GENERIC SUB-STUDY SUBMISSION – 0925-0046-11
DATE
OF REQUEST:
SUB AGENCY (I/C): NIH/NCI/DCCPS and OCE
TITLE OF SUB-STUDY: Research to Reality Mentorship Program Application
GENERIC CLEARANCE UNDER OMB #0925-0046-11 EXP. DATE: 02/28/2013
TOTAL ANNUAL BURDEN APPROVED: 7050 hours
BURDEN APPROVED TO DATE: 1758 hours
BURDEN THIS REQUEST: 51 hours
This submission is to request clearance to test the feasibility of a mentorship program application and competency assessment. The objective of the application is to solicit public health practitioners and cancer control planners across the US to participate in the pilot Mentorship Program. The application will be used to assess applicants’ background, experience, and current self-assessed public health core competency skills related to evidence-based practice as part of selection process for participation in the Program. In addition to the application, respondents will be asked to submit a one-page project description, CV/resume, a Supervisor Agreement Form, as well as contact information. From the applicant pool, estimated to be approximately 50, NCI will select six participants to be matched with a mentor – experienced cancer control researchers/practitioners chosen based on their area of expertise - for this pilot program. Promotion of the application will occur through email flyers, website announcements on NCI websites, and promotion at conferences and meetings.
Information collected through the applications may be used in future evaluation of the pilot program to assess the effectiveness of a mentorship program in building the capacity and competency of the mentees. The competency assessment will be used as a pre- and post-test.
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ___X__NO_______N/A
OBLIGATION TO RESPOND:
__X___ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
_____ WEB SITE
_____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
_____ IN PERSON INTERVIEW
__X___ OTHER: _Downloadable electronic form available on website and print-copy available in person to be returned by mail or email__________
CONTACT INFORMATION:
NAME: Michael Sanchez, Public Health Advisor
TELEPHONE NUMBER: 301-594-1237
EMAIL ADDRESS: [email protected]
GENERIC SUB-STUDY SUBMISSION – 0925-0046-12
DATE OF REQUEST: March 18, 2011
SUB AGENCY (I/C): NIH/NCI/CCR
TITLE OF SUB-STUDY: Examining the Management of Muscle Invasive Bladder Cancer (MISC) by Medical Oncologists
GENERIC CLEARANCE UNDER OMB #0925-0046-12 EXP. DATE: 02/28/2013
TOTAL ANNUAL BURDEN APPROVED: 7050 hours
BURDEN APPROVED TO DATE: 1758 hours
BURDEN THIS REQUEST: 17 hours
The Center for Cancer Research, National Cancer Institute (CCR, NCI) in collaboration with members of the Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank Meeting in 2010, proposes conducting formative research to determine the patterns of practice in the management of patients with muscle-invasive bladder cancer (MIBC).
Recently, BCAN researchers reviewed 4,541 patient records from fourteen institutions to see whether these patients received adjuvant or neoadjuvant chemotherapy, or if they did not receive any chemotherapy. They found that only 34% of patients were given perioperative chemotherapy. However, since they were just reviewing patient records, researchers could not see the reasons that so few patients were given perioperative chemotherapy.
As the timing of these treatments has not been standardized, the primary aim of this study is to examine the patterns of practice in the management of patients with MIBC by medical oncologists in the United States in order to highlight the need to delineate guidelines for clinical practice.
Participants will be registered medical oncologists who participated in BCAN’s Bladder Cancer Think Tank Meeting in 2010 and medical oncologist affiliated with US Oncology.
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ___X__NO_______N/A
OBLIGATION TO RESPOND:
___X__ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
___X__ WEB SITE
_____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
_____ IN PERSON INTERVIEW
_____ OTHER: __ _______________________
CONTACT INFORMATION:
NAME: Dr. Andrea Apolo
TELEPHONE NUMBER: 301.496.4916
EMAIL ADDRESS: [email protected]
GENERIC SUB-STUDY SUBMISSION – 0925-0046-13
DATE OF REQUEST: March 18, 2011
SUB AGENCY (I/C): NIH/NCI/DCEG
TITLE OF SUB-STUDY: Nightshift Work and Sleep Pattern Questionnaire
GENERIC CLEARANCE UNDER OMB #0925-0046-13 EXP. DATE: 02/28/2013
TOTAL ANNUAL BURDEN APPROVED: 7050 hours
BURDEN APPROVED TO DATE: 1758 hours
BURDEN THIS REQUEST: 50 hours
Occupational cancer risk is a major research area of the Occupational and Environmental Epidemiology Branch (OEEB), Division of Cancer Epidemiology and Genetics (DCEG), NCI. We propose to conduct formative research to determine whether the draft questionnaire is effective in obtaining information as an initial step in further clarifying the association between nightshift work and cancer in the Shanghai Women’s Health Study (SWHS). The SWHS is a prospective cohort study of 75,000 healthy women in Shanghai, China, recruited during 1997-2000. The participants are being re-contacted every two years to update their health status, including newly diagnosed cancer, and limited lifestyle and environmental exposures through a collaborative project between Vanderbilt University (through a NCI extramural grant) and the Shanghai Cancer Institute. A lifetime occupational history of all jobs held for one year or more outside the home was collected from each cohort participant at baseline, including job title, type of industry, and year started and ended each job. However, no information was collected on whether each job involved night shift, frequency of shift-work, hours of each shift, and pattern of shift, i.e., whether the shift work was rotating or permanent. The formative research process is being used to pretest the questionnaire on a small part of the large target population, ensuring feasibility of the questionnaire message, user-friendliness, and the time use in an in-person interview. In this sub-study submission, we propose this nightshift and sleep pattern questionnaire to interview 300 cohort subjects. The interview will be conducted in-person by trained interviewers at respondents’ home.
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ___X__NO_______N/A
OBLIGATION TO RESPOND:
___X__ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
_____ WEB SITE
_____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
__X___ IN PERSON INTERVIEW
_____ OTHER: __ _______________________
CONTACT INFORMATION:
NAME: Bu-Tian Ji
TELEPHONE NUMBER: 301.496.9093
EMAIL ADDRESS: [email protected]
| File Type | application/msword |
| File Title | SUBMISSION OF INFORMATION COLLECTION |
| Author | Nina Goodman, MHS |
| Last Modified By | Vivian Horovitch-Kelley |
| File Modified | 2011-03-25 |
| File Created | 2011-03-25 |