Research on Insulin Pumps in Kids
Dear Families of Children Using Insulin Pumps:
Children and teens with diabetes are using insulin pumps to manage their diabetes in record numbers. Diabetes teams and other healthcare providers are learning more every day about the special needs of children and teens on pump. As you know, we still have a lot to learn.
We would like to ask you to help us learn more about children and pumps by participating in a study entitled "Parents and Healthcare Professionals Perceptions of CSII Skills and Independence in a Pediatric Population."
We are asking parents, across the country, whose children are using pumps about their experiences. We would like to ask you to complete the attached questionnaire and return it either via e-mail to
firstname.lastname@example.org by mailing it to us. The questionnaire starts by asking for some brief demographic information about you and your child. The questionnaire then will ask about your child's ability to do various skills and tasks related to the pump. Completing this questionnaire should take about 15 minutes of your time.
We appreciate the time you will spend on this brief questionnaire. To thank you for participating, we will hold a raffle to give away three gifts: a $500 US savings bond, a $50 Blockbuster gift certificate, and a $15 Blockbuster gift certificate. If you would like to participate in this raffle, please complete the last page of the questionnaire and return it with your questionnaire. If your name is drawn as a prize-winner, we will contact you so we can give you your prize.
Once again, thank you for your time and your participation.
Shirley Goodman, RN, CDE
Jill Weissberg-Benchell, Ph.D., CDE
Children's Memorial Hospital
Department of Endocrinology
2300 Children's Plaza
Chicago, Illinois 60614
Download the questionnaire as a Microsoft Word document
March 10, 2002
Last Updated: Thursday February 27, 2014 19:28:21
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