Provider Survey: Breast Health Risk Assessment and Disability-Inclusive Care

Section 1: Introduction and Informed Consent (1 min)
Welcome!

You are invited to complete a brief (10 minute) survey on provider confidence and practices related to breast health risk assessment and shared decision-making for patients with disabilities.

Study Purpose: This survey aims to assess professional perspectives and inform the development of training resources and quality improvement tools.

Research Team: This study is conducted by the Center on Disability, CAMI Health's The Full Scoop, and the Public Health Institute.

Definition of Disability: Any physical, sensory, cognitive, or mental health condition that substantially limits one or more major life activities (consistent with the ADA). This includes but is not limited to mobility impairments, visual or hearing impairments, intellectual disabilities, autism, and mental health conditions.

Your Participation:
  • Participation is voluntary
  • You may skip any question or discontinue at any time without consequence
  • No personal identifiers will be collected
  • Responses are anonymous, de-identified, and reported only in aggregate
  • Time commitment: approximately 10 minutes
Risk of study participation:
There are some risks of sharing information about yourself. The survey will not ask your name or any contact information to keep any risks low. We will keep all the information you share with us safe and protect your privacy.

This is a research study. There are no costs to you beyond your time. There is no compensation for participation. The information you share will inform the development of tools for clinicians to use for their patients with disabilities. Survey data will be collected and stored on a secure, password-protected platform.

IRB Review: This study has been reviewed and determined as exempt research by the Public Health Institute (PHI) IRB.

Questions? Contact Sheryl Verbitski (sverbitski@cami-health.org) or Jerri Davison (jerrid@adapacific.org). You can also call Robert McLaughlin, J.D., Ph.D., Administrator of the PHI Institutional Review Board (the committee that oversees PHI research involving human subjects) during regular business hours at (510) 285-5500.

If you would like to take this survey in a different format, please contact the Center on Disability at info@centerondisability.org
By clicking "Next" and beginning the survey, you are indicating your consent to participate.
You may exit at any time.
Let’s get started.
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