Interview

Form Approved:

OMB No. 0920-0840

Expiration Date: 01/31/2013

Attachment 3

Field Assessment Wrap-up Interview

Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-0840)

Introduction

Hello, my name is [state your name] and I work at the Battelle Centers for Public Health Research and Evaluation. We are working with the Centers for Disease Control and Prevention to obtain feedback about your impressions of the Comprehensive Hepatitis C Counseling and Testing manual that we have provided you with.

If you agree to participate in the interview, I will ask you a series of questions related to the manual. This interview will take about 20-30 minutes of your time.

Your participation is entirely voluntary. If at any time you do not want to answer one of my questions or don’t want to continue talking about something, please tell me and we will move on and not go back to it. We can also stop at any time if you wish. The information that you provide will be combined with the information that we receive from persons in other venues and you will not be identified by name or description in any reports.

Are you willing to participate?

Background/Warm-up Questions:

• Please tell me a little about [your experience with Hepatitis C counseling and testing]

• What do you think about [testing your patients for HCV?

• When it comes to getting [Hepatitis C counseling and testing] information, which are the professional organizations you are [most] likely to trust/listen to?

Final Interview Questions

• What do you think about [the HCV counseling curriculum]?

• What do you think about [the testing and counseling process proposed in the manual]?

• What do you think about [the organization and format of the modules]?

• How useful did you find [the counseling sessions were for you and your patients]?

• How would your patients/clients like to get information about Hepatitis C? What kinds of written or audiovisual materials should be used with the counseling curriculum?

• What do you think about [the practicality of the modules]?

• What were [some barriers to using the modules]?

• Thinking about [The HCV manual], please indicate how much you agree or disagree that it:

• Could help change how [your patients/clients] think about [being tested for HCV]?

• Could help counselors/clinicians effectively conduct Hepatitis C counseling and testing?

• Gets clients/patients talking about [HCV and the value of testing]?

• Made me feel I could answer client/patients questions?

• How useful did you find [The Hepatitis C manual] in your daily practice: • Very useful • Somewhat useful • Not at all useful

• Please indicate how much of [The Hepatitis C manual] you read and used? [mark only one] • I have not read it or used it• I glanced at it and tried to use it• I have read all or most of it and have used it multiple times• I read it and have gone back to re-read a section or look something up

• What would you do if [you wanted to improve the modules]?

• Are there any ways you can suggest to improve the curriculum?