HTMS Review Form

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

Assess Perception and Use of CDC Communication Materials of the CDC Guideline for Prescribing
Opioids for Chronic Pain.
2. Study Population: (Discuss study population and explain how they will be selected/recruited.)

Primary care physicians who have prescribed or may prescribe opioid medications for pain management.
Please see Project Description.

Respondent characteristics:
Number of subject: 500(Survey), 18(Interview)

Number of males:

250(Surv), 9(Inter)

Age range: 18 and older

Number of females: 250(Surv), 9(Inter)

Racial/ethnic composition: Diverse
Special group status: (e.g., risk group, health care providers)
Type of group(s): Primary care physicians
Geographic location(s): U.S.

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

Participants to the survey are already registered with an online panel provider and will be offer survey
choice “points” to redeem for prizes which are commonly provided to survey panel respondents who
complete online surveys. The points will not be sent to respondents from CDC, but instead will be
provided by the online panel provider to respondents who complete the survey. The estimated monetary
value of the incentive is estimated at under $5.

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): No

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 collection is to obtain insights on primary care physician’s perceptions and use of
communication materials and products associated with the CDC Guideline for Prescribing Opioids for
Chronic Pain (the “Guideline”). Information collected can assist in the most effective use of CDC
communication resources and opportunities by assessing clarity, salience, appeal, persuasiveness and
effectiveness of materials promoting the dissemination and implementation of the Guideline.
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.)
This task order has been extended and ends in March 2018 and we have 6 months to recruit respondents
and complete data collection. It is necessary to obtain OMB approval and complete data collection within
the next 6 months to make best use of the findings and improve communication materials and products
about the Guideline.

8. Number of burden hours requested: 169

BURDEN HOURS
Category of Respondent

No. of
Participation
Respondents Time

Invitation to and Completion of Online Survey Participation (see Attachment 1 & 2)

625(inv)500(com) 1m(inv)18m(com)

Follow Up Interview Participation (see Attachment 3)

18

Totals

Burden
160.4

30m

9
169

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

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: 3899
2. OADC confirmation of time-sensitivity:
Yes:
No:

Dawn B. Griffin
Project Officer
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