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LACI-Cog Survey

Step 1 of 15

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Consent form(Required)

We will ask your opinion about the design and need for a trial testing potential treatments for memory and thinking problems in people with vascular dementia. It should take 5-10 minutes to complete the survey.

 

We won't collect any information which might identify you - the data collected will be entirely anonymous. It will be stored securely on University of Cambridge servers and may be shared with other people who are interested in this research, and may be published in scientific journals.

 

By clicking “I Agree” below, you give informed consent to participate in this survey. You acknowledge that you have read and understood the information provided about the survey's purpose, and the confidentiality of your responses.

 

 

Your participation is invaluable - thank you for contributing to this important research!

General information about how the University uses personal data can be found here https://www.information-compliance.admin.cam.ac.uk/data-protection/research-participant-data

This research has received ethical review from the University of Cambridge Human Biology Research Ethics Committee

About you

How old are you?(Required)
Are you?(Required)
Which of the following best describes you?(Required)
1. Has anyone you know (like a family member or friend) ever been told they have cognitive problems or dementia?(Required)
2. If yes, has that person been told they have vascular dementia or vascular cognitive problems?(Required)
Please drag and drop to rank these from top (most important) to bottom (least important):
4. Do you think it's important that everyone in the study gets some kind of tablet, even if it's a dummy tablet with no medicine?(Required)
5. Who should give advice about things like high blood pressure or smoking?(Required)

6. Should the clinic give face-to-face advice, give out leaflets or suggest websites with healthy lifestyle tips?

Face-to-face advice(Required)
Leaflets(Required)
Websites(Required)
7. Should people bring a family member or friend with them to the clinic for their study appointment if they can?(Required)
8. Should people have a family member or friend available to help them during the study?(Required)
9. How far do you think people would be willing to travel to go to the clinic (reasonable travel costs, including taxis if needed, will be covered)?(Required)

10. Do you think people would be prepared to come back to the clinic for in person study assessments, either during and/or at the end of the study, or would assessments only via post or phone after the initial study visit be preferable?

Return to the clinic(Required)
During the study(Required)
At the end(Required)
Prefer not to return to clinic: do phone/postal assessments only(Required)

11. Do you think people will be okay with having a brain scan (MRI) at the start and end of the study?

Start of study(Required)
End of study(Required)

12. Do you think people will be okay with giving a small blood sample to help researchers learn more about brain diseases at the start and end of the study?

Start of study(Required)
End of study(Required)
13. Is it okay for people to get their study medicines (tablets) in the post with clear instructions, instead of going back to the clinic to collect them?(Required)
14. Do you think people with mild memory problems will want to join this study?(Required)
15. What might stop someone from joining? Tick all that apply:(Required)

POPPED

The POrtal for Patient and Public Engagement in Dementia research
痴呆症研究与公众参与平台

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