Project title:
* must provide value
PI & contact information:
* must provide value
PI department:
* must provide value
Co-Investigators:
* must provide value
Main project contact (if not PI):
* must provide value
Is this a re-submission of a previous MIDB request?
* must provide value
Yes
No
If yes, please provide a brief (1 sentence max) summary of the original request, and provide applicable updates in information or services required.
* must provide value
Who from the study team should be involved in the initial technical meeting for this project?
* must provide value
What type of support are you looking for?
* must provide value
I need project/grant proposal preparation support from MIDB
I need project/grant execution support from MIDB
Select the first option if you need assistance in preparing a grant submission or other pre-award need. Select the second option if you need assistance in carrying out a funded grant or project.
Is this request being submitted at least 16 weeks prior to any deadlines or anticipated start date?
* must provide value
Yes
No
If no, please explain. Requests submitted with less than 16 weeks lead time will be handled as core resources allow.
* must provide value
"I need project/grant proposal preparation support from MIDB" follow up questions:
Provide a summary (research question, specific aims/objectives, including primary/secondary outcomes/endpoints), hypothesis(es), background information, design and methods of the project.
* must provide value
Number of participants (attendees if seeking event support):
* must provide value
Age range of participants:
* must provide value
Are you planning to recruit participants from the MIDB clinic?
* must provide value
Yes
No
Provide dates of any deadlines that apply to this project (e.g. grant applications, IRB deadlines):
* must provide value
Preferred timeline for grant due date / project launch / project completion:
* must provide value
Are you seeking funding for this project?
* must provide value
Yes
No
If yes, funding agency and amount requested:
* must provide value
If no, please elaborate:
* must provide value
Describe the role of the MIDB in meeting project needs:
* must provide value
Please select the desired MIDB services from the list below and answer all follow up questions.
* must provide value
"EEG/ERP data" follow up questions:
Do you need assistance with ERP/EEG data analysis?
* must provide value
Yes
No
Don't know
If you don't know, please elaborate:
* must provide value
"Identifying developmental, cognitive, or behavioral measures for a study" follow up questions:
Will you be conducting developmental, cognitive, or behavioral assessments for your study?
* must provide value
Yes
No
If yes, have you identified the measures for your study, or do you need guidance on measures?
* must provide value
We have identified measures for the study
We need guidance on measures
Don't know
What measures do you need access to?
* must provide value
Please provide any additional information that may be relevant for identifying measures for your study.
* must provide value
Do you need MIDB staff to train study personnel to administer assessments?
* must provide value
Yes
No
Do you need MIDB staff to administer assessments?
* must provide value
Yes
No
Does the project own the assessment kits, or will the MIDB assessments be utilized?
* must provide value
Project owns assessment kit(s)
MIDB assessment kits will be utilized
Will this study be cross sectional or longitudinal?
* must provide value
Cross sectional
Longitudinal
Don't know
If longitudinal, how many participants per session?
* must provide value
If you don't know, please elaborate:
* must provide value
Do you need support for EEG/ERP data analysis?
* must provide value
Yes
No
Don't know
If you don't know, please elaborate:
* must provide value
"MIDB clinic lab services" follow up questions:
Please select the desired lab services:
* must provide value
"Statistical analysis/power calculation/study design" follow up questions:
Do you know the specific analyses you wish to carry out?
* must provide value
Yes
No
If yes, please elaborate:
* must provide value
What services do you need?
* must provide value
If other, please briefly describe your need:
* must provide value
If you don't know, please elaborate:
* must provide value
"Consult on design of community engagement core research/strategy/infrastructure" follow up questions:
Is the proposed project a clinical trial?
* must provide value
Yes
No
"Neuroimaging acquisition" follow up questions:
What is the estimated timeline for data acquisition?
* must provide value
How many total participants will you scan? How long will each session be?
* must provide value
Will you need someone to assist with scanning or do you have individuals on your team who can be trained?
* must provide value
Do you need guidance with paradigms/experiments?
