rev Attachment 4 SLAITS_only augmentation sample adv ltr 02_14_11

Attachment 4

Advance letter sent to SLAITS-only cases (augmentation sample)

Text of SLAITS augmentation sample letter & frequently asked questions (front)

F rom the Director of the National Center for Health Statistics:

Dear Resident,

The CDC needs your help!

In the next few weeks, we will call your household to participate in a study about the health of children and teenagers being conducted by the U.S. Department of Health and Human Services (DHHS). Information about all children will help the DHHS develop programs to promote the health of children in your state and throughout the United States.

Your household is very important to the study because it has been scientifically selected and cannot be replaced. It is important that we talk to your household to learn about the health of children in your community. When we call you, we will ask a few questions to see if your household is eligible for this study.

We hope you will share this important information with us by phone when an interviewer calls to ask you to take part in the study. If you do, you can choose not to answer any questions you do not wish to answer. All information collected for this study is confidential and protected by federal law. The back of this letter provides answers to some questions you may have and ways to get more information about the survey.

To learn more about the study or to take part right away, call 1-866-999-3340, toll-free. CDC has hired the (CONTRACTOR NAME) to conduct the survey. [IF PREVIOUSLY CONDUCTED SLAITS MODULE ADD: Our website shows how we have used the data from the previous survey - INSERT NCHS/SLAITS WEBSITE URL]. 

Thank you very much for your help with this important research.

Sincerely,

/SIGNED/

Edward J. Sondik, Ph.D.

Director, National Center for Health Statistics

Centers for Disease Control and Prevention

If you prefer to use TTY Please call the AT&T Relay Service at 1-800-855-2880 and request that 1-866-999-3340 be called. The call is toll-free. OVER 

Text of SLAITS augmentation sample letter & frequently asked questions (back)

National Survey of XXXX (insert survey acronym)

Frequently Asked Questions

What is the purpose of this study?

This survey is designed to describe the health and health care of children and teenagers. People have very different experiences with their children’s health and health care. In order to improve children’s health and well-being, it is important that we learn about how children use health care services and about any problems that they have in getting care that they need.

Does this study apply to me?

We are interested in talking with all households. We need your information to get a complete picture of your area’s child health needs. It will take a few minutes or less to determine if you are eligible for the study.

How will you protect my privacy?

The National Center for Health Statistics is bound by law to maintain strict confidentiality standards. Your information and the child’s information will never be associated with any results.

If you would like more information about the confidentiality of the research or the federal laws that ensure the protection of your information, including the Public Health Service Act and the Confidential Information Protection and Statistical Efficiency Act, these are described in detail at: www.cdc.gov/nchs/about/policy/confiden.htm. If you want to know more about your rights as a study participant you may call 1-800-223-8118, toll-free. This is the number for the Research Ethics Review Board at CDC. You will be asked to leave a message and say you are calling about Protocol XXXX-XX.

How will this information be used?

Maternal and child health agencies in your state will use this information to improve health care services for children and their families. The federal government will also use this information to learn about the types of support services that states need for children’s health care.

You may visit http://www.cdc.gov/nchs/slaits.htm to find general information about the study. [IF PREVIOUSLY CONDUCTED SLAITS MODULE ADD: To find results from the last time the survey was done, please visit INSERT NCHS/SLAITS WEBSITE URL]. 

(CONTACTOR NAME) Toll-Free Number: 1-866-999-3340

You can call (CONTRACTOR NAME)’s toll-free number to take part in the study right away, learn more about the study, and hear what you will be asked.