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Required format:

PROJECT TALK TRIAL HOST APPLICATION

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A A A

Thank you for your interest in hosting a Project Talk event in your community!

Apply now! Sites are accepted under rolling admissions. There is currently no deadline. Once accepted, most events are completed within 9 - 12 months.

Please review the Project Talk Application FAQs before submitting the application.

Project Talk, led by study director Dr. Lauren Jodi Van Scoy, is pleased to announce a National Institute of Health (NIH) funded randomized controlled research trial that will evaluate the impact of three conversation tools: 1) Conversation Starter Guide, 2) Hello, an end-of-life conversation game and 3) Table Topics, a general conversation game.

We want to learn how these tools impact advance care planning (ACP) rates, and the quality of ACP conversations in underserved communities.

Project Talk is being conducted by Penn State College of Medicine in collaboration with Hospice Foundation of America and University of Kentucky. It is funded by the National Institute on Minority Health and Health Disparities at the NIH. The study is approved by the Institutional Review Board at Penn State College of Medicine.

We will select 75 sites that will be randomly assigned to one of three groups: 30 to the Conversation Starter Guide, 30 to Hello, and 15 to Table Topics. Of the 75 sites, 15 will involve Spanish-speaking communities. Each site will host one event.

All 75 event hosts will receive the following complimentary resources:

Four hours of virtual training on hosting a Project Talk event
Tools and materials available in English and Spanish (event toolkits, conversation tool for attendees, research-approved outreach and publicity tools)
A $300 stipend to support marketing and event expenses

Hosts must also agree to:

Recruit a minimum of 20 underserved adults (18+ years of age) for the event
Recruit from underserved populations (such as those from ethnic and racial minority backgrounds, rural communities or low-income areas).
Agree to host an event regardless of the activity tool that was randomly assigned
Host an event using only project-provided materials (materials available in Spanish)
Attend four hours of online training (Selected organizations will identify at least one staff person to be trained for the event. Additional staff are also welcomed to complete the training. At least one trained host must be present for the event.*)
Host an event on the project timeline: Please see the Project Talk Application FAQs
Provide an appropriate person to lead the event
Provide an appropriate venue for the event

*A trained Project Talk research team member(s) will attend the event and be responsible for all aspects of the research procedures (such as informed consent, data collection, etc). While the host will guide the event from beginning to end, the Project Talk team member(s) will be able to support and assist the host throughout the entire event.

To apply, potential hosts must complete the application form below and, if invited, participate in a telephone interview. Host sites will be selected based on geographic diversity and experience hosting events in underserved communities.

APPLICATION PROCESS

This application should take approximately 15 minutes to complete, if you compile the necessary data before you begin. You will be asked to provide:

Your contact information
A minimum of two potential event venue sites (include the addresses and ZIP codes)
3-5 ZIP codes of the underserved populations where you intend to market your event
Community census data for the underserved population you hope to recruit
Information about previous experience, activities and/or education events you or your organization has hosted that prioritized underserved populations
Details on how you plan to promote, recruit, and coordinate your event

Please note:

Prior research experience is not required to become a host site. A research team will travel to your event to perform all research and data collection activities.
You will host one event
The date of your event is not required at the time of application.
Only applications that are complete will be considered.
Organizations located within the United States and its territories are eligible to apply.
Hosts who have previously held a Conversation Starter Guide or Hello game will not be eligible to participate in this research project, unless they can provide team members, venue locations and attendees unique from any previous Conversation Project or Hello game events.

Please note: If you would like to leave the application and return later, click the "save & return" button. Copy or write down the Return Code given. You will need this code to return to your application.

Let's begin the application!

First Name

* must provide value

Last Name

* must provide value

Email address

* must provide value

Best phone number to reach you

* must provide value

Alternate phone number

Please select your standard time zone.

* must provide value

Eastern (EST)

Central (CST)

Mountain (MST)

Pacific (PST)

Other

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If other standard time zone, please list it.

Organization name

* must provide value

Organization website

* must provide value

Street address

* must provide value

City

* must provide value

State

* must provide value

ZIP code

* must provide value

Mailing address (only enter if different than street address)

City

State

ZIP code

Are you interested in hosting an event in Spanish?

* must provide value

Yes

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If yes, you must have a bilingual (English/Spanish) host to conduct the event. Do you have access to a bilingual host?

* must provide value

Yes

Unsure

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Do you have experience hosting outreach activities or events that prioritize underserved populations?

* must provide value

Yes No

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If Yes, please provide details about your experience. Include the type of events, number of attendees, goals of the events and activities, and outcomes of the events. (Up to 400 words)

Expand

Describe any community connections (e.g., churches, faith-based, community-based, senior communities, etc.) and how they were involved in your prior events (Up to 400 words)

* must provide value

Expand

What is the approximate median income of your community or service area?

Event hosts must recruit attendees from underserved populations (such as ethnic and racial minority backgrounds, rural communities, or low income areas)

* must provide value

Less than $10,000

$10,000 to $14,999

$15,000 to $24,999

$25,000 to $34,999

$35,000 to $49,999

$50,000 or more

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What is the data source used to determine your community's median income?

What age range best describes the potential attendees you plan to recruit for your event? (Select apply that apply)

* must provide value

18-35 years

36-55 years

56 years and older

I don't know

Which best describes your planned community/service area(s) ? (select all that apply)

* must provide value

Urban

Suburban

Rural

List 2 potential venue sites where you would plan to host a Project Talk Event (e.g., name of church, senior center, community venue, etc.)

Enter the first venue site here.

* must provide value

Venue #1 address

* must provide value

City

* must provide value

State

* must provide value

ZIP code

* must provide value

Enter the second venue site here.

* must provide value

Venue #2 address

* must provide value

City

* must provide value

State

* must provide value

ZIP code

* must provide value

Enter the third venue site here (optional).

Venue#3 address

City

State

ZIP code

Please provide 3 - 5 ZIP codes where you would plan to host a Project Talk event?

Enter the first ZIP code here.

* must provide value

Enter the next ZIP code here.

* must provide value

Enter the next ZIP code here.

* must provide value

Do you have another Zip code to enter?

Yes

reset

Enter the next ZIP code here.

Do you have another ZIP code to enter?

Yes

reset

Enter the next ZIP code here.

Do you feel confident in your ability to recruit 20 or more individuals to an event who represent: (check all that apply)

* must provide value

Ethnic/racial minority backgrounds

Individuals living in rural areas

Low income individuals (for example, Individuals who live at or below the 2019 poverty level [approx. $25,750 for a family of 4])

Other underserved groups

If other, please explain.

Please provide details about your community connections that you would use for your Project Talk event. Please include your plans to recruit from these populations and your ideas on how you would promote your Project Talk event. (Up to 400 words).

* must provide value

Expand

How did you hear about us?

* must provide value

Hospice Foundation of America email

Press release

Project Talk website

Facebook

Twitter

A colleague

Other

If other, please explain.

* must provide value

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.

PROJECT TALK TRIAL HOST APPLICATION

Thank you for your interest in hosting a Project Talk event in your community!

Apply now! Sites are accepted under rolling admissions. There is currently no deadline. Once accepted, most events are completed within 9 - 12 months.

Please review the Project Talk Application FAQs before submitting the application.

APPLICATION PROCESS

Let's begin the application!

SECTION 1. HOST CONTACT INFORMATION

SECTION 2. EVENT PLANNING EXPERIENCE

SECTION 3. HOSTING PLANS FOR THE PROJECT TALK TRIAL

You have selected an option that triggers this survey to end right now.