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CASE
The Center for Adherence Support Evaluation
at the New York Academy of Medicine
CASE Project IRB
All documents are in PDF 
Protocol
Quantitative Study Protocol
Qualitative Study Protocol
CASE Writ of Confidentiality Form
Confidentiality Form
Consent Forms
Client consent form for baseline/quarterly
interview
Client consent form for baseline/quarterly
interview (Spanish)
Client consent form for qualitative interview
Client consent form for qualitative
interview (Spanish)
Site assessment consent form
Adherence support provider consent
form
Clinical provider consent form
Client Level Data Collection Tools
Protocol
Client level data collection protocol
Baseline and Ongoing
Encounter form
Encounter form (Spanish)
Baseline
Baseline chart abstraction
Baseline chart abstraction
(Spanish)
Baseline interview: core and supplemental
sections
Baseline interview: core and supplemental
sections (Spanish)
Hand cards (Spanish)
(see qualitative/site assessment tools for qualitative client interview)
Quarterly
Quarterly chart abstraction
Quarterly interview: core and supplemental
sections
Qualitative/Site Assessment Data Collection Tools
Protocol
Qualitative/site assessment data collection
protocol
Site Assessment
Site assessment part 1 (completed by
site)
Site assessment part 2 (completed by
CASE)
Client interview
Client interview
Provider interview
Adherence support provider interview
Clinical provider interview
Last updated: 4/11/02
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