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Health Services Research & Development

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Step 1 - Veteran Engagement Forum Submission | 2022 HSR&D/QUERI National Conference

Step 1

Forum *Session Coordinator* Contact Information

(** = required field)
Dr/Mr/Ms/Mx:
Dr. Ms. Mr. Mx.
**First Name:
**Last Name:
**Degree (MD, PhD, etc.):
Affiliation:

HSR&D Center of Innovation (COIN) or Resource Center (RC):

OR Non-COIN/RC Affiliation::


QUERI Affiliation (if applicable):


**Phone Number (123-456-7890) plus ext. if needed:

**Email Address:
** Forum Title:
(150 char. max)

Please review the content areas below and identify one PRIMARY content area within which your submission best fits. This will greatly facilitate the review process. You may also select a secondary and tertiary content area as needed. Final decisions regarding content area, session placement and thematic relevance will be made by the abstract review committee.

**Forum Content Area (PRIMARY):

Science of Veteran engagement (rigorously studying approaches to Veteran engagement)
Best practices for Veteran engagement
Application of Veteran engagement to ongoing research
Process and outcomes of Veteran engagement
Other (specify):

Forum Content Area (secondary):

Science of Veteran engagement (rigorously studying approaches to Veteran engagement)
Best practices for Veteran engagement
Application of Veteran engagement to ongoing research
Process and outcomes of Veteran engagement
Other (specify):

Forum Content Area (tertiary):

Science of Veteran engagement (rigorously studying approaches to Veteran engagement)
Best practices for Veteran engagement
Application of Veteran engagement to ongoing research
Process and outcomes of Veteran engagement
Other (specify):

**HSR&D-funded?

Is this submission based on an HSR&D-funded study?

Yes    No

**QUERI-related?

Is this submission QUERI-related?

Yes    No

**Qualitative research?

Does this submission use qualitative research methods?

Yes    No

**Veteran or Caregiver?

Does this submission include a Veteran and/or caregiver lead presenter or panelist?

Yes    No




Panelist List

Please provide the name and affiliation of all panelists. Please enter LAST NAME, and first and middle INITIALS (for John G. Smith, you would enter Smith JG). Please identify the Session Coordinator (denoted in red below), followed by other session panelists. A maximum of 5 total panelists is permitted.

Panelists:

**Session Coordinator:      



Please read carefully and follow the instructions below.

1. There is a suggested combined 500-word limit for the abstract fields. That is, the total length of the abstract (Objectives + Methods + Results + Conclusions + Impact) should not exceed 500 words. You may want to check the length of your abstract using "word count" in a word processing program before entering your information into the form.

2. Use only plain text. Special characters (e.g., symbols or formatting) will be lost when the abstract is stored. Please spell out terms rather than using symbols (e.g., Chi-squared, R-squared). You may use >= or <= for "greater than or equal to" or "less than or equal to," respectively.

3. Do not use tables, figures or graphics of any kind in your abstract. They will be lost when the abstract is saved.

-
**Objectives:
**Populations of focus (particular groups of Veterans, if any, such as women, racial/ethnic minorities, who are the focus of this Veteran engagement work):
**Activities (include list of discussion questions, at least half of the session should be interactive):
**Target Audience (who do you expect will be interested in attending this session):
**Key Takeaways/Take Home Points (briefly describe the key messages you'd like attendees to take from this session):

  



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