Disease Advocacy Organization (DAO) Manual

The following is the overview your DAO would have to take to successfully setup and launch a White Label Package connected through the PEER portal

DAO-Flowchart

Initial Consultation with the PEER Team

^Change to "Getting Started" or something like that?

Having a clear set of goals for your project is an essential first step in developing your PEER portal. Here and in our initial consultation we'll tell you a bit more about why we've created PEER, and share some key points for developing and clarifying your vision.

About PEER

PEER creators Genetic Alliance and Private Access designed PEER with a central question in mind: how can we help you and your community to transform health? This means that, from the start, PEER has been designed with the needs of communities in mind. How do we create a safe space to share health information or other sensitive data? How do we respect the diverse array of attitudes about data sharing within our communities? How do we continue to engage in research with our communities over time, yet not overwhelm our participants with consent after consent? With PEER, we hope that you'll be able to answer these questions and more.

In many ways, PEER is similar to other registry platforms.

How do the components of PEER compare to those of typical registries?

It has the same core features: a tool for data entry, a database of deidentified data, and a query feature that allows for inquiry and analysis within said database. However, whereas access to data in other registries is dependent on the privacy and access policy of the registry owner, to which participants must consent in advance, in PEER access to data is dependent on privacy and access settings chosen by the participants. Participants even choose privacy and access settings for their own contact information, which is stored within PEER separately from their health data. Most registries store contact information outside of their database, which can make it difficult to engage with participants to the full extent possible.

Participants manage their privacy and access preferences using a granular and dynamic model of consent, which allows participants to choose who can and cannot access or use their data, and for what purpose. The settings span multiple categories of uses, from disease advocacy organizations to researchers, and include multiple usage rights: participants choose settings for "Discover My Anonymous Information", "Receive My Contact Information", and "Export My Anonymous Information". Settings for "Discover" control who can locate a participant's deidentified data, while settings for "Contact Information" control who can have access to a participant's contact information. Settings for "Export" control who can export deidentified data from the PEER system. Across each usage right and for each potential category of use, participants have the option to permit, decline, or wait for more information before deciding.

The Privacy Dashboard. Participants choose who can and cannot access their data, and for what purpose.

Setting up the PEER Portal

To be updated...

Timeline

To be updated...

Pre-Outreach Efforts

Katherine - move Renee content

PEER Portal Design Decisions

To be updated...

Content and User Interface(UI)

Katherine - wait for new system?

Videos & Guides Development

Tanya

Survey Questions and Development

Wayne

Question Formatting

Wayne

Using the PEER Questions Manager

Wayne

Editing Survey Questions

Wayne

Setting Up User Support System (Customer Support)

Tanya

Selected Audience Survey Testing

Now that you've implemented your survey using PEER Admin, you should be ready to start testing the survey inside of your PEER Portal. This section provides a step-by-step overview of this process. Let's get started!

You will complete testing in two phases. Phase I Testing, which takes place within your organization prior to preparing for portal launch, will enable you to identify and address any content errors in your survey, as well as general system errors. Phase II Testing, which takes place with members of your community directly before launch, will allow you to incorporate real user feedback before launching your portal.

Please note that testing your survey is an iterative process of finding items to change and fixing them. Depending on the length of your survey and the number of changes that need to be made after the initial pass, testing and incorporating feedback may take some time. On average, testing takes one to two weeks total, not including time in between phases.

Checkpoint: Before Starting Phase I Testing

You should have...

• Received IRB approval for your project.
• Implemented your finalized survey content, including PEER Common Data Instruments and your own organization's questions, using the PEER Questions Manager.
• Finalized the future location of your PEER Portal, and entered this information into PEER Admin. Remember, you need two different locations on your website for your demo portal and your live portal. Your demo portal, which is an exact replica of your live portal, allows you to test and view your portal without interfering with data collection.
• Completed portal customization within PEER Admin. You should have entered guide information, and chosen your PEER color scheme.
• Installed your demo PEER Portal by inserting your demo portal code (available following portal customization) on your demo webpage.
• Assigned a “Point Person” within your organization to liaise with the PEER Team throughout the testing process. When you are ready to start testing, it is up to your Point Person to let the PEER Team know!
  
