
□ COVID-19
□ Other (specify) ____________________

Primary Intended Users
Who are the primary intended users of this tool? Select all
that apply. Enter a description when prompted.

□ Decision makers
□ Members of the public
□ Program implementers
□ Researchers/academicians

Briefly describe __________:
(Opens text box for each user selected)
Dissemination and Promotion
Select all of the following targeted dissemination strategies
being used to reach the primary intended users:

□ Creating academic products (e.g., journal
articles)

□ CAB disseminating
□ Partner(s) disseminating
□ Conducting training
□ Other dissemination strategy
Describe other dissemination strategy:
(Shows if “Other dissemination strategy” is selected)
Is there a dedicated website for this tool?

○ Yes ○ No

Dedicated website, specify URL:
(Shows if “Yes” is selected)
Describe any non-academic products developed to promote
this tool, including specific URLs, if available.
Evaluation
Describe systematic evaluation of the tool that has been completed, if any.
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Findings of effectiveness:
Population(s) with which the tool was tested:
Setting(s) in which the tool was tested:
Context of current adaptation, if applicable:
Briefly describe evidence of utilization/adoption of this tool
by others, if any.
COVID-19
Was this tool developed, adapted, or newly disseminated in
response to the COVID-19 pandemic?

○ Yes ○ No

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16

Communication Channels and Additional Products
Enter URLs/handles for PRC communication channels and for any products created to promote your PRC or
share PRC research findings. URLs/handles reported here may be shared with other PRCs.
Survey Question

Option

PRC Website URL
Social Media Handles
Facebook
Twitter
Instagram
LinkedIn
YouTube
Pinterest
Audio/Video (Enter website URL(s))
Radio spots
Podcasts
TV spots
Additional Products (Enter website URL(s))
Newsletter(s)
Infographics / visual abstracts
Fact sheets / one-pagers
Policy / legislative briefs
Press releases / media coverage
Other products with URLs that your PRC wants to share
Innovative Channels
Describe innovative communication channels used and
how they have been used.

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17

Books and Book Chapters
Books/book chapters authored by your PRC.
PERS Questions

Options

Book title / Book chapter title
Book Citation
ISBN#
Editor(s)

○2019 ○2020 ○2021 ○2022 ○2023 ○2024

Year
Publisher Name
Publisher location
Pages
Book or Book chapter URL
Authors(s)
Co-authorship
Select all of the following who were co-authors of this
book/book chapter:

□ CAB members
□ Health department staff
□ Other partners
□ Students

Funding
Which component is associated with this book/book
chapter?

□ Core Research Project
□ Center activities

Select all funding sources used:

□ PRC Core / Center award
□ Other funding

Health Topic(s)
Does this book/book chapter address a specific health
topic?
(Shows when “Center activities” is selected)

○ Yes ○ No

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18

Select all the health topic(s) this book/book chapter
addresses:
(Shows if “Yes” is selected)

□ Population health / Cross-cutting health topics
□ Nutrition / Obesity
□ Physical activity
□ Cancer
□ Heart disease / Stroke
□ Dementia / Alzheimer's
□ Diabetes
□ Oral Health
□ Epilepsy
□ Mental health
□ Violence prevention / Injury prevention
□ Health pregnancy and post-partum
□ Pregnancy prevention
□ HIV
□ Sexually transmitted diseases (STDs)
□ Alcohol
□ Opioids
□ Marijuana
□ Tobacco use / Vaping
□ COVID-19
□ Other (specify) ____________________

Related Tool
Does this book/book chapter discuss or relate to a reported
research or practice tool?
Select the research or practice tool:
(Shows if “Yes” is selected)

○ Yes ○ No
Drop-down list of previously entered tools

COVID-19
Was this book/book chapter developed in response to the
COVID-19 pandemic?

○ Yes ○ No

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19

Journal Articles
If you enter a PubMed ID#, SKIP citation questions and move to Co-authorship.
PERS Questions

Option

PubMed ID#
PLEASE NOTE:
- If PubMed ID# has been entered, citation information will NOT instantaneously appear in the fields below.
Citation information will appear after PRC Program staff run extraction routines at periodic intervals.
- If PubMed ID# is not available, manually enter journal information below.
Journal Article Citation
Journal article title
Year article published

○2019 ○2020 ○2021 ○2022 ○2023 ○2024

Journal name
Volume of article published
Page(s) of article published
Journal article URL
Article author(s)
Co-authorship
Select all of the following who were co-authors of this journal
article:

□ CAB members
□ Health department staff
□ Other partners
□ Students

Funding
Which component is associated with this journal article?

