Clinical Trials Learning Session Presurvey

Dr. Keith Crawford, Director of Clinical Trials and Patient Education at PHEN, and Dr. Andrew Laccetti, Medical Oncologist at Memorial Sloan Kettering Cancer Center are happy to host a virtual learning session to educate others on new clinical trials, which could benefit you.

Wednesday April 24th, 2024 at 6:00 PM EST

If you have not already registered, you can click registration link below:

Please watch these two videos and answer the pre-learning session questionnaire:

Please enable JavaScript in your browser to complete this form.

– Step 1 of 3

Demographics

Age; marital status; education level; employment; annual income; age at PCa diagnosis; years since PCa diagnosis; initial PCa diagnosis; family history of PCa; treatment; current PCa status

1. Current Age

• Less than 40
• 40-50
• 51-60
• 61-70
• Greater than 70

2. Marital Status:

• Married
• Single
• Widowed

3. Education Level

• Less than High School
• High School
• College
• Postgraduate

4. Employment

• Employed
• Retired
• Unemployed

5. Annual Income

• Below $50,000
• $50,000 – $100,000
• $100,000 or more

6. What is your zip code? *

7. Have you been diagnosed with prostate cancer? *

• Yes
• No

8. What was your age at initial prostate cancer diagnosis? *

• Less than 40
• 40-50
• 51-65
• Greater than 65

9. How many years since your initial prostate cancer diagnosis? *

• 1-5 years
• 6-10 years
• More than 10 years

10. What was your initial prostate cancer diagnosis? *

• Localized
• Regional spread
• Metastatic
• Other

Other Diagnosis

11. Do you have a family history of prostate cancer? *

• Yes
• No
• Unsure

12. What was your primary treatment? (Check all that apply) *

• Surgery
• Radiation
• ADT (Androgen Deprivation Therapy)
• Immunotherapy
• Chemotherapy
• Active Surveillance / Watchful Waiting
• Other

Other

13. What is your current prostate cancer status? *

• Cancer Free
• Under Treatment
• Metastatic
• Other

Current prostate cancer status

Next

Prior Clinical Trial Experience

Prior trial enrollment – yes/no, reason for acceptance or decline, satisfaction, completion status; previously not accepted to a trial (if yes why)

14. Have you participated in a prostate cancer clinical trial? *

• Yes
• No

15. Why did you participate in the prostate cancer clinical trial? (Choose all that apply) *

• An effective treatment or diagnostic option for myself
• To contribute important information to medical science
• Financial benefits

16. Were you satisfied with your participation in the prostate cancer clinical trial? *

• Yes
• No

17. Did you complete the prostate cancer clinical trial? *

• Yes
• No

Why not? *

• No one spoke to me about clinical trial participation
• I do not trust clinical trials because of past history with Black patients (Tuskegee)
• I do not trust clinical trials because of my experience with medical care system
• I do not know enough about clinical trials risks and benefits
• Family did not approve
• Other

Why not other

18. Have you applied for a prostate cancer clinical trial but was not accepted? *

• Yes
• No

Why were you not accepted? *

• Existing Medical Condition
• Do not know
• Other

Other

Next

Clinical Trials Interest

19. What would be the most important for you to consider participating in a clinical trial? (select your top three answers) *

• An effective treatment or diagnostic option for myself
• Minimal potential side effects
• To contribute important information to medical science
• Trial location relative to my home
• Time required and schedule flexibility
• Reputation of the clinical trial site
• Family acceptance and support

20. What would you look for in a clinical trial research team? (select your top three answers) *

• Staff who takes the needed time to explain the study procedures to me including the risks and benefits
• Staff members were well prepared for my visit
• Being extremely satisfied with how the staff treated me
• Being confident in the skills and knowledge of the staff
• Staff responds quickly and fully to my concerns
• Other

21. What would look for in a clinical trial research team other:

Clinical Trial Knowledge, Attitudes and Willingness to Participate

(1 – strongly agree, 5- strongly disagree)

Submit