Expedited Review Form

HMTS Expedited Review Form.pdf

CDC and ATSDR Health Message Testing System

Expedited Review Form

OMB: 0920-0572

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Health Message Testing System Expedited Review Form
1. Title of Study: (Please append screener and questionnaire)

Parents Are the Key (PATK) Teen Driving Safety Initiative

2. Study Population: (Discuss study population and explain how they will be selected/recruited.)

A) General population parents of teens: recruited from a purchased sample list via online screener
B) Hispanic parents of teens: recruited from a purchased sample list via online screener
C) Pediatricians who treat teens: recruited by the American Academy of Pediatrics
Respondent characteristics:
Number of subject: 174

Number of males:

~87

Age range: 30+

Number of females: ~87

Racial/ethnic composition: Mix of ethnic backgrounds
Special group status: (e.g., risk group, health care providers)
Type of group(s): General population parents of teens, Hispanic parents of teens,
Pediatricians who treat teens
Geographic location(s): National audience

3. Incentives: (State what incentive will be offered and justify proposed incentives to be used in study.)

Parents: $30 gift in equivalent reward points (online panel company rewards participants via points that
can be converted into cash, gift cards, etc), Pediatricians: $75 gift. Focus groups are unique from other
forms of data-gathering in terms of the investment that must be made by individuals. The gifts that will be
provided will serve as a token of appreciation for attending and can result in: higher levels of engagement,
faster recruit times, fewer no-shows, long-term savings and positive associations with the study sponsor.

4. Study method: (Please check one below)
Central location intercept interview:
Online Interview:
Telephone interview:

Focus group:
Individual in-depth interview (cognitive interview):

(CATI used: yes or no):

Other (describe): Online focus groups (national representation)

5. Purpose of the overall communication effort into which this health message(s) will fit:
(Please provide 2-3 sentences below.)

The overall communications effort is to provide parents and pediatricians with the necessary tools to help
inform teens on the dangers of being "on the road." This initiative will provide parents and pediatricians
with materials and guides to share vital information and help them approach the subject matter with their
teens and other parents - see Attachment A - Project Description.

6. Category of time sensitivity: (Please check one below)
Health emergency:
Time-limited audience access:
Press coverage correction:
Time-limited congressional/administrative mandate:
Trend Tracking
Ineffective existing materials due to historical event/social trends:
7. Describe nature of time sensitivity: (Please provide 2-3 sentences below.)
Car crashes remain the number 1 killer of teens, taking 3,000 young lives every year. As we approach the
100 deadliest days (summer) 2014, we want to ramp up efforts to empower teen influencers.

8. Number of burden hours requested: 119

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

Parents (see Attachment B for detailed burden)

116

47/60

90

Pediatricians

58

33/60

32

Totals

174

9. Are you using questions from the approved question bank?

119

No

If yes, please list the item number(s) for questions used from the question bank separated by a comma.
(e.g., 1a, 3c, 130d)

*** Items below to be completed by Office of Associate Director for Communication (OADC)***
1. Number of burden hours remaining in current year's allocation: 2987
2. OADC confirmation of time-sensitivity:
Yes:
No:

Barbara Morrison
Project Officer
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