The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit North American phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

NoWggxWy5eBPnPjyKsrnCRtYAbVVQW8XvdgRCJLynFrgXQZM9uYmbhumvsg

Population Engagement Core Request for Services Form

Please complete the survey below.

Thank you!

Welcome
Thank you for your interest in accessing services from the Miami CFAR Population Engagement Core.

Please enter today's date

M-D-Y

Title of Study

* must provide value

What is the IRB status of this project?

Study IRB number

Name of the Study's Principal Investigator (PI)

* must provide value

Are you an Early Career Investigator?

* must provide value

Has the PI of this study ever received an NIH R01 or equivalent award?

* must provide value

Yes

reset

Are you requesting assistance related to a CFAR Pilot Project?

* must provide value

Department/Division

* must provide value

What is the primary funding agency or sponsor for this study?

* must provide value

NIH Grant Number (e.g., R01, K23, R21)

* must provide value

Name of Study Coordinator

* must provide value

Preferred method of contact

* must provide value

Phone

Preferred method of contact for participants

Please review the following serivces provided by Core E

Participant Recruitment: This service involves identifying and reaching out to potential study participants from various community settings and partner organizations including the special immunology clinic. Our team engages with local communities to build trust and awareness about ongoing research projects, ensuring a diverse and representative participant pool.

Participant Screening: We conduct preliminary assessments to determine the eligibility of potential participants for specific research studies. This involves reviewing medical histories, conducting initial interviews, and performing basic health checks to ensure candidates meet the study criteria.

Survey/Data Administration & Collection: Our team administers structured surveys and questionnaires to collect data from study participants. We ensure data accuracy and integrity by following standardized protocols. We conduct focus groups and qualitative interviews to gather in-depth data from participants. This service also includes transcribing focus groups and interviews, as well as collecting laboratory specimens as needed.

Study Coordination: We manage and oversee the various logistical and operational aspects of research studies. This includes scheduling participant visits, coordinating with healthcare providers, and ensuring that all study activities are conducted smoothly and efficiently. Study coordination service will include Survey administration, consenting, and screening in a package instead of as separate services. Does not include recuitment.

Project Management: We oversee and supervise study team members and operations, ensuring efficient study progress. Our responsibilities include tracking study enrollment, coordinating study-related trainings and meetings, creating reports for regulatory compliance, assisting with financial account tracking, opening necessary accounts (e.g., JHS Approval, LabCorp), submitting invoices for payment, and providing general organizational support for projects.

Consultations: We Provide investigative tools (study design and methodology consultation, coordination, and mentoring support) beyond that which is available through routine grant mechanisms focusing on inter-relationships among behavioral, psychosocial, and biological processes.

Implementation Science Consultations: We offer support to investigators seeking to integrate implementation science frameworks into their research. This includes guidance on selecting appropriate models, identifying implementation outcomes, and designing strategies that promote the uptake, adoption, and sustainability of evidence-based interventions

Community Engagement: We link community stakeholders and researchers ensuring that community priorities are being addressed. We provide services to support and expand biomedical studies to include necessary behavioral and social science components, community-based research, implementation science and community engagement.

Community Council Feedback: Our Miami CFAR community council is a diverse group of individuals who serve as liasons between researchers and the South Florida Community. Our council can provide feedback with setting realistic expectations and facilitating community engagement.

*Costs associated with services provided are determined after consultation*

Please select the services you are interested in receiving

* must provide value

Participant Recruitment

Participant Screening

Survey/Data Administration & Collection

Study Coordination

Project Management

Consultation

Implementation Science Consultation

Community Engagement

Community Council Feedback

Access to Consent to Contact Database

Other

Would you like your study to be included in the CFAR MATCH list (Mobilizing Access To Comprehensive HIV research), which is shared with investigators, participants, community members, and organizations to highlight ongoing research opportunities?

The MATCH list is a public resource designed to increase the visibility of HIV studies and help connect researchers with potential participants, collaborators, and community partners.

* must provide value

Here's a sneak peek of what the CFAR MATCH QR code look like! If you opt in, your study will be featured in this way when the list is shared.
Scan the QR code to learn more

Please attach a copy of the study's Informed Consent Form

Upload file

Have you already spoken with a Population Engagement Core member regarding this request?

Yes

reset

I (we) agree that reference to and acknowledgment of publications resulting from collaboration with the CFAR Population Engagement Core will follow authorship guidelines established by the International Committee of Medical Journal Editors (ICMJE). Work supported by the Miami CFAR Population Engagement Core will include the following acknowledgment statement:

"This work was conducted with support from the Population Engagement Core of the Miami Center for AIDS Research (P30AI073961). The content is solely the responsibility of the authors and does not necessarily represent the official views of the Miami Center for AIDS Research, the University of Miami, its affiliated academic health care centers, or the National Institutes of Health."

Add signature

Your responses are precious to us. Your data will be treated as highly confidential data and will be secured on machines maintained by the University of Miami Research Information Technology team.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.