BC ECHO on Substance Use
Evaluation Informed Consent Form
Dr. Nadia Fairbairn, MD
Research Scientist, BC Centre on Substance Use
Director of the Canada Addiction Medicine Research Fellowship
Assistant Professor, Department of Medicine
University of British Columbia
604-682-2344 ext 62920
Health Canada Substance Use and Addiction Program
Doctors of BC
You have been invited to participate in this study because you have registered to participant/have participated in the BC ECHO on Substance Use. This study is being conducted by researchers who are part of the University of British Columbia, the BC Centre on Substance Use (BCCSU), and Providence Health Care.
The BCCSU is piloting and evaluating the first substance use disorder focused Extension for Community Healthcare Outcomes (ECHO) Model in Western Canada. The surveys you complete will help us to know whether the ECHO is making a difference in clinical practice.
All registrants and participants of the BC ECHO on Substance Use are being invited to participate
in the evaluation. The target audience is healthcare providers and their teams in BC and the Yukon. If you agree to participate in this study, you will be invited to take part in a series of online surveys: before, during, and after the ECHO cycle. The survey will collect information about you, your clinical practice, your approach to evidence-based practice and your perceptions of drug and alcohol use problems. The survey is entirely voluntary. You may choose not to answer any of the questions asked on the survey. The survey will take approximately 15 minutes to complete.
We don’t think anything in these questionnaires could harm you or be bad for you. Please keep in mind that you are not required to answer any questions that may make you feel uncomfortable and that you are welcome to stop the survey at any time.
You will not directly benefit from participating in this study. We hope that you will benefit from knowing that the experiences that you share will help us to develop recommendations to improve BC ECHO on Substance Use and help us better understand the needs of primary care providers.
You will be entered in a draw for the chance to win one of two $100 gift cards as an honorarium for your time.
You may stop your participation in this study at any time, simply by closing your web browser, without having to give a reason, and with no penalty or loss of participation in the ECHO.
The researchers involved with this project have a legal and ethical duty to keep all information about you confidential unless required by law. The Gravity Forms tool on this website will ensure protection of the data collected through encryption. De-identified data from this evaluation may be stored on password-protected and encrypted BCCSU computers.
All of your files will be destroyed five years after the final publication of the results of this study. In order to support the growth of the ECHO movement, we are required to collect and share basic ECHO attendance data (Name & Health Authority/Region) with the University of New Mexico ECHO Institute. Please be aware that those who develop, maintain, and host the ECHO Website, including SparkJoy and AWS may have access to your data as well.
If you have any questions about the study, you can contact the Principal Investigator, Dr. Nadia Fairbairn, at [email protected] or 604-682-2344 ext 62920.