□ Core Research Project
□ Center activities

Select all funding sources used:

□ PRC Core / Center award
□ Other funding

Health Topic(s)
Does this journal article address a specific health topic?
(Shows when “Center activities” is selected)

○ Yes ○ No

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20

Select all the health topic(s) this journal article
addresses:
(Shows if “Yes” is selected)

□ Population health / Cross-cutting health topics
□ Nutrition / Obesity
□ Physical activity
□ Cancer
□ Heart disease / Stroke
□ Dementia / Alzheimer's
□ Diabetes
□ Oral Health
□ Epilepsy
□ Mental health
□ Violence prevention / Injury prevention
□ Health pregnancy and post-partum
□ Pregnancy prevention
□ HIV
□ Sexually transmitted diseases (STDs)
□ Alcohol
□ Opioids
□ Marijuana
□ Tobacco use / Vaping
□ COVID-19
□ Other (specify) ____________________

Related Tool
Does this journal article discuss or relate to a reported
research or practice tool?
Select the research or practice tool:
(Shows if “Yes” is selected)

○ Yes ○ No
Drop-down list of previously entered tools

COVID-19
Was this journal article developed in response to the COVID19 pandemic?

○ Yes ○ No

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21

Presentations
Peer-reviewed and non-peer-reviewed presentations made by your PRC.
Non-peer-reviewed presentations are those given to community or practice audiences for the purpose of sharing
research findings and/or promoting the adoption of an intervention. If a “non-peer-reviewed presentation” has
learning objectives, for ex. learning how to use a practice tool, then it is a training and should be entered in the
Training section instead.
PERS Questions

Option

Presentation title
Presentation date
Presentation Details
Select all of the following who were presenters or copresenters:

□ CAB members
□ Health department staff
□ Other partners
□ Students

Who was the target audience for this presentation?

□ Community organizations/members
□ Public health/other practitioners
□ Researchers

Type of presentation

○ Peer-reviewed presentation
○ Non-peer-reviewed presentation

Peer-reviewed Presentation

Shows if “Peer-reviewed presentation” is selected

Conference name
Conference location (City, State or Country)
Author(s) of presentation
Was this an invited presentation?

○Yes ○No

Non-peer-reviewed Presentation

Shows if “Non-peer-reviewed presentation” is
selected

What is the primary purpose of this presentation?

□ Share research findings
□ Promote adoption of intervention and/or other
research/practice tool

Funding
Which component is associated with this presentation?

□ Core Research Project
□ Center activities

Select all funding sources used:

□ PRC Core / Center award
□ Other funding

Health Topic(s)
Does this presentation address a specific health topic?
(Shows when “Center activities” is selected)

○Yes ○No

PRC-PERS DRAFT Questions – FOR INFORMATIONAL PURPOSE ONLY – DO NOT DISTRIBUTE

22

Select all the health topic(s) this presentation
addresses:
(Shows if “Yes” is selected)

□ Population health / Cross-cutting health topics
□ Nutrition / Obesity
□ Physical activity
□ Cancer
□ Heart disease / Stroke
□ Dementia / Alzheimer's
□ Diabetes
□ Oral Health
□ Epilepsy
□ Mental health
□ Violence prevention / Injury prevention
□ Health pregnancy and post-partum
□ Pregnancy prevention
□ HIV
□ Sexually transmitted diseases (STDs)
□ Alcohol
□ Opioids
□ Marijuana
□ Tobacco use / Vaping
□ COVID-19
□ Other (specify) ____________________

Related Tool
Does this presentation discuss or relate to a reported
research or practice tool?
Select the research or practice tool:
(Shows if “Yes” is selected)

○ Yes ○ No
Drop-down list of previously entered tools

COVID-19
Was this presentation developed in response to the
COVID-19 pandemic?

○ Yes ○ No

PRC-PERS DRAFT Questions – FOR INFORMATIONAL PURPOSE ONLY – DO NOT DISTRIBUTE

23