0920-0572 Diabetes Educators Survey

OMB No. 0920-0572

Expiration Date 3/31/2021

MESSAGE TESTING CARD SORT SURVEY FOR DIABETES EDUCATORS (DE)

September 19, 2019

To be included on the first page: Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0572). 

FOR CERTIFIED AND NON-CERTIFIED DIABETES EDUCATORS:

Introduction: Thank you for agreeing to participate. We are interested in your thoughts about different services available to help people manage their diabetes.

This survey asks you about the diabetes self-management education and support services you provide. [INSERT PLAIN LANGUAGE DESCRIPTION HERE.]

1. From the list of words below, please select up to 5 qualities that best describe what you would consider to be ideal diabetes self-management education and support services for your clients (services you would give a grade of A+). (SELECT NO MORE THAN 5)

[INSERT LIST OF POSITIVE WORDS; RANDOMIZE OPTIONS] 

2. Why did you choose each of these five qualities instead of the others? What’s important about them? [SHOW THE WORDS SELECTED IN Q1] [OPEN ENDED TEXT BOX]

3. Thinking about these five qualities of ideal diabetes self-management education and support services, please rank them in order of importance to you, with 1 being the most important, 2 being the second most important, and so on.

(SHOW LIST THAT THEY CHOSE IN Q1 IN RANDOM ORDER; HAVE THEM RANK THE WORDS 1 TO 5) 

4. Now I’d like you to think of the diabetes self-management education and support services that you provide or offer. Which of the following words or phrases do you think describe the actual diabetes self-management education and support services you provide or offer? (SELECT UP TO 5) 

[INSERT LIST OF POSITIVE WORDS; RANDOMIZE OPTIONS] 

5. Now I want you to think about the people who have received diabetes self-management education and support services from you. Which of the following words or phrases do you think people with diabetes would use to describe diabetes self-management education and support services? (SELECT UP TO 5)

[INSERT LIST OF NEGATIVE WORDS; RANDOMIZE OPTIONS; INCLUDE AN “OTHER/SPECIFY”]

6. Now I want to show you another list of words or phrases. Which of the following words or phrases do you think people with diabetes would use to describe diabetes self-management education and support services? [SELECT UP TO 10] 

[INSERT LIST OF POSITIVE WORDS; RANDOMIZE OPTIONS; INCLUDE AN “OTHER/SPECIFY”]