Post-Training Evaluation Survey

Thank you for completing the training on fetal alcohol spectrum disorders (FASD). We would like to invite you to complete a post-training evaluation survey. We appreciate your willingness to help us evaluate the effectiveness of the training and its impact on your practice as you address the prevention, identification, and treatment of FASD.

This survey will take approximately 5 minutes to complete. Your responses will be kept secure and no induvidually identifying information will be included. Risks to participating in this survey are minimal and include the risk of your information becoming known to individuals outside the AAP

Your participation in this survey is voluntary. You may decline to answer any question and you have the right to stop the survey at any time.

Please submit questions to the project partners at PEHDIC@aap.org

TRAINING SATISFACTION

How would you rate your overall satisfaction with this course?

How well did this course meet your educational needs?

Will you recommend this course to your colleagues?

Why or why not?

Please offer suggestions for improvement:

To what extent do you agree with the following educational objectives were met? (Mark one response per row)

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly agree
Describe the diagnostic criteria and approaches for diagnosis for each condition along the continuum of FASDs, including ARND, ND-PAE, FAS, pFAS, and ARBD.	Describe the diagnostic criteria and approaches for diagnosis for each condition along the continuum of FASDs, including ARND, ND-PAE, FAS, pFAS, and ARBD. - Strongly Disagree	Describe the diagnostic criteria and approaches for diagnosis for each condition along the continuum of FASDs, including ARND, ND-PAE, FAS, pFAS, and ARBD. - Disagree	Describe the diagnostic criteria and approaches for diagnosis for each condition along the continuum of FASDs, including ARND, ND-PAE, FAS, pFAS, and ARBD. - Neither Agree nor Disagree	Describe the diagnostic criteria and approaches for diagnosis for each condition along the continuum of FASDs, including ARND, ND-PAE, FAS, pFAS, and ARBD. - Agree	Describe the diagnostic criteria and approaches for diagnosis for each condition along the continuum of FASDs, including ARND, ND-PAE, FAS, pFAS, and ARBD. - Strongly agree
Distinguish major physical and neurobehavioral features for differential diagnosis of FASDs from other genetic and behavioral disorders as well as relevant comorbidities.	Distinguish major physical and neurobehavioral features for differential diagnosis of FASDs from other genetic and behavioral disorders as well as relevant comorbidities. - Strongly Disagree	Distinguish major physical and neurobehavioral features for differential diagnosis of FASDs from other genetic and behavioral disorders as well as relevant comorbidities. - Disagree	Distinguish major physical and neurobehavioral features for differential diagnosis of FASDs from other genetic and behavioral disorders as well as relevant comorbidities. - Neither Agree nor Disagree	Distinguish major physical and neurobehavioral features for differential diagnosis of FASDs from other genetic and behavioral disorders as well as relevant comorbidities. - Agree	Distinguish major physical and neurobehavioral features for differential diagnosis of FASDs from other genetic and behavioral disorders as well as relevant comorbidities. - Strongly agree
Explain the importance of screening every patient for a history of prenatal alcohol exposure at birth and during their first clinic visit.	Explain the importance of screening every patient for a history of prenatal alcohol exposure at birth and during their first clinic visit. - Strongly Disagree	Explain the importance of screening every patient for a history of prenatal alcohol exposure at birth and during their first clinic visit. - Disagree	Explain the importance of screening every patient for a history of prenatal alcohol exposure at birth and during their first clinic visit. - Neither Agree nor Disagree	Explain the importance of screening every patient for a history of prenatal alcohol exposure at birth and during their first clinic visit. - Agree	Explain the importance of screening every patient for a history of prenatal alcohol exposure at birth and during their first clinic visit. - Strongly agree

KNOWLEDGE QUESTIONS

Which of the following are the primary facial dysmorphic features associated with fetal alcohol syndrome (FAS)? (Check all that apply)

The diagnosis of "neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE)" as identified in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5):

Requires recognition of neurocognitive impairment, self-regulation impairment, and deficits in adaptive functioning

Can be diagnosed without knowledge of confirmed prenatal alcohol exposure

Includes recognition of the 3 primary morphologic features of prenatal alcohol exposure

Is the least common manifestation of prenatal alcohol exposure

All of the above

Which of the following approaches/care strategies is not applicable for children diagnosed with an FASD?

Regularly scheduled follow-up in the medical home to anticipate/address needs across the lifespan

Refer child's case to therapist to provide all follow-up and lifelong monitoring because traditional behavioral therapies work best for children with an FASD

Evaluation by a psychologist to assess neurocognitive functioning, self-regulation, and adaptive functioning skills

Medication management for co-occurring conditions as needed to optimize care

All of the above are applicable approaches/care strategies for children with an FASD

OPINION QUESTIONS

To what extent do you agree with the following educational objectives were met? (Mark one response per row)

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
Diagnosis of one of the FASDs may confer a negative stigma to a child and/or his or her family	Diagnosis of one of the FASDs may confer a negative stigma to a child and/or his or her family - Strongly Disagree	Diagnosis of one of the FASDs may confer a negative stigma to a child and/or his or her family - Disagree	Diagnosis of one of the FASDs may confer a negative stigma to a child and/or his or her family - Neither Agree nor Disagree	Diagnosis of one of the FASDs may confer a negative stigma to a child and/or his or her family - Agree	Diagnosis of one of the FASDs may confer a negative stigma to a child and/or his or her family - Strongly Agree
Diagnosis of one of the FASDs only needs to be considered for certain populations	Diagnosis of one of the FASDs only needs to be considered for certain populations - Strongly Disagree	Diagnosis of one of the FASDs only needs to be considered for certain populations - Disagree	Diagnosis of one of the FASDs only needs to be considered for certain populations - Neither Agree nor Disagree	Diagnosis of one of the FASDs only needs to be considered for certain populations - Agree	Diagnosis of one of the FASDs only needs to be considered for certain populations - Strongly Agree

In your opinion, how much alcohol is safe to drink during pregnancy?

