List of Appendices

Documents are password protected. Please contact __ for access.

  1. Appendix Ia: BFOR Study Website
  2. Appendix Ib: Protocol Eligibility Checklist
  3. Appendix Ic: Education Unit and Interactive Learning Component
  4. Appendix Id: BRCA Educational Video Storyboard Sketches
  5. Appendix II: Protocol Consent Videos
  6. Appendix III: Additional Written Materials & Research Authorization
  7. Appendix IV: Study Participant Informed Consent Confirmation
  8. Appendix V: Account Sign-up and Contact Information
  9. Appendix VI: Baseline Questionnaire
  10. Appendix VII: Method of Participant Results Disclosure
  11. Appendix VIII: Participant Personal Medical History
  12. Appendix IX: Participant Family Medical History
  13. Appendix X: Participant Optional Psychosocial Assessment
  14. Appendix XI: Participant Referring Friends and Family
  15. Appendix XII: Quest Biospecimen Requisition Form
  16. Appendix XIII: Interactive Learning Component
  17. Appendix XIV: Primary Care Provider Notification of Enrollment
  18. Appendix XV: Primary Care Provider Opt In/Out Card
  19. Appendix XVI: Notification of PCP Disclosure Sheet (to be sent with PCP results packets) 
  20. Appendix XVII: Study Educational Materials for Providers
  21. Appendix XVIIa: PCP to disclose BRCA +
  22. Appendix XVIIb: BFOR has disclosed results (PCP opted-in)(w/Quest result attached) (for BRCA negative)
  23. Appendix XVIIc: PCP to disclose High Risk
  24. Appendix XVIId: PCP to disclose true neg candidate
  25. Appendix XVIIe: Primary care provider NOTIFICATION OF RESULTS AND BFOR DISCLOSURE
  26. Appendix XVIIf: PCP notification of patient lost to follow-up
  27. Appendix XVIII: Understanding BRCA1/2 Test Results and Communicating with Your Patient: A Guide for Primary Care Providers
  28. Appendix XVIIIa: Understanding Positive BRCA ½ Results: A guide for patients who chose a PCP
  29. Appendix XVIIIb: Understanding potential true negative BRCA ½ Results: A guide for patients who chose a PCP
  30. Appendix XVIIIc: Understanding high risk negative BRCA ½ Results: A guide for patients who chose a PCP
  31. Appendix XVIIId: Cover Letter
  32. Appendix XIX: Example of blood test results
  33. Appendix XXa: Notification for High-Risk Negative, Positive, or True Negative Candidates with PCP disclosing
  34. Appendix XXb: Notification to participants with Positive results with BFOR disclosing
  35. Appendix XXc: Notification to participants with Positive results with PCP opt out
  36. Appendix XXd: Notification to participants for Negative results, No Family History with either BFOR or PCP disclosing
  37. Appendix XXe: Notification to participants for Negative results, Some Family History with BFOR disclosing
  38. Appendix XXf: Notification to participants for Negative results, Some Family History with BFOR disclosing by PCP opt out
  39. Appendix XXg: Notification to True Negative Candidates (BRCA-/known BRCA mutation in the family) with BFOR disclosing
  40. Appendix XXh: Notification to True Negative Candidates (BRCA-/known BRCA mutation in the family) with PCP opt out
  41. Appendix XXI: Participant Reminders
  42. Appendix XXIa: reminder to finish registration
  43. Appendix XXIai: Notification of enrollment and access to study materials
  44. Appendix XXIbi: 0-day reminder to get a blood draw
  45. Appendix XXIbii: reminder to get a blood draw
  46. Appendix XXIc: E-mail confirmation of results disclosure to participants who chose PCP’s
  47. Appendix XXII: Introduction to Follow-up for Participants
  48. Appendix XXIIIa: 12 Week Follow-up Questionnaire
  49. Appendix XXIIIb: 1st Annual Survey
  50. Appendix XXIIIc: Additional Psychosocial Questions (12wk & Annual)
  51. Appendix XXIIId: Optional Psychosocial Assessment (12-wk & Annual)
  52. Appendix XXIV: Flow Chart & Wireframes (in Protocol)
  53. Appendix XXVa: Initial Primary Care Provider Survey Email Alerting about Survey
  54. Appendix XXVb: Initial Primary Care Provider Survey First Cover Letter (by mail/email) 
  55. Appendix XXVc: Initial Primary Care Provider Survey Second Cover Letter by mail/email
  56. Appendix XXVI: Initial Primary Care Provider Survey
  57. Appendix XXVIIa: Email Alerting PCPs about Post-Disclosure Survey
  58. Appendix XXVIIb: Invitation to complete follow-up PCP Post Results Disclosure survey First cover letter—updated
  59. Appendix XXVIIc: Invitation to complete follow-up PCP Post Results Disclosure survey second cover letter—updated
  60. Appendix XXVIII: Post-Results Disclosure PCP Survey
  61. Appendix XXIX: Recommend a Friend
  62. Appendix XXX: Marketing Document for Potential Partners (NOT REVIEWABLE)
  63. Appendix XXXI: Community Engagement Form
  64. Appendix XXXII: PI, Co-I & BFOR Personnel Outreach Email
  65. Appendix XXXIII: BFOR Social Media Posts
  66. Appendix XXXIVa: Primary Care Provider Interview guide
  67. Appendix XXXIVb: Post-results Disclosure Interview Invitation Letter for Primary Care Providers
  68. Appendix XXXIVc: Post-results Disclosure InterviewInvitation Reminder Email/Letter to Primary Care Providers
  69. Appendix XXXV: BFOR Collateral for Physician Patient use
  70. Appendix XXXVI: Letter to Primary Care Providers
  71. Appendix XXXVIIa: BFOR Buckslip
  72. Appendix XXXVIIb: BFOR 1 Pager
  73. Appendix XXXVIII: Language for advertisements
  74. Appendix XXXIX: Invitation to join Scientific Advisory Board
  75. Appendix XXXX: Invitation to Join Community Advisory Board
  76. Appendix XXXXI: BFOR Study Introduction Letter to PCPs
  77. Appendix XXXXII: Outreach email for partner organizations to send to potential participants
  78. Appendix XXXXIII: BFOR Infographic