List of Appendices
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- Appendix Ia: BFOR Study Website
- Appendix Ib: Protocol Eligibility Checklist
- Appendix Ic: Education Unit and Interactive Learning Component
- Appendix Id: BRCA Educational Video Storyboard Sketches
- Appendix II: Protocol Consent Videos
- Appendix III: Additional Written Materials & Research Authorization
- Appendix IV: Study Participant Informed Consent Confirmation
- Appendix V: Account Sign-up and Contact Information
- Appendix VI: Baseline Questionnaire
- Appendix VII: Method of Participant Results Disclosure
- Appendix VIII: Participant Personal Medical History
- Appendix IX: Participant Family Medical History
- Appendix X: Participant Optional Psychosocial Assessment
- Appendix XI: Participant Referring Friends and Family
- Appendix XII: Quest Biospecimen Requisition Form
- Appendix XIII: Interactive Learning Component
- Appendix XIV: Primary Care Provider Notification of Enrollment
- Appendix XV: Primary Care Provider Opt In/Out Card
- Appendix XVI: Notification of PCP Disclosure Sheet (to be sent with PCP results packets)
- Appendix XVII: Study Educational Materials for Providers
- Appendix XVIIa: PCP to disclose BRCA +
- Appendix XVIIb: BFOR has disclosed results (PCP opted-in)(w/Quest result attached) (for BRCA negative)
- Appendix XVIIc: PCP to disclose High Risk
- Appendix XVIId: PCP to disclose true neg candidate
- Appendix XVIIe: Primary care provider NOTIFICATION OF RESULTS AND BFOR DISCLOSURE
- Appendix XVIIf: PCP notification of patient lost to follow-up
- Appendix XVIII: Understanding BRCA1/2 Test Results and Communicating with Your Patient: A Guide for Primary Care Providers
- Appendix XVIIIa: Understanding Positive BRCA ½ Results: A guide for patients who chose a PCP
- Appendix XVIIIb: Understanding potential true negative BRCA ½ Results: A guide for patients who chose a PCP
- Appendix XVIIIc: Understanding high risk negative BRCA ½ Results: A guide for patients who chose a PCP
- Appendix XVIIId: Cover Letter
- Appendix XIX: Example of blood test results
- Appendix XXa: Notification for High-Risk Negative, Positive, or True Negative Candidates with PCP disclosing
- Appendix XXb: Notification to participants with Positive results with BFOR disclosing
- Appendix XXc: Notification to participants with Positive results with PCP opt out
- Appendix XXd: Notification to participants for Negative results, No Family History with either BFOR or PCP disclosing
- Appendix XXe: Notification to participants for Negative results, Some Family History with BFOR disclosing
- Appendix XXf: Notification to participants for Negative results, Some Family History with BFOR disclosing by PCP opt out
- Appendix XXg: Notification to True Negative Candidates (BRCA-/known BRCA mutation in the family) with BFOR disclosing
- Appendix XXh: Notification to True Negative Candidates (BRCA-/known BRCA mutation in the family) with PCP opt out
- Appendix XXI: Participant Reminders
- Appendix XXIa: reminder to finish registration
- Appendix XXIai: Notification of enrollment and access to study materials
- Appendix XXIbi: 0-day reminder to get a blood draw
- Appendix XXIbii: reminder to get a blood draw
- Appendix XXIc: E-mail confirmation of results disclosure to participants who chose PCP’s
- Appendix XXII: Introduction to Follow-up for Participants
- Appendix XXIIIa: 12 Week Follow-up Questionnaire
- Appendix XXIIIb: 1st Annual Survey
- Appendix XXIIIc: Additional Psychosocial Questions (12wk & Annual)
- Appendix XXIIId: Optional Psychosocial Assessment (12-wk & Annual)
- Appendix XXIV: Flow Chart & Wireframes (in Protocol)
- Appendix XXVa: Initial Primary Care Provider Survey Email Alerting about Survey
- Appendix XXVb: Initial Primary Care Provider Survey First Cover Letter (by mail/email)
- Appendix XXVc: Initial Primary Care Provider Survey Second Cover Letter by mail/email
- Appendix XXVI: Initial Primary Care Provider Survey
- Appendix XXVIIa: Email Alerting PCPs about Post-Disclosure Survey
- Appendix XXVIIb: Invitation to complete follow-up PCP Post Results Disclosure survey First cover letter—updated
- Appendix XXVIIc: Invitation to complete follow-up PCP Post Results Disclosure survey second cover letter—updated
- Appendix XXVIII: Post-Results Disclosure PCP Survey
- Appendix XXIX: Recommend a Friend
- Appendix XXX: Marketing Document for Potential Partners (NOT REVIEWABLE)
- Appendix XXXI: Community Engagement Form
- Appendix XXXII: PI, Co-I & BFOR Personnel Outreach Email
- Appendix XXXIII: BFOR Social Media Posts
- Appendix XXXIVa: Primary Care Provider Interview guide
- Appendix XXXIVb: Post-results Disclosure Interview Invitation Letter for Primary Care Providers
- Appendix XXXIVc: Post-results Disclosure InterviewInvitation Reminder Email/Letter to Primary Care Providers
- Appendix XXXV: BFOR Collateral for Physician Patient use
- Appendix XXXVI: Letter to Primary Care Providers
- Appendix XXXVIIa: BFOR Buckslip
- Appendix XXXVIIb: BFOR 1 Pager
- Appendix XXXVIII: Language for advertisements
- Appendix XXXIX: Invitation to join Scientific Advisory Board
- Appendix XXXX: Invitation to Join Community Advisory Board
- Appendix XXXXI: BFOR Study Introduction Letter to PCPs
- Appendix XXXXII: Outreach email for partner organizations to send to potential participants
- Appendix XXXXIII: BFOR Infographic