WiseApp in Spanish Screener

Thank you for your interest in the WiseApp for Spanish Speakers study! The following pages contain information about the project.

Page 1 of 7

PLEASE ASSIGN RECORD TO A DAG TO DISPLAY APPROPRIATE REDCAP FIELDS

Select your current location:

* must provide value

La Romana area, Dominican Republic

New York City area, NY

reset

Select your preferred language:

* must provide value

English

Español

reset

Screening Date

D-M-Y H:M:S

Link source from online advertising

This screening form can be used by study team members to screen volunteers over the phone.

Alternatively, volunteers can be sent the screener link and complete the first part on their own. A study team member will then contact initially eligible participants to continue with the screening questions that must be completed over the phone. If the form status has a checkmark, please click the "Edit response" button at the top of the page to enter data.

All questions marked with "not participant facing" are hidden from volunteers on the screening form, but are visible to study team members.

*not participant facing*

Thanks for your interest in the the WiseApp in Spanish study!

First, let's give you a bit of information about the study. Then, if you are interested, you will have the opportunity to screen to see if you are eligible to participate.

The "WiseApp in Spanish study" is a 12-month study looking at how a phone app and a pill dispenser can help Spanish--speaking people living with HIV monitor and improve their overall quality of life. The study intends to enroll 248 partcipants in New York City, NY and La Romana, Dominican Republic.

The study involves 4 site visits to a clinic in Washington Heights (NYC) or Clinica de Familia La Romana, Dominican Republic, which will include taking a blood sample and completing a survey on an iPad (for all 4 visits).

At the end of the 1st visit, some participants will be asked to use a daily pill dispenser for their HIV medication and to use a health app in their phone during their participation in the study.

The 2nd site visit will occur at 3 months of the study, the 3rd visit at 6 months, and 4th visit will occur at 12 months (from the initial site visit).

At the end of the 12 month visit, some participants will be asked to participate in an in-depth interview to better understand the usefulness of the app in improving their quality of life and medication adherence.

Staff: If the participant asks - the app will send health-related reminders and work as a way for participants to contact the study team.

*not participant facing*

In terms of compensation, volunteers are eligible to receive up to USD$220.

First visit (involves blood draw and survey): USD$40
3-month visit (blood draw + survey): USD$50
6-month visit (blood draw + survey): USD$60
12-month visit (blood draw + survey): USD$70

If you are asked to participate in the in-depth interview, you will be given an additional USD$25.

In terms of compensation, volunteers are eligible to receive up to USD$220.

First visit (involves blood draw and survey): USD$40
3-month visit (blood draw + survey): USD$50
6-month visit (blood draw + survey): USD$60
12-month visit (blood draw + survey): USD$70

If you are asked to participate in the in-depth interview, you will be given an additional USD$25.

In terms of compensation, volunteers are eligible to receive up to RD$1250 Dominican pesos.

First visit (involves blood draw and survey): RD$500 pesos
3-month visit (blood draw + survey): RD$250 pesos
6-month visit (blood draw + survey): RD$250 pesos
12-month visit (blood draw + survey): RD$250 pesos

If you are asked to participate in the in-depth interview, you will be given an additional RD$250 pesos.

In terms of compensation, volunteers are eligible to receive up to RD$1250 Dominican pesos.

First visit (involves blood draw and survey): RD$500 pesos
3-month visit (blood draw + survey): RD$250 pesos
6-month visit (blood draw + survey): RD$250 pesos
12-month visit (blood draw + survey): RD$250 pesos

If you are asked to participate in the in-depth interview, you will be given an additional RD$250 pesos.

The study is run by the Columbia University School of Nursing, and is paid for by Agency for Healthcare Research and Quality (AHQR). All of the data we collect will be coded and linked to identifiers to maintain confidentiality. The study is completely voluntary. You can decide that you don't want to participate at any time.

For questions regarding your rights as a subject, you may contact:
Human Research Protection Office
Institutional Review Board
Columbia University Irving Medical Center

Address: 154 Haven Avenue, 1st Floor; New York, NY 10032
Phone: (212) 305-5883
Email: irboffice@columbia.edu

If this sound like something you'd be interested in, we can screen you to determine if you are a good fit for this study.

You can complete the first part of the screening below, and, if initially eligible, a team member will contact you to complete the screening process.

Are you interested in seeing if you're eligible for this study?

* must provide value

Would you mind sharing why this project doesn't interest you?

* must provide value

Expand

If you change your mind, you can reach us at:

NYC: 212-305-8198
La Romana: 1(800) 813-2934

Don't forget to click "Submit" below!

How did you hear about the WiseApp study?

* must provide value

Please specify (do not use names or other identifying information):

* must provide value

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.