Informed Consent Form:
The Center for Caregiver Advancement is a non-profit training organization whose goal is to train long-term care workers, such as your In-Home Supportive Services (IHSS) caregiver, to improve the quality of care you receive.
CCA is offering the Climate Resiliency Training (CRT) Program for Caregivers, with funding from the California Workforce Development Board’s High Road Training Partnership.
In addition, we will be evaluating the effectiveness of the program to train IHSS caregivers on skills and core competencies around the role of an IHSS caregiver. To evaluate the program, we are collaborating with the University of California, San Francisco (UCSF), Inland Empire Health Plan (IEHP), and Molina Healthcare.
Why am I being asked to take part in this program?
You are being asked to take part in this program because you are an IEHP or Molina Healthcare member and use IHSS services.
This program is voluntary, and there is no cost to join. You do not have to participate. If you say no, it will not change your IHSS services, health care benefits, or how you get care.
What will happen if I take part in this program?
If you join this program, CCA will ask you to do the following:
Agree to have the IEHP or Molina Healthcare (your health plan) share de-identified data on your health care use and cost, for the evaluation of this program. “De-identified” data means information such as your name, birthdate, and medical number will not be shared or linked to the data. You will be anonymous.
Will information about me be kept private?
We will do our best to make sure your privacy and personal information are protected. However, we cannot guarantee total privacy. Your personal information may be given out if required by law.
If information from this study is published or presented at scientific meetings, your name and other personal information will not be used.