Data Request Form

Data Request

If interested in using our data for research, please fill out the following form.

The steering committee may nominate an additional author if special expertise for interpreting the data is needed.

Co-authors

Name

Phone

Responsibilities

Perform statistical analysis

Background/Rationale

Research Hypotheses/Research Questions

Outcome variables: Provide definition of outcome variable(s), including whether variables will be examined continuously and/or categorically. If definition includes categories, it should be clearly defined here.

Primary exposure variables: Provide definition of exposure variable(s), including whether variables will be examined continuously and/or categorically. If definition includes categories, it should be clearly defined here.

Secondary exposure variables (to be used in secondary analyses): Provide description of any variables to be used in secondary analyses.

Potential confounders: Provide a list of potential confounders and include definitions.

Potential effective modifiers: Provide a list of variables that will be considered as effect modifiers and include definitions.

Potential models

Proposed Title

Lead Author Name

Example:

Model 1: Age (y), sex, education (<9th grade, 9th – 12th grade, some college/grad school)
Model 2: Model 1 + physical activity, smoking (currently smoking vs. not), alcohol consumption (currently drinking vs. not)
Model 3: Model 2 + number of medical conditions
Model 4: Model 3 + Obesity (yes/no)

Model

Statistical analyses: Provide a description of the proposed analyses.

Sensitivity/secondary analyses: Testing for interactions Checking for confounding variables in final models.

*required fields

Data Request

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