Which of the following two statements below best corresponds with your personal viewpoint?

Occasional consumption of one standard alcoholic drink per day or less (i.e., 1.5 oz. hard liquor, 12 oz. of beer or 5 oz. of wine) during pregnancy is not harmful to the mother or the fetus.

Pregnant women or women who are trying to become pregnant should completely abstain from consuming alcohol.

To what extent do you agree with the following statements about alcohol consumption during pregnancy? (Mark one response per row)

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
Is more prevalent in women with higher incomes	Is more prevalent in women with higher incomes - Strongly Disagree	Is more prevalent in women with higher incomes - Disagree	Is more prevalent in women with higher incomes - Neither Agree nor Disagree	Is more prevalent in women with higher incomes - Agree	Is more prevalent in women with higher incomes - Strongly Agree
Is more prevalent in women with higher levels of education	Is more prevalent in women with higher levels of education - Strongly Disagree	Is more prevalent in women with higher levels of education - Disagree	Is more prevalent in women with higher levels of education - Neither Agree nor Disagree	Is more prevalent in women with higher levels of education - Agree	Is more prevalent in women with higher levels of education - Strongly Agree
Does not vary between ethnic or racial groups	Does not vary between ethnic or racial groups - Strongly Disagree	Does not vary between ethnic or racial groups - Disagree	Does not vary between ethnic or racial groups - Neither Agree nor Disagree	Does not vary between ethnic or racial groups - Agree	Does not vary between ethnic or racial groups - Strongly Agree

PRACTICE QUESTIONS

How confident are you in your skills to do the following? (Mark one response per row)

	Not at all confident in my skills	A little confident in my skills	Moderately Confident in my skills	Confident in my skills	Completely confident in my skills
Inquire about potential prenatal alcohol exposure for pediatric patients	Inquire about potential prenatal alcohol exposure for pediatric patients - Not at all confident in my skills	Inquire about potential prenatal alcohol exposure for pediatric patients - A little confident in my skills	Inquire about potential prenatal alcohol exposure for pediatric patients - Moderately Confident in my skills	Inquire about potential prenatal alcohol exposure for pediatric patients - Confident in my skills	Inquire about potential prenatal alcohol exposure for pediatric patients - Completely confident in my skills
Identify persons with possible FAS or other prenatal alcohol-related disorders	Identify persons with possible FAS or other prenatal alcohol-related disorders - Not at all confident in my skills	Identify persons with possible FAS or other prenatal alcohol-related disorders - A little confident in my skills	Identify persons with possible FAS or other prenatal alcohol-related disorders - Moderately Confident in my skills	Identify persons with possible FAS or other prenatal alcohol-related disorders - Confident in my skills	Identify persons with possible FAS or other prenatal alcohol-related disorders - Completely confident in my skills
Diagnose persons with possible FAS or other prenatal alcohol-related disorders	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - Not at all confident in my skills	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - A little confident in my skills	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - Moderately Confident in my skills	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - Confident in my skills	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - Completely confident in my skills

How willing are you to do the following? (Mark one response per row)

	Not willing at all	A little willing	Moderately Willing	Willing	Completely Willing
Inquire about potential prenatal alcohol exposure for pediatric patients	Inquire about potential prenatal alcohol exposure for pediatric patients - Not willing at all	Inquire about potential prenatal alcohol exposure for pediatric patients - A little willing	Inquire about potential prenatal alcohol exposure for pediatric patients - Moderately Willing	Inquire about potential prenatal alcohol exposure for pediatric patients - Willing	Inquire about potential prenatal alcohol exposure for pediatric patients - Completely Willing
Identify persons with possible prenatal alcohol-related disorders	Identify persons with possible prenatal alcohol-related disorders - Not willing at all	Identify persons with possible prenatal alcohol-related disorders - A little willing	Identify persons with possible prenatal alcohol-related disorders - Moderately Willing	Identify persons with possible prenatal alcohol-related disorders - Willing	Identify persons with possible prenatal alcohol-related disorders - Completely Willing
Diagnose persons with possible FAS or other prenatal alcohol-related disorders	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - Not willing at all	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - A little willing	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - Moderately Willing	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - Willing	Diagnose persons with possible FAS or other prenatal alcohol-related disorders - Completely Willing

As a result of participating in this learning activity, do you intend to make a change in your practice?

Yes

No

If yes, please describe what you plan to do differently in practice and how you will accomplish this change.

GENERAL QUESTIONS

Do you feel a commercial product, device or service was inappropriately promoted in the educational content?

Yes

No

If yes, please comment:

Please feel free to comment on your response to any of the questions in the survey or provide any additional feedback

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Post-Training Evaluation Survey