1849-1855. Biopsychosocial Effects Among Coronary Artery Bypass Grafting Patients 69 Williams, R.D., Neighbors, W.H., & Jackson, S.J. (2003). Racial/Ethnic discrimination and health: Findings from community studies. American Journal <strong>of</strong>Public Health, 93, 200-208. Woodman, C. L., Spertus, 1., Mallemala, S., House, 1., & Garg, M. (2005). Gender differences in social support following coronary revascularization. Psychosomatics. 46(2), 171-204.
Biopsychosocial Effects Among Coronary Artery Bypass Grafting Patients 70 APPENDIX A INFORMED CONSENT FORM TITLE OF STUDY Health Related Outcomes in Heart Surgery Patients PURPOSE To understand how psychological, social, and physical factors may be relate to a person's recovery from heart surgery. Due to the nature <strong>of</strong> the research procedure, some information will be withheld until your participation is completed. After your participation is completed, you will be given complete details about this research, and have the opportunity to have any questions answered. You are being asked to be in this research study because you have undergone "coronary artery bypass grafting surgery" (referred to as CABG, hereafter). If you do not complete and sign a Consent Form you cannot be in this study. INVESTIGATOR(S) Name: Steven Godin, Ph.D., MPH, CHES, Principle Investigator Department: Department <strong>of</strong> Psychology Address: PCOM, 4190 City Avenue, <strong>Philadelphia</strong>, PA. 19120 Telephone: (570) 422-3562 Name: Theresa A. Kovacs, Psy.D. Candidate, Responsible Investigator Department: Department <strong>of</strong> Psychology Address: PCOM, 4190 City Avenue, <strong>Philadelphia</strong>, PA 19120 Telephone: (570) 821-6930 Name: Robert DiTimasso, Ph.D., Co-investigator Department: Department <strong>of</strong> Psychology Address: PCOM, 4190 City Avenue, <strong>Philadelphia</strong>, PA 19120 Telephone: (215) 871 6543 Name: Michael Harostock, M.D., Collaborator Wilkes-Barre General Hospital Department <strong>of</strong> Surgery: Cardiothoracic Unit Address: 545 North River Street, Suite 130, Wilkes-Barre, PA 18702 Telephone: (570) 270-4455 Name: Bryan E. McDonnell, M.D., Collaborator Wilkes-Barre General Hospital Department <strong>of</strong> Surgery: Cardiothoracic Unit Address: 545 North River Street, Suite130, Wilkes-Barre, PA 18702 Telephone: (570) 270-4455