  

Phase I Testing

If you've completed the checklist items above, you are ready to start Phase I Testing. Phase I Testing will help you to identify possible errors in your survey, such as branching errors or grammatical errors. This phase of testing is conducted entirely within your demo portal, with the assistance of members of your staff or trusted partners.

To get started, have your organization's Point Person contact the PEER Team and tell us that you are ready to begin testing. We will provide him or her with the required documentation, including...

• Your Tester Information Sheet. This is where your Point Person will keep track of outreach to your testers, as well as information about your testers' roles when taking the survey.

• Your Phase I Testing Feedback Form. This is where your testers will submit feedback. For now, just use the "Phase I" tab.

• Your Phase I Testing Feedback SmartSheet. This is where your Point Person will manage and respond to feedback.

• Your Phase I Testing Instructions. Your Point Person will provide these instructions to your testers.

• Sample tester communications, including an invitation email. Your point person may use these templates to assist him or her in contacting and communicating with your testers.
  
  

Once you've received these documents, simply follow the instructions provided below! From start to finish, Phase I Testing should take you about two weeks, although this may change depending on the magnitude of the edits.

Phase I Point Person Instructions

1. Choose and invite six people, including yourself, to test the demo portal survey. Keep track of outreach to these individuals using your Tester Information Sheet. Plan to invite these individuals a week before you wish to begin testing. They should be individuals who have a sense of your condition or disease, and are comfortable with technology in general. Together, you are all the "testers".
   
   If you wish, you may use the template invitation email provided to you.
   
   
2. Make sure you can access the documentation spreadsheets that we have assigned to you: your Phase I Testing Feedback Form and your Phase I Testing Feedback SmartSheet. If you cannot, alert the PEER Team.
   
   Once you have ascertained that you can access these sheets, take some time to familiarize yourself with the Phase I Testing Feedback SmartSheet. You will use this sheet to manage testers' feedback, and keep a record of who on your staff has been assigned to resolve which feedback items. If you like, you can give your staff access to the SmartSheet, as well.
   
   
3. Assign each of the testers a "role" for testing the survey. As you saw during the process of building your survey, the survey is designed to capture information either from individuals who are answering for themselves, or from individuals who are answering for another person. Different roles reflect this distinction.
   
   The minimum number of tester roles is listed below, but depending on the choices you made when designing your survey there may be additional roles to consider (for instance, individuals affected with a condition versus individuals who are carriers for a condition). If this is the case, you may need to assign multiple roles to your testers, as it's important to test the entirety of your survey. Be sure to note who will receive which roles using your Tester Information Sheet.
   
   Note that you may also want to assign Internet browsers with roles, to ensure that your survey is tested across as many platforms as possible. For instance, the tester answering for an affected male answering as himself might test the survey on Safari, while the tester answering for an affected female answering for herself might test the survey on Google Chrome. If you choose to assign browsers (recommended), please make note of this in the Tester Information Sheet.
   
   Survey Roles
   
   • An affected male, answering for himself
   • An affected female, answering for herself
   • Someone with the legal right (caregiver, assistant, relative, friend…) to answer for an affected male who is decisionally impaired
   • Someone with the legal right (caregiver, assistant, relative, friend…) to answer for an affected female who is decisionally impaired
   • Someone with the legal right to answer, responding for a deceased male
   • Someone with the legal right to answer, responding for a deceased female
   • Any additional roles that you assign
     
     
4. As soon as you can, send each confirmed tester an instructions email (see templates provided to you) containing the Phase I Tester Instructions which we have provided to you. Be sure that you have reviewed these instructions yourself, and customized them for your condition or disease. Within 2-3 days of receiving your email, each of the testers should…
   
   
   • Read the Phase I Testing Instructions you provided.
   • Go to the demo URL.
   • Create an account in the role or roles he or she has been assigned. Depending on their roles, testers may need to make additional profiles within their accounts to test the survey.
   • Test by proceeding as though he or she were the person in the role affected by the condition or disease.
   • Record any issues using the documentation we have provided. Testers will submit feedback using the Phase I Testing Feedback Form. For a detailed list of items that testers should look out for during this process, please see the Phase I Testing Instructions.
   • Email you to confirm that he or she has completed testing, and to tell you how long it took him or her to take the survey.
     
