RESEARCH INFORMATION SHEET
DESCRIPTION: You are invited to participate in a research study that gathers information about the efficacy, tolerability, and accessibility of different tube feeding formulas in patients requiring jejunal tube feedings. This research is to better understand the efficacy, tolerability and implementation of different tube feeding formulas. This information could help to minimize the need to trial multiple different formulas that would delay adequate nutrition. We hope to better understand the real-life patient experience on the tolerability and implementation of tube feeds in patients with various GI disorders requiring jejunal tube feedings.
In this study, you will be asked to complete an online electronic survey to assess your experience with different formulas used for your enteral nutrition. These surveys will be anonymous, voluntary, and responses will be collected in a de-identified manner. There will be no collection of patient names, email addresses, IP addresses or any other personal identifiers that could link responses back to a particular patient. Reminder e-mails will be sent out at 2-3-week intervals. We will allow 2 months in total for responses.
TIME INVOLVEMENT:Your participation in this experiment to complete the online electronic survey will take on average of 5-10 minutes, maximum of 30 minutes.
RISKS AND BENEFITS: There are no known risks associated with this study. Completion of the surveys and participation is voluntary and anonymous. We cannot and do not guarantee or promise that you will receive any benefits from this study, but survey responses may help provide a general roadmap of the most effective and least effective formulas which will be important for guiding ongoing care for patients on tube feeding regimens. The information gathered from this survey could help to minimize the need for patients to trial multiple different formulas which sometimes delays adequate nutrition.
PAYMENTS: You will NOT receive payment for your participation.
PARTICIPANT'S RIGHTS: If you have read this form and have decided to participate in this project, please understand your participation is voluntary and you have the right to withdraw your consent or discontinue participation at any time without penalty or loss of benefits to which you are otherwise entitled. The alternative is not to participate. You have the right to refuse to answer particular questions. The results of this research study may be presented at scientific or professional meetings or published in scientific journals. However, your identity will not be disclosed.
CONTACT INFORMATION:
Questions: If you have any questions, concerns or complaints about this research study, its procedures, risks and benefits, contact the Protocol Director, Linda Nguyen, MD at (650) 723-5135.
Independent Contact: If you are not satisfied with how this study is being conducted, or if you have any concerns, complaints, or general questions about the research or your rights as a participant, please contact the Stanford Institutional Review Board (IRB) to speak to someone independent of the research team at (650) 723-5244 or toll free at 1-866-680-2906. You can also write to the Stanford IRB, Stanford University, 1705 El Camino Real, Palo Alto, CA 94306.
Please print a copy of this page for your records.
If you agree to participate in this research, please complete the survey.