Surveys
2014
August
K
Kidney Transplant Provider Survey

Kidney Transplant Provider Survey

Hello:
You are invited to participate in our survey of kidney transplant health care providers. In this survey, approximately 50 physicians, nurses, and social workers will be asked to answer questions about their kidney transplant patients. It will take approximately 20 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

I Agree

Please answer these questions in terms of the typical kidney transplant patients that you see in the course of your work.

For their healthcare decisions, kidney transplant patients rely mostly on...

UM Physician

Local Physician

UM Nurse

UM Social Worker

Spouse/Family Member/Other Helper

How IMPORTANT is the patient's relationship with each of the following people?

	Not important at all	A little important	Patient is neutral about it	Very important	Extremely important
UM Physician

Local Physician

UM Nurse

UM Social Worker

Spouse/Family Member/Other Helper

To what extent do you AGREE or DISAGREE with each of the following statements?

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
Typical patients will not need to go on dialysis in the future.

Typical patients will have no organ rejection episodes in the future.

Typical patients will not be hospitalized due to kidney problems in the future.

Typical patients will not have infections related to their kidney transplant in the future.

Typical patients will be able to manage their weight.

Typical patients will not develop cancer in the future.

To what extent do you AGREE or DISAGREE with each of the following statements. If not applicable, select "not applicable".

	Strongly Disagree	Disagree	Neither Agree Nor Disagree	Agree	Strongly Agre	N/A
Typical patients will be able to manage high blood pressure.

Typical patients will be able to manage high cholesterol (lipids).

Typical patients will be able to manage bone disease.

Typical patients will be able to manage diabetes.

Rate the IMPORTANCE to the patient of each of the following:

	Not important at all	A little important	Patient is neutral about it	Very important	Extremely important
Taking the smallest dosage of each medication.

Taking the smallest

number of medications.

Taking the lowest

cost medications.

Keeping the

cost of laboratory and other medical testing as low as possible.

Minimizing the

number of clinic appointments and lab testing visits.

Typical patients take the drugs his/her doctor has prescribed...

Never

Occasionally

About half the time

Most of the time

All of the time

To what extent do you AGREE or DISAGREE with each of the following statements?

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
Typical patients will continue to feel healthy in the future.

Typical patients will perform normal daily activities in the future (including employment, if applicable).

Typical patients' diets will not be restricted in the future.

Rate the IMPORTANCE of each of the following statements to the patient.

	Not important at all	A little important	Patient is neutral about it	Very important	Extremely important
Continuing to feel healthy.

Resuming normal daily activities (including employment, if applicable).

Having a less restrictive diet.

How true is each of these statements for typical patients?

	Not at all true	A little true	Somewhat true	Mostly true	Always true
Typical patient's lives have purpose and meaning.

Typical patients have a sense of balance among all aspects (work, home, recreation, etc.) of their lives.

Typical patients are at ease and feel relaxed.

Typical patients look forward to upcoming events.

Typical patients can control their emotions.