     
5. You will be in charge of curating errors throughout the feedback collection process. You can access the data submitted to your testing feedback form through your Phase I Testing Feedback SmartSheet. You should log into the SmartSheet daily throughout the testing process to view and respond to feedback entries. Follow this process as you collect entries…
   
   
   • Determine whether the issue is something you can resolve. For instance, if testers having difficulties logging in, or have trouble creating new health profiles, you will likely be able to assist them unless there is an underlying system error.
   • If you or your organization can resolve an issue, assign it to one of your staff. Indicate whose responsibility these issues are within the Phase I Testing Feedback SmartSheet under the “Assigned To” Column. Please be sure to save your changes when you enter new information in SmartSheet! Simply click on the save button in the left-hand menu, as shown below.
     
     
     

     Don't forget to save changes in SmartSheet!
     
     
   • When the issue has been resolved, please indicate this in the SmartSheet. Simply click the checkbox in the “Resolved?” column. If issues do not require action (for instance, someone has suggested a change to survey content, but you have decided not to make this change), please be sure that they are indicated as “Resolved” as well. Remember, be sure to save your changes whenever you enter new information into the SmartSheet!
   • Identify issues that you and your staff cannot resolve on your own. These might include feedback about the survey itself (grammar mistakes, proposed question content, problems with branching in the survey) or feedback about the portal (requesting changes to text, correcting remaining errors in guide bios). These may also include issues that you have attempted to resolve on your own (such as difficulties with logins, creating new profiles, and so on) that now need to be escalated to the PEER Team for troubleshooting*.
   • Assign issues that you cannot resolve on your own back to us. Do this by typing “PEER Team” into the “Assigned To” column. Please alert GAPP over email as you assign these issues, and don’t forget to save changes to the Smartsheet!
   • As we work to resolve the issues assigned to us, we will indicate this within the feedback documentation. We will contact you with any questions, and if needed, will set up a screen share to assist in resolving issues.
     
     *The PEER Team offers troubleshooting only after all reasonable avenues have been exhausted. This means we expect that, with login problems or other account creation and navigation problems, you and your staff will investigate the issue (screen share with the tester, note the browser and version, the operating system and version, check the FAQ for any known issues. If you cannot resolve the issue, you should contact GAPP. The process…
   1. The DAO has a screen share with the tester and resolves the issue. If no resolution…
      
      
   2. The DAO asks the PEER Team to help and have a screen share. If no resolution…
   3. Escalated to PEER administrators who develop a resolution plan. Examples of issues that are likely to be escalated are survey “freezes”, survey/portal display issues, and account issues.
      
      
6. Once all issues are marked as resolved check to identify that no issues remain, either on your own, or with the help of your testers. It is up to you whether you involve your other testers in this second round of checks – depending on the types of feedback provided you may or may not find your testers’ assistance in reviewing the system necessary (for instance, you will be able to check changes to the portal, and many changes to the survey, yourself). If all issues are indeed taken care of then you are ready to set a launch date. Shortly before your launch date, you will launch your live portal and commence Phase II Testing.
   
   

Checkpoint: Before Starting Phase II Testing

Once you have completed Phase I Testing and all errors have been resolved, you should be ready to move to Phase II Testing. Phase II Testing will give members of your community a chance to preview your live survey directly before launch and provide last-minute feedback. Since this testing is done on the live portal, meaning the live portal is discoverable, it’s essential that you establish a quick turnaround time. Your testing start date should be two to three days in advance of your desired launch date, and you should request that your testers take the survey and submit feedback within 24 hours of receiving instructions. You will then have one to two days to resolve any remaining issues.

