GALA Key Informant Survey

GALA will utilize your confidential responses to:

1) Develop tailored curriculum and skills building sessions targeted to health advocacy organization leaders;

2) Assess the effectiveness of health advocacy organization leadership approaches and identify ways those approaches can be implemented for diverse audiences; and

3) Promote safe, quality healthcare and health systems by giving health advocacy organization leaders a solid framework in which to advocate.

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* Global Advocacy Leadership Academy Key Informant Interview

IMPLIED CONSENT FORM

RESEARCH PROCEDURES
This interview is being conducted to assess issues and concerns related to conducting health advocacy.
If you agree to participate you will be asked a series of questions. The interview should last about 30
minutes. Interviews will be recorded online in this instrument.

RISKS
There are no foreseeable risks for participating in this interview.

BENEFITS
There are no direct benefits to participants. The knowledge generated by this interview will inform The
Global Advocacy Leadership Academy’s (GALA) understanding of the issues organizations face when
attempting to carry out health advocacy efforts. You may benefit indirectly from this research in that it will
make GALA better able to meet the needs of advocates like you.

CONFIDENTIALITY
Participation in this interview will be confidential. After interviews are data will be safely stored on the
researcher's system and computer, which is password-protected and only the researcher will have access
to them. No identifying information will be used in reports to the public or shared with any institution. If
quotes are used in subsequent reports, names of individuals, organizations, and contextual identifiers will
not be used. There will be no way to connect you or your institution to any information provided to
interviewers.

PARTICIPATION
Your participation is voluntary, and you may withdraw from the interview at any time and for any reason. If
you choose not to participate or withdraw, there is no penalty or loss of benefits to which you are otherwise
entitled. There are no costs to you or any other party.

CONTACT
This research is being conducted by Dr. Gary Kreps and Paula Kim and the Center for Health and Risk Communication at
George Mason University. Should you have any questions you may contact Dr. Kreps at the Department
of Communication Studies at George Mason University. He may be reached at 704.993.1094. "You may
contact the George Mason University Office or Research Integrity & Assurance at 703-993-4121 if you
have questions or comments regarding your rights as a participant in the research..

This research has been reviewed according to George Mason University procedures governing your
participation in this research.

CONSENT

Please provide answer below.

Yes, I have read this form and agree to participate in this interview.

No. I have read this form and do not agree to participate in this interview.

Other (please specify)

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* Please provide the following information:

Name:

Company:

Address 1:

Address 2:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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* GALA Mission Statement: The Global Advocacy Leadership Academy (GALA) was established as a public health educational initiative of the Center for Health and Risk Communication of George Mason University to facilitate training, skills building and support for leaders of health advocacy organizations around the world.

After reading the mission statement of the Global Advocacy Leadership Academy, do you think the goals of this organization are relevant in your current environment? Why or Why not?

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* What do you think are the primary goals of health advocacy organizations? Can you provide some examples?

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* Can you identify any challenges that may make it difficult for health advocacy organizations to achieve their goals? Please describe some of these challenges.

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* What do you think are some major benefits of providing training for leaders of health advocacy organizations?

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* What are the biggest training needs of leaders of health advocacy organizations?

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* Does your organization provide any training for leaders of health advocacy organizations? If so, please describe the kind of training you provide.

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* How can members of the health research community provide valuable support to health advocacy organization leadership? Please provide examples of how researchers can support health advocacy leadership?

GALA Key Informant Survey

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* Please provide the following information:

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* What do you think are the primary goals of health advocacy organizations? Can you provide some examples?

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* Can you identify any challenges that may make it difficult for health advocacy organizations to achieve their goals? Please describe some of these challenges.

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* What do you think are some major benefits of providing training for leaders of health advocacy organizations?

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* What are the biggest training needs of leaders of health advocacy organizations?

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* Does your organization provide any training for leaders of health advocacy organizations? If so, please describe the kind of training you provide.

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* How can members of the health research community provide valuable support to health advocacy organization leadership? Please provide examples of how researchers can support health advocacy leadership?

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* What role do the media perform for health advocacy organizations?

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* What roles do you think leadership, teamwork and skills building should play in developing and maintaining effective health advocacy organizations?

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* Is there anything else, you’d like to say about health advocacy organization leadership and training that you think is important?