Georgia mentors enrolment survey

Welcome to Training in Assistive Products (TAP). Please read the information below and complete part A and part B of this form before you begin the training.

Participant information sheet

Welcome to Training in Assistive Products (TAP). This training is the first step of the TAP Georgia project led by Ken Walker Medical Rehabilitation University Clinic and the World Health Organization. This project is intended to help make assistive products such as walking aids and toilet chairs more accessible for people accessing health or social welfare services in Georgia.

Please read the information below and complete part A (agreement) and part B (enrolment survey) before you begin the training

Information about TAP: TAP is an online learning programme for personnel who are, or will be:

  • Identifying people who need assistive products, referring them to the right service or person and/or
  • Providing simple assistive products.

TAP can be accessed using a computer, tablet or smart-phone. TAP learners will also have face to face support from mentors. You will be taking TAP modules in order to prepare for your role as a mentor.

If you have a question now, or at any time when you are going through this training, you can:

  • Discuss with the project coordinator
  • Bring your questions to the mentor briefing

Your feedback is important: At the end of the training, you may be asked to provide feedback through a group discussion (focus group) of up to 90 minutes. Your participation in group discussion is voluntary, and will be carried out during working hours, at a convenient time for yourself and your service manager. 

TAP data collection: TAP collects information about TAP learners and mentors (including you) through the enrolment survey (up to 20 minutes) and feedback survey (learners only). Quiz scores are also collected, and information such as how many and which modules learners and mentors complete. When learners or mentors participate in discussion groups to give feedback, an audio recording of the discussions will be made and then used to create a written record. The audio record will then be deleted.

Before this information is used it will be de-identified. This means that the names, and personal details are removed. This way, no-one looking at the information will know whose information it is. The de-identified information is then used to help prepare reports about this TAP training and for research to help understand:

  • How well TAP is working for learners and mentors and how it can be improved
  • The thoughts of learners and mentors about the provision of assistive products
  • What other actions could be taken to improve access to assistive technology.

The de-identified information is held securely by the World Health Organization. It may be combined with data from other TAP projects, and it may be shared with project partners, donors, researchers and with the broader interested community through publications and reports.

If you have any questions about the TAP data collection, you can ask the project coordinator, or email: [email protected] 

Georgia mentors enrolment survey
Part A: Agreement for the use of information

Please let us know if you give consent for information collected during this training to be used as described above. Check yes or no to each question below. Note that your response is private. If you choose not to participate in the study, you are still welcome to continue your participation in the TAP project as a mentor and may withdraw at any point during the study. In such cases, your information will not be used.

1. I have read the information above and I have had the opportunity to ask questions about the training and TAP information collection.
2. I understand that de-identified information collected during this training (including this enrolment survey, quiz results and focus groups) will be used in reports and research to help improve TAP and improve access to assistive technology and I give my consent.
Part B: Enrolment survey
1. Your name
1. Your name
First
Last
2. Your service / organization
4. Your age
5. Do you use any assistive products?
6. What is your role or job title?
7. How many years of experience do you have in your profession?
8. What is your highest level of formal education?
9. Do you use and have daily access to a smart phone?
10. Do you use and have access to a tablet at least 2-3 times per week?
11. Do you use and have access to a computer at least 2-3 times per week?
12. Do you have daily (funded and reliable) access to the internet?
13. Have you taken any online courses before?
14. Have you taken any training about assistive products or assistive technology services before?
15. Do you directly provide assistive products?
If yes, which product types:
16. Do you currently have a training or supervisory role?
If yes, does this include training or supervising others in relation to assistive products?
17. For this TAP training, which module stream/s are you mentoring?
18. How prepared do you feel to mentor the learners on this TAP training?
19. Do you think primary level services and their personnel should play a role in assistive technology?
20. If yes, what do you think that role should be? (You can select more than one.)

21. For primary level services and their personnel to fulfil a role in assistive technology, how important are each of the following:

Awareness: People in need and others are aware that the service provides assistive products
Policy and financing: Policy in place supporting primary health services playing a role in assistive technology
Policy and financing: Finance system and funding in place for primary health services to play a role in assistive technology
Products and other resources: The service has assistive products at the service to provide at an affordable cost
Products and other resources: The service has the tools, equipment and space to provide assistive products
Provision systems: Referral pathways are in place and understood by everyone
Provision systems: Service systems in place (such as assessment forms, procurement)
Provision systems: Managers appoint personnel to carry out this role and support them to do it.
Personnel: Personnel are provided with mentoring / supervision.