Before starting Phase II Testing, you should have...

• Completed Phase I Testing and successfully resolved all feedback items.
• Reviewed instructions for managing data you will capture from your live portal. You should have received login information for both REDCap and Mixpanel. REDCap is an electronic data capture software system that allows you to view anonymous survey data which you are authorized to view. Mixpanel is a software which collects metadata about your survey respondents, including information about where the visitors to your portal are coming from, and the time they spend there. For more informatino about these tools, please visit the "Research & Data" section of this wiki.
• Created and tested your badges, and confirmed badge placement within your organization and with partners. You will be able to place the badges on different pages within your website or your partners’ websites, where they will direct visitors to your portal.
• Developed your referral codes. These will enable you to track where portal users are coming from, based on your outreach initiatives, and even link certain users (for instance, users coming from a clinic) to specialized privacy dashboards (for instance, in the case of a clinic, a dashboard the includes that clinic as one of the institutions requesting data access). Each of your outreach initiatives should receive its own referral code.
• Checked your outreach plan. Pre-launch initiatives should be complete, and your launch plan should be in place.
  
  

Phase II Testing

Phase II Testing is very similar to Phase I Testing, with a few important exceptions: it is with your live portal, it is with “real” survey takers who are providing actual live data, and the turnaround time is shorter. Once you have completed everything in the checklist, have your organization's Point Person contact the PEER Team and tell us that you are ready to begin testing. We will provide him or her with updated documentation, including...

• Your Phase II Testing Feedback Form. This is where your testers will submit feedback.

• Your Phase II Testing Feedback SmartSheet. This is where your Point Person will manage and respond to feedback.

• Your Phase II Testing Instructions. Your Point Person will provide these instructions to your testers.

• Sample tester communications, including an invitation email. Your point person may use these templates to assist him or her in contacting and communicating with your testers.
  
  

Once you've received these documents and ensured that you still have access to your "Tester Information Sheet" (you will be using the second tab this time, "Phase II") simply follow the instructions provided below. From start to finish, Phase II Testing should take nine to ten days. You should end Phase II Testing a one or two days prior to your launch date.

Phase II Point Person Instructions

1. Invite six to ten people to demo the live portal. As before, keep track of outreach to these individuals using your Tester Information Sheet. Plan to contact these individuals a week before your desired testing start date. Your testing start date should be 2-3 days prior to your desired launch date. You should invite individuals who occupy a diverse set of roles: affected individuals, parents of affected individuals, individuals who wish to fill out the survey for a deceased relative. Keep note of the capacity in which these individuals will take the survey in the “Tester Information” sheet, as well.
   
   You may use the template invitation email for these testers in the Appendix, available to you if you choose.
   
   
2. Make sure you can access the documentation spreadsheets that we have assigned to you: your Phase II Testing Feedback Form and your Phase II Testing Feedback SmartSheet. If you cannot, alert the PEER Team.
   
   
3. Send each confirmed tester an instructions email (see templates provided to you) containing the Phase II Tester Instructions, after you have reviewed and customized them for your condition or disease. Send this email early two to three days before you plan to launch.
   
   As soon as they can (ideally within 24 hours of receiving your email), each tester should…
   
   
   • Read the ‘tester’ instructions you provided.
   • Go to the live portal URL.
   • Create an account.
   • Take the survey.
   • Record any issues they have with the system using the documentation we have provided for you. Testers will submit feedback using the Phase II Testing Feedback Form.
   • Email you to confirm that they have completed testing, and to tell you how long it too them to take the survey.
     
