HMTS Expedited Review Form

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

Message testing among important public audiences in Puerto Rico

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

The study population includes the partners of pregnant women, community members, and travelers.
Participants will be intercepted in several large shopping malls across the island that attract people of all
ages. Travelers will be intercepted at airports, seaports, or in hotels that grant permission.
Respondent characteristics:
Number of subject: 240

Number of males:

150

Age range: Over 18 years of age

Number of females: 90

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): Male partners of pregnant women
Community members, travelers coming to/leaving Puerto Rico
Geographic location(s): San Juan, Puerto Rico

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

No incentives will be offered to participants.

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

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

(CATI used: yes or no):

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

The goal of this project is to test messages with travelers and public audiences, especially audiences that
can support pregnant women, in Puerto Rico. The main goal of message testing is to ensure that messages
are clear and compelling and don’t have any unintended effects (misinterpretation).

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.)
Puerto Rico has almost 500 lab-confirmed cases of Zika virus. Efforts are underway to reduce the chances
that pregnant women get infected during pregnancy. Formative evaluation with pregnant women showed
that pregnant women want and need the help of the community to protect their babies. Materials have
been developed for men (to address sexual transmission) and the community to mobilize them in efforts to
reduce the mosquito population.

8. Number of burden hours requested: 60

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

Male partners of pregnant women

60

15/60

15

Community members and travelers coming to/leaving Puerto Rico

180

15/60

45

Totals

60

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

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)
16c, 69d, 74d, 80d, 1d, 3d, 4d, 6d, 8d, 15d, 29d, 5e, 11e, 12e, 33d, 24d, 65d, 68e, 69e, 70e, 71e, 72e, 74e,
76e, 110d
*** Items below to be completed by Office of Associate Director for Communication (OADC)***
1. Number of burden hours remaining in current year's allocation: 7,056
2. OADC confirmation of time-sensitivity:
Yes:
No:

Dawn B. Griffin
Project Officer
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