Breathe Michigan Screening Survey

This is a questionnaire designed to be completed by African American adults with chronic care needs in patient homes. The tool includes questions to assess the current state of patient-generated health data.
Survey Link: 
Breathe Michigan Screening Survey (PDF, 274.67 KB) (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact Corey Mackison).
Document Type: 
Questionnaire/Survey
Research Method: 
Current State Assessment
Population: 
Adults, Black or African American, Individuals with Chronic Care Needs
Care Setting: 
Patient Home
Technology: 
Internet, Mobile Device, Patient-Generated Health Data
Copyright Status: 
Permission has been obtained from the survey developers for unrestricted use of this survey; it may be modified or used as is without additional permission from the authors.
Organization: 
University of Michigan at Ann Arbor
Location: 
Ann Arbor, Michigan
Related Project: 
An Interactive Health Communication Program For Young Urban Adults With Asthma
Related Publication(s):
Speck AL, Hess M, Baptist AP. An electronic asthma self-management intervention for young African American adults. J allergy Clin Immunol Pract 2016 Jan-Feb;4(1):89-95. PMID: 26441151.