     
4. As before, you will be in charge of curating errors throughout the feedback collection process. You can access the data from your testing feedback form using the Phase II Testing Feedback Smartsheet. You should log into the spreadsheet throughout the testing day to view feedback entries. Follow the same process as before, with Phase I testing, to address these issues. Remember: you must complete Phase II Testing within two to three days! All issues must must be resolved in time for your launch.
   
   
5. Once all issues have been resolved (one to two days after your Phase II testers take the survey), you are ready to launch the next day.
   
   

Launch

To be updated...

Launch and Post-Launch Outreach and Community Engagement

Erika adapting Renee

File:Outreach and Engagement (version).docx

SEE ATTACHED DOCUMENT FOR ADDITIONAL DETAILS

Health Data Exploration Project: Personal Data for the Public Good Robert Wood Johnson Foundation “…individuals’ willingness to share is dependent on what data is shared, how the data will be used, who will have access to the data and when, what regulations and legal protections are in place, and the level of compensation or benefit (both personal and public).”

Group Projects: Project Focus and Goals

Internally determine project focus and goals

Assign tangible outcomes (ie goal for how many members of your community you want to reach out to and what percent you can enroll in the registry)

Strengths and Weaknesses for the following

• Outreach

• Partnerships

• Participation of community members

Understand the community’s perceptions of data sharing

alt text

Launch Day

• Send out a press release (a sample will be provided)
• Post an op-ed piece on a “do it yourself” news page. Some local newspapers have them. Here is an example of one in Colorado: http://www.denverpost.com/yourhub. Here is a list of op-ed information for various newspapers: http://www.theopedproject.org/index.php?option=com_content&view=article&id=47&Itemid=54
• Post your launch information on your Facebook page. If possible, make sure there is a graphic in it to grab attention or link to your survey page so that it will show the image on Facebook.
• Post your launch information/Press Release on Twitter.
• Send a Constant Contact (or other email client) message about the launch to your members.
• Post your launch information in all of your forums, listservs, groups

===Post Launch===

Post Launch Continuous Outreach

Your continued outreach will involve messaging to your members and others on a regular basis through a number of means, depending upon your ability. You will develop a specific plan for your own organization. Below are ideas for outreach to member participants and non-member, potential participants. These are meant to help you to think about what you might do, but is not meant to be directive.

Frequency and reach are important to grabbing the attention of participants:

• You will need to spend time on outreach every week for the number of weeks you are trying to get people to take your survey. They need to hear about it from you, your partners, the doctors and clinics you work with, the media, their friends and family, their support group sources, other support organizations and anyone else who can help you to make sure they realize they need to take action.

Outreach to member patients

The following are many different communication methods you can use to reach your own membership. Use as many of them as possible. If possible, assign someone in your organization to be responsible for getting these messages out on a weekly schedule.

Social media, listservs and other groups

• On a Facebook fan page, you can pay to boost posts on others’ feeds
• Post a variety of messages that appeal to different people in different ways
• Post regular updates about your success in getting responses and, if possible, put a thermometer on your website that shows the number of people who have taken the survey against your goal number.
• Not everyone is connected to the Internet, so it may be beneficial to call your members and speak to them directly about your project. This way, if they have any questions you can answer them immediately.

All types of mail

• Send emails through Constant Contact or other email clients
• Send postcards to your members by regular mail.
• If you use an advocacy alert system, send out a message asking for involvement
• Newsletters

Utilize thought leaders in your membership

• Ask members to help

• In-person meetings & Webinars

• Your organization can conduct events directly related to your project (Launch party, Schedule Day)

• Videos and YouTube

• Outreach to non-members (potential participants)

• Events

• Social media, listservs, and other groups: 'For Groups that are Building Up or New to Social Media AND For Groups that are Experienced with Social Media'

• Media

• Strategies for reaching out to blogs and other internet posts

• For Organizations that are New to Paid Advertisement:

• Unpaid advertisements

• Find and contact potential partners

• Using Referral Codes

• Messaging

Research & Data

To be updated...

Additional Surveys & Updates

To be updated...

User Support

Wayne (eventually)