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  1. COVID-19 Impact Survey
    Source: National Alzheimer’s Coordinating Center (NACC)
    Date Published: 7/2/2020
    Format: PDF
    Annotation: The COVID-19 Impact Survey was used to gather data on the effect of the pandemic on participants enrolled in the clinical cores of the National Institute on Aging (NIA) Alzheimer's Disease Research Centers, a population of mostly older Americans with cognitive status ranging from normal to mild cognitive impairment to dementia (resulting from Alzheimer's disease and a range of other etiologies). An additional survey was created for the co-participants.

    Questions Adapted From: N/A
    Population: Adults Only
    Length: 21 questions for the participant, 10 for the co-participant
    Time to Complete: 15 minutes for participant, 10 minutes for co-participant
    Mode of Administration: Face-to-face
    Online (e.g., computer-assisted interview)
    Pen and Paper
    Telephone
    Administered by: Self Administered
    Specialist/Doctor/Expert
    Trained Lay Examiner/Interviewer
    Language(s): English

    COVID-19 Impact Survey: Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/NACC_COVID.pdf
    COVID-19 Impact Survey - Participant: Diagnosis; General Mental Health; Overall Impact https://www.phenxtoolkit.org/toolkit_content/PDF/NACC_COVID_Participant.pdf
    COVID-19 Impact Survey - Co-participant: General Mental Health; Overall Impact; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/NACC_COVID_Coparticipant.pdf
    COVID-19 Technology Accessibility Survey: Technology Use https://www.phenxtoolkit.org/toolkit_content/PDF/NACC_Covid_Tech_Survey.pdf    ...[See more] [See less]
    URL: https://www.alz.washington.edu/NONMEMBER/NACCFormsAndDoc.html
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available; Direct link to document: https://www.alz.washington.edu/NONMEMBER/Covid-impact-surveys.pdf

    Available Formats: PDF

    Contact Information: National Alzheimer's Coordinating Center, Elizabeth Robichaud, naccmail@uw.edu
    Survey originally developed by the ADRC Clinical Task Force, Allan Levey, MD, PhD, Chair
    Includes Research Tools: Yes.
    ID: 23179. From: Disaster Lit®a database of the U.S. National Library of Medicine.
  2. COVID-19 Technology Accessibility Survey
    Source: National Alzheimer’s Coordinating Center (NACC)
    Date Published: 7/2/2020
    Format: PDF
    Annotation: The COVID-19 Technology Accessibility Survey is designed to learn about the range of technological tools available to participants in the clinical cores of the National Institute on Aging (NIA) Alzheimer's Disease Research Centers (ADRCs) and the level of comfort participants have with them. The goal is to support and expand the remote assessment capabilities of the ADRCs to administer the Uniform Data Set when in-person assessment is not possible.

    Population: Adults Only
    Length: 4 questions
    Time to Complete: 5 minutes
    Mode of Administration: Face-to-face
    Online (e.g., computer-assisted interview)
    Pen and Paper
    Telephone
    Administered by: Self Administered
    Specialist/Doctor/Expert
    Trained Lay Examiner/Interviewer
    Language(s): English    ...[See more] [See less]
    URL: https://www.alz.washington.edu/NONMEMBER/NACCFormsAndDoc.html
    Type: Guideline/Assessment Tool
    Access Notes: Permission/Request required; Direct link to document: https://www.alz.washington.edu/NONMEMBER/Covid-tech-survey.pdf

    Available Formats: PDF

    Contact Information: National Alzheimer's Coordinating Center, Elizabeth Robichaud, naccmail@uw.edu
    Created by the NIA ADRC Clinical Task Force, Allan Levey, MD, PhD, Chair
    Includes Research Tools: Yes.
    ID: 23180. From: Disaster Lit®a database of the U.S. National Library of Medicine.
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