HMTS - Zika Expedited Review Template - signed OADC

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

Formative evaluation of Zika prevention strategies and messages among pregnant women and community
leaders in Puerto Rico
2. Study Population: (Discuss study population and explain how they will be selected/recruited.)

Two populations will be invited to participate in this study: (1) Pregnant women participating in the WIC
program and (2) community leaders nominated by health department and CDC staff working in Puerto
Rico.
Respondent characteristics:
Number of subject: 180

Number of males:

45

Age range: Over 18 years of age

Number of females: 135

Racial/ethnic composition: A mix, though demographic information will not be collected
Special group status: (e.g., risk group, health care providers)
Type of group(s): Pregnant women
Community leaders
Geographic location(s): Three regions of Puerto Rico: (1) Metropolitan San Juan; (2)
Central Puerto Rico; and (3) Western Puerto Rico
3. Incentives: (State what incentive will be offered and justify proposed incentives to be used in study.)

Incentives will be provided to acknowledge expenses incurred for baby sitting and/or travel to WIC
facilities to participate in interviews or focus group discussions. Pregnant women participating in in-depth
interviews will be provided with $15, while those participating in focus group discussion will be provided
$20. Community leaders will be provided with an incentive of $30 for participating in in-depth
interviews and $40 for participating in a focus group discussion.

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): There will be both focus groups and individual in-depth interviews.

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

The purpose of this project is to get feedback from pregnant women and community leaders about
proposed vector control activities and personal protective behaviors being considered for Zika prevention
and control efforts in Puerto Rico. Since many of these activities/behaviors are new to Puerto Rico, there
is a need to communicate messages about these actions in a clear and culturally appropriate way, so people
can make informed decisions about action. Testing messages is essential for an effective response.
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.)
There are three main drivers necessitating a response by March 1st: (1) Puerto Rico health department and
CDC leaders want to make decisions about actions with the input (voices) of those most affected by Zica-pregnant women; (2) Rainy season is less than 8 weeks away, so implementation of vector control
activities must start within the next month to make a difference; and (3) Availability of bi-lingual CDC
staff to conduct interviews and moderate focus group discussions (March 4-11th).

8. Number of burden hours requested: 270

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

Pregnant women >18 (60 one-hour interviews; 60 two-hour focus groups)

120

1.5 hours

180 hours

Community leaders (30 one-hour interviews; 30 two-hour focus groups)

60

1.5 hours

90 hours

Totals

180

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

270 hours

Yes

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

*** Items below to be completed by Office of Associate Director for Communication (OADC)***
1. Number of burden hours remaining in current year's allocation: 7,410
2. OADC confirmation of time-sensitivity:
Yes:
No:

Dawn B. Griffin -S (Affiliate)

Digitally signed by Dawn B. Griffin -S (Affiliate)
DN: c=US, o=U.S. Government, ou=HHS, ou=CDC, ou=People,
0.9.2342.19200300.100.1.1=1000381737, cn=Dawn B. Griffin -S (Affiliate)
Date: 2016.03.01 12:22:43 -05'00'

Project Officer
Print Form