• Understanding Community Needs for a Long COVID Digital Care Management Platform

    Please read below carefully and ask for help if needed
  • Sponsor:
    CompendiRx

    Principal Investigators:
    Eve Bowers, MD

    Fauzia Osman, MPH, PhD

    Advisor: Grace Almendras-Castillo

    Key Information:
    You are invited to participate in a study that aims to shape the development of a digital tool for Long COVID. Your input will be gathered through a brief anonymous survey and/or a 30-minute Zoom interview. No identifiable information or PHI (Protected Health Information) will be collected. Participation is voluntary.

    Background and Purpose:
    Long COVID affects daily functioning and health. This research gathers input to design a digital platform to better support patients, clinicians, and employers.

    Procedures:
    - Survey (~10 minutes) via online form
    - Optional interview (~30 minutes) via Zoom
    - Interviews will be recorded only with consent

    Risks:
    Minor emotional discomfort when sharing experiences.

    Benefits:
    No direct benefits; your input may improve future tools for Long COVID management.

    Confidentiality:
    - No names, emails, or identifying info will be collected
    - Audio files (if applicable) will be deleted after transcription
    - Data stored securely by the CompendiRx team

    Voluntary Participation / Withdrawal:
    You may decline or withdraw at any time without any consequences.

     

    STATEMENT of authorization

    See below

     

  • By signing this form,

     

    • I say that I have read or had someone explain this form to me.
    • I understand what this study is about.
    • I agree that the information I give is true and honest.
    • I give permission for the study team to collect, use, and share my answers and health information, as explained in this form.
    • I know I will get a copy of this signed form to keep.
    • I understand that signing this form does not take away any of my legal rights.
    • I have asked any questions I had, and they have been answered. I am signing this form because I want to be part of this study

     

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