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INFORMATION SHEET COMBINING POLICY AND IMPLEMENTATION SCIENCE TO OPTIMIZE CLINICAL PRACTICE HUM00224157

Principal Investigator: Dana Telem, MD, MPH

You are invited to participate in a research study (HUM00224157) about your experiences and opinions of this training program.

If you agree to be part of the research study, you will be asked questions about your opinions and confidence with certain aspects of hernia management as well as questions about your experience using this training tool.

Benefits of the research: results from this study will be used to improve this training and the way quality
improvement is shared across Michigan. Your responses will also inform the development of ongoing quality improvement initiatives in hernia surgery. All data collected in this study will be securely stored on HIPAA complaint servers according to state-of-the-art data security practices. Information collected in this study will not be shared outside of the study team, and your responses can not and will not be able to either negatively or positively impact your employment or reputation.

The risks of participating in this study are minimal to non-existent. The only risk associated with a potential data breach is that your participation in the study could be revealed.

Participating in this study is completely voluntary. Even if you decide to participate now, you may change your mind and stop at any time. You may choose not to answer any question and/or withdraw participation for any reason.

If you have questions about this research study, please contact the study team at СOHRegistry@umich.edu.

The University of Michigan Medical School Institutional Review Board (IRBMED) has reviewed and approved this study.

Post-Training Self-Assessment

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In this first section we will ask you about your confidence in communicating with your patients undergoing abdominal wall hernia repair.

On a scale of 1 to 7, 1 being not confident and 7 being extremely confident, how confident are you in each of the following:

Unsure

Not
Confident

Somewhat
Confident

Very
Confident

Extremely
Confident

0 1 2 3 4 5 6 7

You can have a conversation with a patient about:

a) Smoking Cessation

b) Weight Management

c) Glycemic Control

You can counsel your patient to delay an operation if they

a) Are an active tobacco user

b) Are overweight or obese

c) Have poor glycemic control

Post-Training Self-Assessment

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/

In this first section we will ask you about your confidence in communicating with your patients undergoing abdominal wall hernia repair.

On a scale of 1 to 7, 1 being not confident and 7 being extremely confident, how confident are you in each of the following:

Unsure

Not
Confident

Somewhat
Confident

Very
Confident

Extremely
Confident

0 1 2 3 4 5 6 7

You can change your practice related to preoperative optimization?

You know what resources to share with patients for

a) Smoking Cessation

b) Weight Management

c) Glycemic Control

That a risk calculator can help you communicate with your patients about the aforementioned risk factors?

Post-Training Self-Assessment

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HerOIQ Training

Did you like or dislike the HerOIQ Training?

1

Strongly Dislike

2

Dislike

3

No Opinion

4

Like

5

Strongly Like

How much effort did it take to complete the HerOIQ Training?

1

No effort at all

2

A little effort

3

No Opinion

4

A lot of effort

5

Huge effort

How fair is the HerOIQ Training in conveying the challenges surgeons who perform abdominal wall hernia repair experience?

1

Very Unfair

2

Unfair

3

No Opinion

4

Fair

5

Very Fair

The HerOIQ Training has improved my ability to discuss risk and behavior change with my patients undergoing an abdominal wall hernia repair

1

Strongly Disagree

2

Disagree

3

No Opinion

4

Agree

5

Strongly Agree

It is clear to me how the HerOIQ Training will help improve my ability to discuss risk and behavior change with my patients undergoing an abdominal wall hernia repair

1

Strongly Disagree

2

Disagree

3

No Opinion

4

Agree

5

Strongly Agree

How confident did you feel about your ability to complete the HerOIQ Training?

1

Very Unconfident

2

Unconfident

3

No Opinion

4

Confident

5

Very Confident

Participating in the HerOIQ Training interfered with my other priorities.

1

Strongly Disagree

2

Disagree

3

No Opinion

4

Agree

5

Strongly Agree

How acceptable was the HerOIQ Training to you?

1

Completely Unacceptable

2

Unacceptable

3

No Opinion

4

Acceptable

5

Completely Acceptable

Post-Training Self-Assessment

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HerOIQ Calculator

How comfortable did you feel using the HerOIQ Calculator?

1

Very Uncomfortable

2

Uncomfortable

3

No Opinion

4

Comfortable

5

Very Comfortable

How much effort did it take to use the HerOIQ Calculator?

1

No effort at all

2

A little effort

3

No Opinion

4

A lot of effort

5

Huge effort

There are moral or ethical consequences to using the HerOIQ Calculator to communicate about risk with my patients undergoing abdominal wall hernia repair.

1

Strongly Disagree

2

Disagree

3

No Opinion

4

Agree

5

Strongly Agree

The HerOIQ Calculator has improved my ability to communicate risk and behavior change opportunities with my patients undergoing abdominal wall hernia repair.

1

Strongly Disagree

2

Disagree

3

No Opinion

4

Agree

5

Strongly Agree

It is clear to me how the HerOIQ Calculator will help improve my ability to discuss risk and behavior change opportunities with my patients undergoing abdominal wall hernia repair.

1

Strongly Disagree

2

Disagree

3

No Opinion

4

Agree

5

Strongly Agree

How confident did you feel about your ability to use the HerOIQ Calculator?

1

Very Unconfident

2

Unconfident

3

No Opinion

4

Confident

5

Very Confident

Using the HerOIQ Calculator will interfere with my other priorities.

1

Strongly Disagree

2

Disagree

3

No Opinion

4

Agree

5

Strongly Agree

How acceptable was the HerOIQ Calculator to you?

1

Completely Unacceptable

2

Unacceptable

3

No Opinion

4

Acceptable

5

Completely Acceptable

How likely are you to adopt the HerOIQ Calculator in your practice?

1

Very Unlikely

2

Unikely

3

No Opinion

4

Likely

5

Very Likely

Post-Training Self-Assessment

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Please share what you liked about the HerOIQ Training
Please share what you think could be improved
success

You have successfully completed the Post-Training Self-Assessment.
Please return to the Dashboard to continue.

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