The New York Academy of Medicine

CASE
HOMEPAGE

CASE STUDY ABSTRACT, OBJECTIVES & DESIGN

CASE STUDY AMENDMENT: IMPACT OF 9/11 ON PWH/As TAKING HAART

CASE STAFF & GRANTEE ROSTER

DATA COLLECTION TOOLS

CASE STUDY DATA ANALYSIS PLAN

DISSEMINATION ACTIVITIES

RESOURCES & LINKS

  

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


CASE
The New York Academy of Medicine
1216 Fifth Avenue
New York, NY 10029
(212) 822-7237

Last updated: 4/11/02