T-RECS Community Survey

Please complete the survey below.

Thank you!

Note: This survey is available in English or Spanish. If the questions below are not displaying in your preferred language, click on the blue globe icon (top right corner of this survey) to change the language.

Nota: Esta encuesta está disponible en inglés o español. Si las preguntas a continuación no se muestran en su idioma preferido, haga clic en el ícono del globo azul (esquina superior derecha de esta encuesta) para cambiar el idioma.

You are being asked to participate in a survey for research. In this survey, we will share information about the T-RECS research study and ask you for your opinions. We would like to gather your opinion because you live in a community where the research study will be done and the researchers want to know how the community feels about this type of research. The survey should take 15 minutes or less to complete.

The Treating Respiratory Emergencies in Children Study (T-RECS) study is a pilot study that looks at how paramedics respond to children with severe or life-threatening wheezing. This research is evaluating adding two medications used in the Emergency Department (ED) for wheezing (ipratropium and dexamethasone) to paramedic treatment prior to arrival in the ED. The overall study goal is to test whether giving these medications before hospital arrival improves care for children experiencing a life-threatening breathing emergency. This is a pilot study that tests our ability to gather all the data needed. As you participate in this survey you will learn more about the study and emergency research procedures. You will then be asked to share your feedback.

If you agree, you will view the study information and take a survey using the REDCap data management system. REDCap is a secure system for collecting research information and all of your responses will be anonymous and confidential. Your participation is completely voluntary. You may choose not to answer any question and are free to withdraw at any time.

There are no known risks or benefits associated with your participation in this survey. The knowledge we gain from conducting this survey may help us to know if the planned study procedures are appropriate for your community.

If you have any questions or complaints or if you feel you have been harmed by this research, please contact the principal investigator, Dr. Matt Hansen, Oregon Health & Science University, at hansemat@ohsu.edu.

Contact the Institutional Review Board (IRB) if you have questions regarding your rights as a research participant. Also, contact the IRB if you have questions, complaints or concerns which you do not feel you can discuss with the investigator. The University of Utah IRB may be reached by phone at (801) 581-3655 or by e-mail at irb@hsc.utah.edu.

Research Participant Advocate: You may also contact the Research Participant Advocate (RPA) by phone at (801) 581-3803 or by email at participant.advocate@hsc.utah.edu.

By participating in the survey, you are giving your consent to participate in this research. Thank you for your willingness to participate!

Would you like to continue with this survey?

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Yes

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Please select an option below that best describes who will be completing this survey:

I am a parent/guardian of a child under age 18

I am not a parent/guardian

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Please select the state/city that is closest to where you live and/or receive healthcare:

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Buffalo, New York

Charlotte, North Carolina

Salt Lake City, Utah

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What is your 5 digit zip code?

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.