Review Form Template

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

Testing Health Communication Messages to Promote Hand Hygiene Behavior among U.S. Adults

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

(1) U.S. adults who are parents or caregivers of children less than 12 years of age; and (2) U.S. adults at
risk of transmitting enteric diseases and respiratory illnesses due to nonexistent or infrequent engagement
in hand hygiene practices on a daily basis or in situations where handwashing is recommended.
Respondent characteristics:
Number of subject: 520

Number of males:

260

Age range: older than 18 years of age

Number of females: 260

Racial/ethnic composition: all races and ethnicities
Special group status: (e.g., risk group, health care providers)
Type of group(s): people who do not work in healthcare, food service, or
educational settings
Geographic location(s): Atlanta, Georgia area

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

Focus group participants will receive a monetary gift of appreciation for their participation. It is assumed
that many of these participants will be taking time either during work hours or personal time to complete
the focus groups. Therefore the monetary gift in the amount of $40 for participation in the 60-minute inperson focus group may serve to offset costs related to participating in the study.

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.)

A health communication campaign to educate adults about community hand hygiene behaviors. The
messages will promote hand hygiene behaviors.

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.)
To date, there are few health communication campaigns that have promoted community hand hygiene
behavior at mass-scale in the U.S., and even fewer that have utilized recommended components of
successful health communication campaigns such as theory driven formative research. The literature is
absent on domestic data on community-level hand hygiene campaigns grounded in behavioral change
theory with a more general audience as its target.

8. Number of burden hours requested: 104

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

General Public (Screening Form)

500

10/60

84

General Public (Focus Groups)

20

1 hour

20

Totals

104

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)
1d, 24d, 5e, 30e, 29d, 33d, 38d, 4f, 11d, 82d, 104d, 105d, 108d, 114d, 117d, 116

*** Items below to be completed by Office of Associate Director for Communication (OADC)***
1. Number of burden hours remaining in current year's allocation: 7210
2. OADC confirmation of time-sensitivity:
Yes:
No:

Dawn B. Griffin
Project Officer
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