Understanding Physical Activity-Related Information Needs and Communication Preferences among Consumers and Professionals

Attachment E:

ODPHP Physical Activity Guidelines, 2^nd Edition

Phone Screener for Professional Focus Groups

OMB Control Number: 0990-0281

January 9, 2017

Submitted to:

Sherrette Funn

Office of the Chief Information Officer

U.S. Department of Health and Human Services

Submitted by:

Frances Bevington

Strategic Communication and Public Affairs Advisor

Office of Disease Prevention and Health Promotion

U.S. Department of Health and Human Services

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0281. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

Hello, I’m [RECRUITER FIRST AND LAST NAME] and I'm calling from CommunicateHealth. We are an independent consumer research organization. We are not selling or promoting any product or service. I am calling you because you expressed interested in participating in a focus group about the best way to communicate about the second edition of the Physical Activity Guidelines.

This is a study funded by the U.S. Department of Health and Human Services. You will receive a payment of $100 for your participation. We would like to hear your opinion. The discussion group will last about an hour. My questions will only take a couple of minutes.

Does this sound like something you would be interested in?

_____ Yes

_____ No  TERMINATE

Great. Let’s find out if you qualify. I have a few questions to ask you. At some point, I may end the questions if you do not meet the requirements for the group. This has nothing to do with you; we simply want to include a variety of people in each discussion group. Is it OK if I ask you a few questions?

_____ Yes

_____ No  TERMINATE

Before we begin, I’d like to let you know that all information you provide will be private. Your help is voluntary, and you do not have to answer every question. If you would rather not answer a question, let me know and you can skip it. You can stop at any time.

1. What best describes your professional role?

_____ Primary care provider

_____ Occupational therapist

_____ Physical therapist

_____ Personal trainer

_____ Exercise physiologist

_____ Other, please specify: _________________

2. In your professional role, do you regularly communicate with patients or clients about physical activity?

_____ Yes

_____ No  TERMINATE

3. How many years have you practiced in your field?

_____ 5 years or less

_____ 6 to 10 years

_____ 11 to 15 years

_____ 16 years or more

4. What is your gender?

_____ Male

_____ Female

_____ Other

_____ Choose not to answer

5. Which category best describes your race/ethnicity?

_____ White

_____ Black or African American

_____ American Indian or Alaska Native

_____ Asian or Pacific Islander

_____ Hispanic or Latino

_____ Other

6. What state do you live and work in?

____________

7. How often do you get 150 minutes (2 hours and 30 minutes) each week of moderate-intensity aerobic physical activity (like brisk walking or tennis)?

_____ Never

_____ Rarely

_____ Sometimes

_____ Often

_____ Always

8. How often do you get 75 minutes (1 hour and 15 minutes) each week of vigorous-intensity aerobic physical activity (like jogging or swimming laps)?

_____ Never

_____ Rarely

_____ Sometimes

_____ Often

_____ Always

[Recruit a mix of participants]