Abbreviated Donor History
Questionnaire Study, 2005
Donor History
Task Force
Collection
Site Instructions
Introduction
This document,
Collection Site Instructions, is the companion to the Study Manual. It provides
the detailed instructions for implementation of the study in Collection Sites
at XXXXXX Blood Center.
Materials (to be
provided by the Study Administrator)
Donor Registration Sheets
DHQ/aDHQ Assessment Sheets
Collection Site Summary Sheets
Consent Forms
Demographic Questionnaires
Abbreviated Donor History
Questionnaires (aDHQ)
Data Collection -(Note: Operational modifications will be made based on logistics of
each Blood Center).
To be done when the donor
arrives at the collection site
1.
Assess
the donor’s eligibility to participate in the study by reviewing the donor
record.
2.
Keep
a running tally of the number of donors that you have assessed for eligibility
to participate in the study, and the number that were eligible and the number that
were not eligible and how many eligible donors refused or did not complete the
study protocol. Draft Collection Site
Summary Sheets can be used for this purpose.
In the event that an eligible donor refuses to participate, please ask
gently as to the reason for refusal and include this information on the form.
At the end of the day, all information will be recorded on the Collection Site
Summary Sheet. All draft Collection
Site Summary Sheets should be attached to the final.
3.
Explain
the information included in the consent form and answer any questions the donor
may have. Then ask the donor to read the consent form and sign it. If the donor
asks you to compare the contents of the two questionnaires, please explain that
discussing this might affect how the donor answers the questions, but offer to
discuss it after the donor has finished making his or her blood donation. If a donor refuses to participate, give the
donor his/her full-length DHQ and proceed as you normally would.
4.
Record
the donor’s ID number on the Donor Registration Sheet and assign a Study ID
number. All eligible donors should be assigned a Study ID Number even if they
refuse to participate. A range of Study ID numbers will be assigned to each
Center. A unique series of numbers should be provided to each collection site
coordinator. For example, if your center’s numbers were 1000 – 1999 and you are
using 4 collection sites to collect the data, give each collection site its own
range of numbers such as 1000 – 1250 for one collection site, 1251 – 1500 for
the next collection site and so on. It is not important to use all of the
numbers, but it is very important that each donor be assigned a unique Study ID
number.
5.
Write
the Study ID number in the box on the Consent Form.
6.
Write
the Study ID number on the top right hand corner of the aDHQ and in the box on
the Demographic Questionnaire.
7.
Give
the donor the aDHQ and ask him or her to fill it out. When they have returned
the aDHQ, give the donor the full length DHQ and the Demographic Questionnaire,
and ask him or her to complete the DHQ first, and then the Demographic
Questionnaire. (Ask the donor not to write their name or donor ID number on the
aDHQ or on the Demographic Questionnaire).
8.
The
donor will carry the DHQ to the health assessment room. The aDHQ, Consent Form
and Demographic Questionnaire will be provided to the health historian by the
staff.
9.
When
the day is finished, place the completed Donor Registration Form in the central
study collection box. The draft
Collection Site Summary Sheet(s) should be given to the collection site
coordinator.
During the Health Assessment
10.
Each
person who is carrying out health assessments in the collection site should
have a DHQ/aDHQ Assessment Sheet to record the information from donors that
they have assessed.
11.
Both
the aDHQ and the DHQ should be used to assess donor eligibility. The criteria
for discordant results are described in the Study Manual.
12.
Complete
the DHQ/aDHQ Assessment Sheet using the Study ID number to identify the donor.
For any donors that you identify as having discordant results, write the reason
why you identified them as discordant. Please ensure that you document the
donor’s preferred contact telephone number for the follow-up interview. This
may be written on the line below the line where the donor assessment
information was entered on the DHQ/aDHQ Assessment Form. Please note that if
the donor does not have a discordant result, the donor will not be asked to
participate in an interview.
13.
Paper-clip
together the aDHQ, the Consent Form and the Demographic Questionnaire. Check to
be sure that the Study ID Number is written on each sheet and place them in a
central study collection box.
14.
At
the end of the day, each person who was carrying out health assessments that
day should place their completed DHQ/aDHQ Assessment Sheet in the central study
collection box.
Center Coordinator - at the
end of the day
15.
At
the end of each day complete the Collection Site Summary Sheet and attach all
draft Collection Site Summary Sheets.
16.
The
collection site coordinator (or their designee) should place all aDHQs, Consent
Forms and Demographic Questionnaires (still paper-clipped together), the Donor
Registration Sheet, the DHQ/aDHQ Assessment Sheets and the Collection Site
Summary Sheet in an envelope and send it to you.
17.
When
you receive the envelope, check to see that the number of eligible donors that
participated (on the Collection Site Summary Sheet) and the number of donors on
the DHQ/aDHQ Assessment Forms is the same, and that you have that number of
Demographic Questionnaires, Consent Forms and aDHQs.
18.
Fax
the Collection Site Summary Sheets from all sites that participated in the
study that day to the Study Administrator.
19.
Then
put the Collection Site Summary Sheet back in the appropriate envelope, and
keep all of the envelopes together in a secure place. At the end of each week
of the study, place all of the envelopes for the week in one envelope and send
it to the Study Administrator.
If a follow-up cognitive
interview is required
20.
A
follow-up interview is only required for donors that you have identified as
having a discordant result.
21.
If
a trained interviewer is available at the collection site, ask all donors with
discordant results to participate in the follow-up interview after they have
finished their donation. If an interviewer is not available, forward a copy of
the donor’s aDHQ and DHQ to the interviewer on the same day along with the
donor’s name and preferred contact telephone number. The copy of the DHQ should
have the Study ID number assigned to that donor written on the top right hand
corner. Also send a fax or email to the Study Administrator indicating that you
have provided the information to the interviewer and indicating the Study ID
number of the donor.
Questions you may be asked
at the collection site:
What is the purpose of this
study?
We
are trying to determine if a shorter history questionnaire for frequent donors
will work as well as the longer questionnaire that we are now using. The goal of this study is to improve our
donor screening procedures.
Why are you asking me to
complete the Demographic Questionnaire?
It
is important for us to know a little bit about the donors who are in the
study. These questions help us to see
if we have a good cross section of our donor base.
Why are you asking me to
fill out this second questionnaire, when I already answered the same questions
on the first questionnaire?
Because we are comparing the two questionnaires, we need to ask you to fill them both out today. Your help with this study is very much appreciated. In the future you will be asked to fill out one questionnaire when you come in to donate.