_List of Attachments_SSA & SSB

_List of Attachments_SSA & SSB.docx

[NCCDPHP] Evaluation of a Prostate Cancer Decision Aid

_List of Attachments_SSA & SSB

OMB: 0920-1438

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Attachments for SSA and SSB


1. Authorizing Legislation

2. Study Design Graphic

3. Evaluation Questions and Indicators

4a. Provider Survey: Introductory Email to All Primary Care Providers, English

4b. Provider Survey: Consent Statement, English

4c. Provider Survey: Paper, English

4d. Provider Survey: Online, English

4e. Provider Survey: Reminder Email, English

4f. Provider Survey: Thank You Email, English

5a. Patient Recruitment: Introductory Email to Providers of Patient Sample, English

5b. Patient Recruitment: Introductory Email to Patients, English

5c. Patient Recruitment: Introductory Email to Patients, Spanish

5d. Patient Recruitment: Email with Link to Eligibility Screener, English

5e. Patient Recruitment: Email with Link to Eligibility Screener, Spanish

5f. Patient Recruitment: Reminder Email for Eligibility Screener, English

5g. Patient Recruitment: Reminder Email for Eligibility Screener, Spanish

6a. Pre-Exposure Survey: Eligibility Screener, English

6b. Pre-Exposure Survey: Eligibility Screener, Spanish

6c. Pre-Exposure Survey: Consent Statement, English

6d. Pre-Exposure Survey: Consent Statement, Spanish

6e. Pre-Exposure Survey: Paper, English

6f. Pre-Exposure Survey: Online, English

6g. Pre-Exposure Survey: Online, Spanish

6h. Pre-Exposure Survey: Reminder Email, English

6i. Pre-Exposure Survey: Reminder Email, Spanish

7a. Post-Exposure Survey: Assigned Materials and Survey Link, English

7b. Post-Exposure Survey: Assigned Materials and Survey Link, Spanish

7c. Post-Exposure Survey: Consent Statement, English

7d. Post-Exposure Survey: Consent Statement, Spanish

7e. Post-Exposure Survey: Paper, English

7f. Post-Exposure Survey: Online, English

7g. Post-Exposure Survey: Online, Spanish

7h. Post-Exposure Survey: Reminder Email, English

7i. Post-Exposure Survey: Reminder Email, Spanish

8a. Usability Survey: Pre-Notification Email, English

8b. Usability Survey: Pre-Notification Email, Spanish

8c. Usability Survey: Email with Survey Link, English

8d. Usability Survey: Email with Survey Link, Spanish

8e. Usability Survey: Consent Statement, English

8f. Usability Survey: Consent Statement, Spanish

8g. Usability Survey: Paper, English

8h. Usability Survey: Online, English

8i. Usability Survey: Online, Spanish

8j. Usability Survey: Reminder Email, English

8k. Usability Survey: Reminder Email, Spanish

9a. User Experience Interviews: Recruitment Email, English

9b. User Experience Interviews: Recruitment Email, Spanish

9c. User Experience Interviews: Consent Statement, English

9d. User Experience Interviews: Consent Statement, Spanish

9e. User Experience Interviews: Interview Guide, English

9f. User Experience Interviews: Interview Guide, Spanish

10a. Post-Clinic Visit Survey: Pre-Notification Email, English

10b. Post-Clinic Visit Survey: Pre-Notification Email, Spanish

10c. Post-Clinic Visit Survey: Email with Survey Link, English

10d. Post-Clinic Visit Survey: Email with Survey Link, Spanish

10e. Post-Clinic Visit Survey: Consent Statement, English

10f. Post-Clinic Visit Survey: Consent Statement, Spanish

10g. Post-Clinic Visit Survey: Paper, English

10h. Post-Clinic Visit Survey: Online, English

10i. Post-Clinic Visit Survey: Online, Spanish

10j. Post-Clinic Visit Survey: Reminder Email, English

10k. Post-Clinic Visit Survey: Reminder Email, Spanish

10l. Post-Clinic Visit Survey: Thank You Email, English

10m. Post-Clinic Visit Survey: Thank You Email, Spanish

11a. Clinic Coordinator Interviews: Consent Statement, English

11b. Clinic Coordinator Interviews: Interview Guide, English

12a. Published 60-Day Federal Register Notice (FRN)

12b. 60-Day FRN Public Comments

12c. CDC Response to Public Comments

13. Approved Privacy Narrative

14. Institutional Review Board Approval

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorNielsen, Danielle
File Modified0000-00-00
File Created2024-09-05

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