Ending the Epidemics in Indian Country ECHO: May 17, 2022

Cardea Services

Questions about this evaluation? Email info@cardeaservices.org.

We hope you found this educational offering both interesting and informative. Your anonymous responses will be used to plan future educational activities.

1. Please enter your unique identifying number using your birth month (mm), last two numbers of your cell phone number, and the first letter of your middle name. This number will be used to compare pre and post survey responses while keeping your responses anonymous.

Example: 0989S
Birth Month: September
Phone Number: 012-345-6789
Middle Name: Smith *This question is required.

2. How satisfied are you with this learning activity?

Very satisfied	Satisfied	Unsatisfied	Very unsatisfied
Very satisfied	Satisfied	Unsatisfied	Very unsatisfied

3.  As a result of this learning activity, how has your knowledge on this topic changed? *This question is required.

Improved a lot	Improved a little	Stayed the same	Got worse
Improved a lot	Improved a little	Stayed the same	Got worse

4. As a result of this learning activity, *This question is required.

Space Cell	Very likely	Likely	Unlikely	Very unlikely
I am able to manage the care of patient with SUD in my own practice	I am able to manage the care of patient with SUD in my own practice : Very likely	I am able to manage the care of patient with SUD in my own practice : Likely	I am able to manage the care of patient with SUD in my own practice : Unlikely	I am able to manage the care of patient with SUD in my own practice : Very unlikely
I am able to provide Harm Reduction services in my own practice	I am able to provide Harm Reduction services in my own practice: Very likely	I am able to provide Harm Reduction services in my own practice: Likely	I am able to provide Harm Reduction services in my own practice: Unlikely	I am able to provide Harm Reduction services in my own practice: Very unlikely

5. I plan to make one change in practice based on what I learned in this activity. *This question is required.

Very likely	Likely	Unlikely	Very unlikely
Very likely	Likely	Unlikely	Very unlikely

Please describe any changes you plan to make in the work that you do. *This question is required.

Why are you unlikely to make a change? *This question is required.

Please enter an 'other' value for this selection.

6. Rate your AWARENESS of:

Space Cell	Not aware	Slightly aware	Aware	Very aware	Extremely aware
Labs and tests to screen for SUD	Labs and tests to screen for SUD: Not aware	Labs and tests to screen for SUD: Slightly aware	Labs and tests to screen for SUD: Aware	Labs and tests to screen for SUD: Very aware	Labs and tests to screen for SUD: Extremely aware
Strengths and protective factors for SUD diagnosis	Strengths and protective factors for SUD diagnosis: Not aware	Strengths and protective factors for SUD diagnosis: Slightly aware	Strengths and protective factors for SUD diagnosis: Aware	Strengths and protective factors for SUD diagnosis: Very aware	Strengths and protective factors for SUD diagnosis: Extremely aware
Promising interventions for SUD	Promising interventions for SUD : Not aware	Promising interventions for SUD : Slightly aware	Promising interventions for SUD : Aware	Promising interventions for SUD : Very aware	Promising interventions for SUD : Extremely aware

7. Rate your KNOWLEDGE of:

Space Cell	Very poor	Poor	Fair	Good	Very good
Background/context of SUD in Indian Country	Background/context of SUD in Indian Country: Very poor	Background/context of SUD in Indian Country: Poor	Background/context of SUD in Indian Country: Fair	Background/context of SUD in Indian Country: Good	Background/context of SUD in Indian Country: Very good
Factors that make some people more at-risk to SUD	Factors that make some people more at-risk to SUD: Very poor	Factors that make some people more at-risk to SUD: Poor	Factors that make some people more at-risk to SUD: Fair	Factors that make some people more at-risk to SUD: Good	Factors that make some people more at-risk to SUD: Very good
Protective factors of SUD	Protective factors of SUD: Very poor	Protective factors of SUD: Poor	Protective factors of SUD: Fair	Protective factors of SUD: Good	Protective factors of SUD: Very good
Resources and interventions to address SUD	Resources and interventions to address SUD: Very poor	Resources and interventions to address SUD: Poor	Resources and interventions to address SUD: Fair	Resources and interventions to address SUD: Good	Resources and interventions to address SUD: Very good

8. Rate your INTENTIONS to:

Space Cell	Not likely at all	Not so likely	Likely	Very likely	Extremely likely
Talk to your patients about their risk for SUD	Talk to your patients about their risk for SUD: Not likely at all	Talk to your patients about their risk for SUD: Not so likely	Talk to your patients about their risk for SUD: Likely	Talk to your patients about their risk for SUD: Very likely	Talk to your patients about their risk for SUD: Extremely likely
Conduct appropriate screening and assessments for SUD	Conduct appropriate screening and assessments for SUD: Not likely at all	Conduct appropriate screening and assessments for SUD: Not so likely	Conduct appropriate screening and assessments for SUD: Likely	Conduct appropriate screening and assessments for SUD: Very likely	Conduct appropriate screening and assessments for SUD: Extremely likely
Recommend resources for patients diagnosed with SUD	Recommend resources for patients diagnosed with SUD: Not likely at all	Recommend resources for patients diagnosed with SUD: Not so likely	Recommend resources for patients diagnosed with SUD: Likely	Recommend resources for patients diagnosed with SUD: Very likely	Recommend resources for patients diagnosed with SUD: Extremely likely

9. Rate your CONFIDENCE in:

Space Cell	Very poor	Poor	Fair	Good	Very Good
Talking to patients about their risk for SUD	Talking to patients about their risk for SUD: Very poor	Talking to patients about their risk for SUD: Poor	Talking to patients about their risk for SUD: Fair	Talking to patients about their risk for SUD: Good	Talking to patients about their risk for SUD: Very Good
Utilizing assessment tools for SUD diagnosis	Utilizing assessment tools for SUD diagnosis: Very poor	Utilizing assessment tools for SUD diagnosis: Poor	Utilizing assessment tools for SUD diagnosis: Fair	Utilizing assessment tools for SUD diagnosis: Good	Utilizing assessment tools for SUD diagnosis: Very Good
Responding to assessment tools for SUD	Responding to assessment tools for SUD: Very poor	Responding to assessment tools for SUD: Poor	Responding to assessment tools for SUD: Fair	Responding to assessment tools for SUD: Good	Responding to assessment tools for SUD: Very Good

10. Rate your ABILITY/SKILL to:

Space Cell	Very poor	Poor	Fair	Good	Very Good
Talk to patients about risk factors for SUD	Talk to patients about risk factors for SUD: Very poor	Talk to patients about risk factors for SUD: Poor	Talk to patients about risk factors for SUD: Fair	Talk to patients about risk factors for SUD: Good	Talk to patients about risk factors for SUD: Very Good
Provide preventative care for SUD	Provide preventative care for SUD: Very poor	Provide preventative care for SUD: Poor	Provide preventative care for SUD: Fair	Provide preventative care for SUD: Good	Provide preventative care for SUD: Very Good
Understand patient’s experiences with SUD	Understand patient’s experiences with SUD: Very poor	Understand patient’s experiences with SUD: Poor	Understand patient’s experiences with SUD: Fair	Understand patient’s experiences with SUD: Good	Understand patient’s experiences with SUD: Very Good
Provide treatment for SUD	Provide treatment for SUD: Very poor	Provide treatment for SUD: Poor	Provide treatment for SUD: Fair	Provide treatment for SUD: Good	Provide treatment for SUD: Very Good