* must provide value
Yes
No
"Informatics data processing (Neuroimaging or otherwise)" follow up questions:
Please select the services you are seeking Informatics hub support on:
* must provide value
If other, please explain:
* must provide value
"Pre-clinical model consultation" follow up questions:
Do you need assistance identifying potential collaborators (pre- or clinical) or connecting to University/AHC analytical pre-clinical services?
* must provide value
Yes
No
Does your study involve any of the following analyses? (select all that apply)
* must provide value
Does your study focus on biomarker discovery and need support for generating preliminary data?
* must provide value
Yes
No
If yes, what type(s) of biological sample(s) are involved? (e.g. blood, urine, saliva, etc)
* must provide value
"Clinical research design consultation" follow up questions:
Do you need assistance identifying potential collaborators (pre-clinical or clinical)?
* must provide value
Yes
No
Will this study be cross sectional or longitudinal?
* must provide value
Cross Sectional
Longitudinal
If longitudinal, how many visits per participant?
* must provide value
"Planning community engagement events at MIDB Community Center as part of a proposed project/grant" follow up questions:
What is your goal for the event? Who is the target audience?
* must provide value
When do you anticipate the event taking place?
* must provide value
Do you need a referral to someone who can provide media services for the event?
* must provide value
Yes
No
What topics would you like to cover?
* must provide value
"Services related to Neuromodulation" follow up questions:
Select all that apply:
* must provide value
If checked, what are your staff training needs?
* must provide value
What is the estimated usage of neuromodulation equipment volume for this study (e.g., hours/week)?
* must provide value
What are the hardware needs for this study (e.g., neuromodulation equipment/devices)?
* must provide value
What are the software needs for this study (e.g., scripts, data acquisition programs)?
* must provide value
If other/don't know, please elaborate:
* must provide value
"Services related to TeleOutreach" follow up questions:
Select all that apply:
* must provide value
If other, please elaborate:
* must provide value
Have you utilized telehealth/remote data collection before? Will you or your team require training in using these tools?
* must provide value
Will you require access to the teleoutreach labs or technology for your project?
* must provide value
Will you need to purchase or provide technology for your team?
* must provide value
Will participants use their own technology (e.g. smartphones) or will you need support in identifying, purchasing, or providing devices (e.g. use of a tele lending library for families who do not have technology to connect)?
* must provide value
Will you need assistance with the narrative for your proposal on sections related to teleoutreach or any boilerplate language?
* must provide value
Will you be utilizing asynchronous and/or synchronous connection with participants? Will you need to collect PHI/HIPAA data or videos?
* must provide value
Do you need a teleoutreach consultant included in your proposal/budget?
* must provide value
"Other project needs not listed" follow up questions:
Please elaborate:
* must provide value
"Data Management" follow up questions:
Please select the services you are seeking Informatics hub support on:
* must provide value
If other, please explain:
* must provide value
What work needs to be done and what role do you need MIDB informatics staff to play in completing this work?
* must provide value
What is the preferred timeline for completing the project?
* must provide value
Are you going to be using Minnesota Supercomputing Institute (MSI) services for this project?
* must provide value
Yes
No
Will you be collecting identifiable information?
* must provide value
Yes
No
PHI data cannot be hosted on MSI systems yet. Do you have methods by which you can deidentify your data?
* must provide value
Where is the data currently housed? Check all that apply.
* must provide value
If other, please specify:
* must provide value
Do you need the Informatics core to house your data at the Minnesota Supercomputing Institute (MSI)?
* must provide value
Yes
No
Do you already have a PI account at MSI?
* must provide value
Yes
No
Please create an MSI PI account by visiting the following page:
https://www.msi.umn.edu/content/eligibility-getting-access
(copy and paste link into browser)
What format is your data in? (e.g. BIDS, DICOM, NIFTI, etc)
* must provide value
"I need project/grant proposal execution support from MIDB" follow up questions:
Provide a summary of the project: specific aims/objectives (including primary/secondary outcomes/endpoints), background information, design and methods, hypothesis(es).
* must provide value
Financial contact for core services:
* must provide value
Is this project funded?
