HMTS Expedited Review Form_Interviews

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

Health Communications Testing for Latent Tuberculosis Infections Campaign— Centers for Disease
Control and Prevention, Division of Tuberculosis Elimination
2. Study Population: (Discuss study population and explain how they will be selected/recruited.)

Primary care physicians who serve consumers born in countries where TB is common. Professional
recruitment vendors will recruit participants using Recruitment Screening Questionnaires. The vendors
draw from a voluntary panel of people who have agreed to be contacted.
Respondent characteristics:
Number of subject: 12

Number of males:

6

Age range: 18+

Number of females: 6

Racial/ethnic composition: Any
Special group status: (e.g., risk group, health care providers)
Type of group(s): Health care providers
Geographic location(s): New York, New York; Houston, TX; Los Angeles, CA

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

Project participation is voluntary.
A token of appreciation of $75 will be offered to participants who arrive (virtually) for an interview to
maximize cooperation and achieve the desired participation rates.

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.)

This formative information collection will inform NCHHSTP DTBE’s future public service campaign
efforts targeted to consumers at high-risk for Latent Tuberculosis Infection (LTBI) and the providers who
serve them. This information collection activity is essential because it will provide CDC with effective
messages for communicating important TB information to energize LTBI testing and treatment among atrisk populations and their health care providers.
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.)
The United States reported 9,025 tuberculosis (TB) cases during 2018. More than 80% of U.S. TB cases
are now believed to be associated with longstanding untreated LTBI. Expanding targeted testing and
treatment of LTBI is key to eliminating TB disease in the U.S. In order to develop an effective
communications campaign that educates individuals at high risk for LTBI and the healthcare providers
who serve them, CDC DTBE seeks to conduct formative message testing.

8. Number of burden hours requested: 18.33

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

Health care providers (40 screened for 8 minutes each to reach 12 participants and 12 participants
12who sign consent
5 minutes
forms
eachand
to complete
participate
18.33
theinconsent
an interview
form af

Totals

12

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

65 minutes

18.33

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: 3087
2. OADC confirmation of time-sensitivity:
Yes:
No:

Dawn B. Griffin
Project Officer
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