Living with HIV: Understanding the Patient Experience and Appreciating the Science – Plot-Your-Own-Course Activity #1 Evaluation (ID: i823-6) Survey

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* 2. How many patients with HIV do you manage per week? 

1 to 10

11 to 25

26 to 50

I am not directly involved in patient care

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* 3. Please select the option that best describes your practice setting.

Academic medical center

Community medical center

VA, DOD, or other government

Managed care

Research

Pharmaceutical industry

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* 4. After participating in this activity, how confident are you in the management of patients with HIV in your practice?

Very confident

Confident

Neutral

Little confidence

No confidence

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* 5. How committed are you to making changes in your practice based on your participation in this activity? 

Very committed

Committed

Neutral

Not committed

I do not plan to make changes

If not committed or do not plan to make changes, please indicate reason

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* 6. Which of the following best describes the impact of this activity on your performance?

I gained new strategies/skills/information I can apply to my area of practice

I need more information before I can change my practice

My practice is already consistent with the information presented

This activity will not change my practice

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* 7. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

Have a better understanding of the major aspects of taking a sexual history

Have a better understanding of the disparities associated with HIV

Increased familiarity with effects of race/ethnicity on the disparities associated with HIV

Increased familiarity with strategies to overcome barriers to care for patients with HIV

Increased familiarity with the initial ART regimens recommended for treatment-naïve individuals with HIV

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* 8. What barriers do you see to making changes in your practice? Please select all that apply.

Lack of knowledge regarding evidence-based strategies

Lack of convincing evidence to warrant change

Lack of time/resources to consider change

Insurance, reimbursement or legal issues

Conflicting guidelines or evidence

Patient compliance and/or patient resource barriers

Other (please specify)

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* 9. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

After participating in today’s activity, I am now better able to:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Apply recommended strategies to increase competency in incorporating a comprehensive sexual history and risk assessment into initial and routine patient visits	Apply recommended strategies to increase competency in incorporating a comprehensive sexual history and risk assessment into initial and routine patient visits Strongly agree	Apply recommended strategies to increase competency in incorporating a comprehensive sexual history and risk assessment into initial and routine patient visits Agree	Apply recommended strategies to increase competency in incorporating a comprehensive sexual history and risk assessment into initial and routine patient visits Neutral	Apply recommended strategies to increase competency in incorporating a comprehensive sexual history and risk assessment into initial and routine patient visits Disagree	Apply recommended strategies to increase competency in incorporating a comprehensive sexual history and risk assessment into initial and routine patient visits Strongly disagree
Summarize HIV access and care disparities among different marginalized populations in order to provide resources and training to address the issue of health disparities	Summarize HIV access and care disparities among different marginalized populations in order to provide resources and training to address the issue of health disparities Strongly agree	Summarize HIV access and care disparities among different marginalized populations in order to provide resources and training to address the issue of health disparities Agree	Summarize HIV access and care disparities among different marginalized populations in order to provide resources and training to address the issue of health disparities Neutral	Summarize HIV access and care disparities among different marginalized populations in order to provide resources and training to address the issue of health disparities Disagree	Summarize HIV access and care disparities among different marginalized populations in order to provide resources and training to address the issue of health disparities Strongly disagree
Implement strategies to overcome barriers to care for patients in the local HIV community	Implement strategies to overcome barriers to care for patients in the local HIV community Strongly agree	Implement strategies to overcome barriers to care for patients in the local HIV community Agree	Implement strategies to overcome barriers to care for patients in the local HIV community Neutral	Implement strategies to overcome barriers to care for patients in the local HIV community Disagree	Implement strategies to overcome barriers to care for patients in the local HIV community Strongly disagree
Select ART regimens that minimize drug-drug interactions and toxicities, support adherence, and consider patient and systemic factors including patient preference	Select ART regimens that minimize drug-drug interactions and toxicities, support adherence, and consider patient and systemic factors including patient preference Strongly agree	Select ART regimens that minimize drug-drug interactions and toxicities, support adherence, and consider patient and systemic factors including patient preference Agree	Select ART regimens that minimize drug-drug interactions and toxicities, support adherence, and consider patient and systemic factors including patient preference Neutral	Select ART regimens that minimize drug-drug interactions and toxicities, support adherence, and consider patient and systemic factors including patient preference Disagree	Select ART regimens that minimize drug-drug interactions and toxicities, support adherence, and consider patient and systemic factors including patient preference Strongly disagree

Question Title

* 10. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Faculty for this activity were effective	Faculty for this activity were effective Strongly agree	Faculty for this activity were effective Agree	Faculty for this activity were effective Neutral	Faculty for this activity were effective Disagree	Faculty for this activity were effective Strongly disagree
Content was scientifically rigorous and evidence based	Content was scientifically rigorous and evidence based Strongly agree	Content was scientifically rigorous and evidence based Agree	Content was scientifically rigorous and evidence based Neutral	Content was scientifically rigorous and evidence based Disagree	Content was scientifically rigorous and evidence based Strongly disagree
Avoided commercial bias or influence	Avoided commercial bias or influence Strongly agree	Avoided commercial bias or influence Agree	Avoided commercial bias or influence Neutral	Avoided commercial bias or influence Disagree	Avoided commercial bias or influence Strongly disagree

Living with HIV: Understanding the Patient Experience and Appreciating the Science – Plot-Your-Own-Course Activity #1 Evaluation (ID: i823-6)

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* 1. How many years have you been in practice?

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* 2. How many patients with HIV do you manage per week?

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* 3. Please select the option that best describes your practice setting.

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* 4. After participating in this activity, how confident are you in the management of patients with HIV in your practice?

Question Title

* 5. How committed are you to making changes in your practice based on your participation in this activity?

Question Title

* 6. Which of the following best describes the impact of this activity on your performance?

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* 7. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

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* 8. What barriers do you see to making changes in your practice? Please select all that apply.

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* 9. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

After participating in today’s activity, I am now better able to:

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* 10. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

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* 11. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

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* 12. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for HIV.

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* 13. If you indicated that you perceived commercial bias or influence, please describe:

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* 1. How many years have you been in practice?

Question Title

* 2. How many patients with HIV do you manage per week?

Question Title

* 3. Please select the option that best describes your practice setting.

Question Title

* 4. After participating in this activity, how confident are you in the management of patients with HIV in your practice?

Question Title

* 5. How committed are you to making changes in your practice based on your participation in this activity?

Question Title

* 6. Which of the following best describes the impact of this activity on your performance?

Question Title

* 7. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

Question Title

* 8. What barriers do you see to making changes in your practice? Please select all that apply.

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* 9. Please rate your level of agreement by checking the appropriate rating.5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree After participating in today’s activity, I am now better able to:

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* 10. Please rate your level of agreement by checking the appropriate rating.5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

Question Title

* 11. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

Question Title

* 12. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for HIV.

Question Title

* 13. If you indicated that you perceived commercial bias or influence, please describe:

* 2. How many patients with HIV do you manage per week? 

* 5. How committed are you to making changes in your practice based on your participation in this activity? 

* 9. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree

After participating in today’s activity, I am now better able to:

* 10. Please rate your level of agreement by checking the appropriate rating.
5 = Strongly agree, 4 = Agree, 3 = Neutral, 2 = Disagree, 1 = Strongly disagree