* must provide value
Yes
No
If yes, funding agency and amount funded:
* must provide value
If no, please elaborate:
* must provide value
Project duration (begin/end dates):
* must provide value
Preferred timeline for project launch / project completion (provide dates of any deadlines that apply to this project):
* must provide value
Does the project data contain PHI?
* must provide value
Yes
No
If yes, IRB Number:
* must provide value
Describe the role of the MIDB in meeting project needs.
* must provide value
Number of participants (attendees if seeking event support):
* must provide value
Age range of participants:
* must provide value
Are you planning to recruit participants from the MIDB clinic?
* must provide value
Yes
No
Does your project intend to collect data at the MIDB/CNBD?
* must provide value
Yes
No
If yes, total number of visits per participant:
* must provide value
If yes, session duration and number of rooms required per session:
* must provide value
If yes, what are the dates of anticipated data collection? How many sessions do you anticipate running per month?
* must provide value
If yes, what time of day will you collect data (business hours, evenings, weekends)?
* must provide value
If yes, would you like this project to be included in the MIDB research opportunities registry for families? If so, please indicate the preferred participant characteristics (e.g. age range, research topic (i.e. ADHD, autism)):
Do you have a safety plan for addressing situations where you suspect child maltreatment or abuse?
* must provide value
Yes
No
If yes, please attach a copy of your safety plan here:
* must provide value
Additional safety plan context (if needed):
If no, please provide additional context:
* must provide value
If you are asking questions that may elicit endorsements of self harm (suicidal ideation, suicidal behavior, or non-suicidal self-injury) or harm to others, do you have a safety plan in place?
* must provide value
Yes
No
If yes, please attach a copy of your safety plan here:
* must provide value
Additional safety plan context (if needed):
If no, please provide additional context:
* must provide value
Please select the desired services from the list below, and answer all follow up questions.
* must provide value
"Translational services" follow up questions:
Does your study involve any of the following analyses? (select all that apply)
* must provide value
If other, please specify the type of analyses your study will involve:
* must provide value
Does your study focus on biomarker discovery and need support for generating preliminary data?
* must provide value
Yes
No
If yes, what type(s) of biological sample(s) are involved? (e.g. blood, urine, saliva, etc)
* must provide value
If yes, will this study be cross sectional or longitudinal?
* must provide value
Cross sectional
Longitudinal
If longitudinal, how many visits per participant?
* must provide value
Are you looking for consultation/support on novel interventions in clinical trial design, grant-writing, protocols, etc?
* must provide value
Yes
No
"Informatics data processing (Neuroimaging or otherwise)" follow up questions:
Please select the services you are seeking Informatics hub support on:
* must provide value
If other, please explain:
* must provide value
"Behavioral assessments" follow up questions:
Have you identified the measures for your study, or do you need guidance on measures?
* must provide value
We have identified measures for the study
We need guidance on measures
Don't know
If you have identified measures, what measures do you need access to?
* must provide value
Please provide any additional information that may be relevant for identifying measures for your study:
* must provide value
Do you need MIDB staff to train study personnel to administer assessments?
* must provide value
Yes
No
Do you need MIDB staff to administer assessments?
* must provide value
Yes
No
Does the project own the assessment kits, or will the MIDB assessments be utilized?
* must provide value
The project owns the assessment kits
We will need to use MIDB assessments
Will this study be cross sectional or longitudinal?
* must provide value
Cross sectional
Longitudinal
Don't know
If longitudinal, how many participants per session?
* must provide value
If you don't know, please elaborate:
* must provide value
"MIDB clinic lab services" follow up questions:
Please select the desired lab services:
* must provide value
"Neuroimaging acquisition" follow up questions:
Is there PARS approval for this study?
* must provide value
Yes
No
If yes, PARS Project Number:
* must provide value
Do you need MIDB staff to acquire study data, or do you need MIDB staff to train your personnel to acquire data?
* must provide value
I need MIDB staff to acquire study data
I have personnel to acquire data but they need MIDB staff to train them
Don't know
If you don't know, please elaborate:
* must provide value
What is the estimated timeline for data acquisition?
* must provide value
"ERP/EEG data" follow up questions:
Do you need MIDB staff to acquire study data, or do you need MIDB staff to train your personnel to acquire data?
