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H.2190-0622 Paediatric Injection Device

You are about to fill in a short survey which will help determine your suitability to this research project. Please be aware that all data you provide us with will be held in accordance with the data protection policy outlined on our website. For further information please visit https://www.healthcareopinions.co.uk/privacy-policy/

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What is your name, contact number and email address?
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Please tell us your age.
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Are you...
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What is your working status?  
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If applicable, what is your occupation? 
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Are your details currently registered with us? If you haven't, please do so here http://https://www.healthcareopinions.co.uk/
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Where did you hear about this research participation opportunity?
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Are you a parent or legal guardian to a child/ adolescent who is aged between 10 and 17 years?
(This question is mandatory)
How old is your child?
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What is the gender of your child?
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Has your child ever been diagnosed with Type 1 Diabetes or Type 2 Diabetes?
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How long ago was your child diagnosed with Diabetes?
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Is your child prescribed an injectable medication for their Diabetes AND have they injected themselves before?
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Has your child ever been trained on how to perform injections, even if they haven’t done injections to themselves before?
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How long has your child been injecting themselves?
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How often does your child usually perform injections to themselves per month?
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What injectable medication are they currently prescribed for their Diabetes?
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What types of injection devices have they used before to inject themselves?
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What types of injection device(s) do they currently use to inject themselves?
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Has your child ever performed an injection to themselves or been trained on how to perform an injection?
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Has your child been diagnosed with pre-Diabetes?
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Do any of the following relatives of your child have or did have Type 2 Diabetes?
(This question is mandatory)
Did you (if mother) / Did the mother of the child have diabetes during pregnancy, also known as gestational diabetes?
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What is the ethnicity or decent of your child?
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How tall is your child?

(This question is mandatory)

If you attended the study with your child/ adolescent, would you be willing to allow them to handle the injection device independently to pretend to perform injections into a hard-backed injection pad without your assistance, the injection device would contain medication.

They would not actually inject themselves.
(This question is mandatory)
Would your child/ adolescent be willing to attend the study with you, you would be with them all the time?
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Do any of the following apply to you or your child/ adolescent?
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Has your child ever been told by a healthcare professional that they should not self-inject, and instead others should perform their injections on their behalf, or they should only receive their injections from a healthcare professional (if applicable)?
(This question is mandatory)
Are you healthcare professional (as person with professional medical training
(e.g., a nurse, EMT or doctor)?
(This question is mandatory)
Do you or your child have a visual impairment that is not correctable by wearing glasses or lenses?
(This question is mandatory)
What is your child's dominant hand?
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Is your child/ adolescent able to speak and read English well to their grade level?
(This question is mandatory)
Do you or a member of your household currently work for any of the following?
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Have you or your child/ adolescent ever participated in a clinical trial, market research or any other kind of study for a medicine called exenatide or Bydureon?
(This question is mandatory)

Are you (and your child attending) willing and able to provide consent to the collection of personal data and the collection of audio and video records?

(This question is mandatory)
Are you able to read English well?
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Are you and your child currently residents of the United Kingdom?
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Have you, your child/ adolescent or someone in your household experienced any of the COVID-19 symptoms, in the past 14 days?
(This question is mandatory)
Have you and your child been vaccinated against COVID-19?
 

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