Are you a cancer survivor who had limitations in activities of daily living prior to your cancer?
I invite you to participate in a study to help us understand how cancer survivors who had a functional limitation or disability prior to being diagnosed with cancer take care of their health. You can earn up to $ 25 by completing a questionnaire packet. If you are over the age of 21, and interested in participating in this study, please complete the information requested on this page, fold it so the envelope on the back is showing, and mail it back to me. You can also fax it to 512-475-8755
or call 1-800-687-8010 (free), 512-232-3492. You must have completed active treatment to participate.
Heather Becker, Ph.D.
The University of Texas at Austin
School of Nursing
heatherbecker@mail.utexas.edu
What is your cancer diagnosis? _____________________________
Have you completed active treatment? ____ yes ____ no
Are you limited in any way in any activities because of physical, mental, or emotional problems? ____ yes ____ no
Did this functional limitation exist PRIOR to your cancer diagnosis?
____ yes ____ no
Name______________________________ Email____________________
Address____________________________________________________
City/State/Zip_______________________________________________
Phone ________________________
Date of Birth ____/____/_______
Understanding the Challenges of Cancer Survivors With Pre-existing Disabilities
We know so little about the cancer experience of people who had a functional limitation, such as fibromyalgia, chronic fatigue syndrome, and polio, prior to their cancer diagnosis and treatment. If you have completed active treatment for your cancer, I invite you to participate in a study to help us understand how cancer survivors who had a functional limitation before being diagnosed with cancer take care of their health. Your information will help health care providers work more effectively with survivors such as yourself. You can earn $ 25 by completing a questionnaire packet. If you are over the age of 21 and have completed active treatment, please call us 1-800-687-8010/512-232-3492 or email us at sookjunga@mail.utexas.edu for more information.
Primary Investigator:
Heather Becker, Ph.D., The University of Texas at Austin.
heatherbecker@mail.utexas.edu
This research is funded by National Cancer Institute.
http://www.utexas.edu/nursing/html/rese ... ancer.html