* must provide value
I need MIDB staff to acquire study data
I have personnel to acquire data but they need MIDB staff to train them
Do you need assistance with EEG/ERP data analysis?
* must provide value
Yes
No
Don't know
If you don't know, please elaborate:
* must provide value
"Data management" follow up questions:
Please select the services you are seeking Informatics hub support on:
* must provide value
If other, please explain:
* must provide value
What work needs to be done and what role do you need MIDB informatics staff to play in completing this work?
* must provide value
What is the preferred timeline for completing the project?
* must provide value
Are you going to be using Minnesota Supercomputing Institute (MSI) services for this project?
* must provide value
Yes
No
Will you be collecting identifiable information?
* must provide value
Yes
No
PHI data cannot be hosted on MSI systems yet. Do you have methods by which you can deidentify your data?
* must provide value
Where is the data currently housed?
* must provide value
If other, please specify:
* must provide value
Do you need the Informatics hub to house your data at the Minnesota Supercomputing Institute (MSI)?
* must provide value
Yes
No
Do you already have a PI account at MSI?
* must provide value
Yes
No
Please create an MSI PI account by visiting the following page:
https://www.msi.umn.edu/content/eligibility-getting-access
(copy and paste link into browser)
What format is your data in? (e.g. BIDS, DICOM, NIFTI, etc)
* must provide value
"Statistical analysis" follow up questions:
What are the specific analyses to carry out?
* must provide value
Does your budget include funding to support the cost of the training? If so, what amount is budgeted?
* must provide value
Is your project a clinical trial?
* must provide value
Yes
No
How many will participate in the training?
* must provide value
What topics would you like to cover?
* must provide value
When would you like the training to take place?
* must provide value
"Services related to TeleOutreach" follow up questions:
Select all that apply:
* must provide value
If other, please elaborate:
* must provide value
Will you or your team require training in telehealth tools?
* must provide value
Yes
No
Will you require access to the teleoutreach labs or technology for your project?
* must provide value
Will you need to purchase or provide technology for your team?
* must provide value
Yes
No
Will participants use their own technology (e.g. smartphones) or will you need support in identifying, purchasing, or providing devices (e.g. use of a tele lending library for families who do not have technology to connect)?
* must provide value
Do you require direct support on data acquisition (such as a TeleOutreach personnel collecting your data)?
* must provide value
Do you require behavioral video coding support, such as the use of BORIS or Noldus Observer?
* must provide value
Yes
No
Other
If yes, please elaborate:
* must provide value
If other, please elaborate:
* must provide value
Does your budget include funding to support the cost of the event?
* must provide value
Yes
No
If yes, what is your budget for the event?
* must provide value
What is your goal for the event? Who is the target audience?
* must provide value
When do you anticipate the event taking place?
* must provide value
Do you need a referral to someone who can provide media services for the event?
* must provide value
Yes
No
What topics would you like to cover?
* must provide value
"Services related to Neuromodulation" follow up questions:
Select all that apply:
* must provide value
If checked, what are your staff training needs?
* must provide value
If other/don't know, please elaborate:
* must provide value
What is the estimated usage of neuromodulation equipment volume for this study (e.g., hours/week)?
* must provide value
What are the hardware needs for this study (e.g., neuromodulation equipment/devices)?
* must provide value
What are the software needs for this study (e.g., scripts, data acquisition programs)?
* must provide value
"MIDB attendance at an upcoming youth STEM engagement event" follow up questions:
Event date, time and location?
* must provide value
What kind of participation are you looking for from the CEEd core?
* must provide value
What is the goal of the event?
* must provide value
"Connecting faculty/research teams/departments that work with youth with opportunities to expose them to STEM academic/career possibilities" follow up questions:
What is the goal of the event?
* must provide value
Where is the event taking place? How long will it take?
* must provide value
What kind of assistance are you looking for from the CEEd core? (e.g. planning a tour, planning a panel event, Brain in a Box, summer camp, Affinity for U)
* must provide value
"Other project needs not listed" follow up questions:
Please elaborate:
* must provide value
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