Baseline CCA Tool |
Introduction
UPCC 03911: Evaluation of the Effect of a Cultural Competency Training Program for Radiation Therapy Oncology Group (RTOG) Physician Investigators and Clinical Research Associates (CRAs) on the Recruitment of Minority Patients into Radiation Therapy Clinical Trials
Increasing cultural diversity in our communities and workplaces is a fact of life. Diversity among students, co-workers, and organizations is also expanding. Improvements in travel and communication have brought people with different cultures, languages, and customs into contact as never before. A greater variety of people within our communities, schools, and workplaces continue to have an impact on the way that we think, feel, and act.
We are completing a study of physician investigators and clinical research associates who participate in RTOG sponsored clinical trials and who plan to participate in the RTOG Minority Cultural Competency and Recruitment Training Program. We would like you to fill out this survey at two time points: prior to the start of the training program (to better understand your current knowledge, feelings, and actions related to minority recruitment to RTOG clinical trials), and three months after you have completed the training program (to determine if there have been any changes in your opinions, experiences or behaviors). Should you choose to participate, you will receive a reminder email at that time that will include a link to an electronic version of the survey.
We would like to assure you that any information you provide will be kept confidential. The information we collect from you today will be stored in a password protected database at the University Of Pennsylvania School Of Nursing in Philadelphia, Pennsylvania, USA. Any personal identifying information (such as name and email address) will be destroyed after your follow up survey results are received, or if you decide you no longer wish to participate in the study. No personal identifying information will be shared with anyone outside of the research team. If information from this study is published or presented at scientific meetings, your name and other personal information will not be used.
Questions on this survey are intended to gather information about how you personally think, feel, and act. Some questions may not fit your situation exactly depending on the type of work you do at this time. Please try to answer every question. If you are unsure or have no opinion on an item, use the “No Opinion” or “Not Sure” options. There are no “right” or “wrong” answers.
Completing this survey is completely voluntary. It will take about 20 minutes of your time. You may choose not to participate. You may stop at any time. Your completion of the survey indicates your informed consent to participate in this study.
This tool was modified with permission from the tool’s author, Dr. Stephanie Myers Schim, PhD, RN, CNS-BC.
Increasing cultural diversity in our communities and workplaces is a fact of life. Diversity among students, co-workers, and organizations is also expanding. Improvements in travel and communication have brought people with different cultures, languages, and customs into contact as never before. A greater variety of people within our communities, schools, and workplaces continue to have an impact on the way that we think, feel, and act.
We are completing a study of physician investigators and clinical research associates who participate in RTOG sponsored clinical trials and who plan to participate in the RTOG Minority Cultural Competency and Recruitment Training Program. We would like you to fill out this survey at two time points: prior to the start of the training program (to better understand your current knowledge, feelings, and actions related to minority recruitment to RTOG clinical trials), and three months after you have completed the training program (to determine if there have been any changes in your opinions, experiences or behaviors). Should you choose to participate, you will receive a reminder email at that time that will include a link to an electronic version of the survey.
We would like to assure you that any information you provide will be kept confidential. The information we collect from you today will be stored in a password protected database at the University Of Pennsylvania School Of Nursing in Philadelphia, Pennsylvania, USA. Any personal identifying information (such as name and email address) will be destroyed after your follow up survey results are received, or if you decide you no longer wish to participate in the study. No personal identifying information will be shared with anyone outside of the research team. If information from this study is published or presented at scientific meetings, your name and other personal information will not be used.
Questions on this survey are intended to gather information about how you personally think, feel, and act. Some questions may not fit your situation exactly depending on the type of work you do at this time. Please try to answer every question. If you are unsure or have no opinion on an item, use the “No Opinion” or “Not Sure” options. There are no “right” or “wrong” answers.
Completing this survey is completely voluntary. It will take about 20 minutes of your time. You may choose not to participate. You may stop at any time. Your completion of the survey indicates your informed consent to participate in this study.
This tool was modified with permission from the tool’s author, Dr. Stephanie Myers Schim, PhD, RN, CNS-BC.