HMTS Expedited Review Form (AU R2/HCP)

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

Antibiotic Use Campaign: Round 2 (R2) Concept/Materials Testing with Health Care Professionals

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

A professional recruiting firm will screen ~96/recruit 24 licensed, practicing physicians and nurse
practitioners/physician assistants who practice/live in states with high rates of antibiotic prescribing.

Respondent characteristics:
Number of subject: 96

Number of males:

48

Age range: 21 years and older

Number of females: 48

Racial/ethnic composition: Mix of racial/ethnic backgrounds
Special group status: (e.g., risk group, health care providers)
Type of group(s): Healthcare professionals
Geographic location(s): The following locations in the United States: NY, RI, NE, IA,
UT, WV, KY, TN, LA, and MI.
3. Incentives: (State what incentive will be offered and justify proposed incentives to be used in study.)

OMB previously approved these incentives for the R1 data collection.
-Physicians, $125
-NP/PA, $75

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): No

Other (describe): Participants will login to an online platform and call a conference line to participate.

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

CDC requests OMB approval to collect information related to the development of the Antibiotic Use
health communications campaign. Information collected will inform revisions to draft campaign materials
(developed based on R1 formative research (OMB Control No. 0920-1154)) and help ensure that the
national campaign meets the needs of intended target audiences.

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.)
Each year in the U.S., at least 2 million people become infected with antibiotic-resistant bacteria and
23,000 of these individuals die as a result of their infections. At least 30% of antibiotics prescribed are
unnecessary and/or inappropriate. CDC has an urgent need to rebrand its Get Smart About Antibiotics
campaign before the November, 2017 Antibiotics Week to ensure that HCPs understand problems
associated with poor antibiotic prescribing/use and know how to improve their own practices.

8. Number of burden hours requested: 34

BURDEN HOURS
Category of Respondent

No. of
Participation
Respondents Time

Burden

Healthcare Providers - Screener

96

5/60 hour

8

Healthcare Providers - IDI Guide (1 hour) and PDIS (5 minutes)

24

65/60

26

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

120

34

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:
2. OADC confirmation of time-sensitivity:
Yes:
No:

Project Officer
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