Expedited Review Form

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

Message Testing for Diabetes Self-Management Education and Support (DSMES) Branding: Cart Sort
Activity
2. Study Population: (Discuss study population and explain how they will be selected/recruited.)

The study population will consist of adults who have diabetes, and health care providers (e.g., physicians,
nurses, diabetes educators) who work with people who have diabetes. Participants will be recruited
through an opt-in online panel managed by a professional market research firm.
Respondent characteristics:
Number of subject: 400

Number of males:

50%

Age range: 18-75

Number of females: 50%

Racial/ethnic composition: A mix will be recruited from different racial/ethnic groups.
Special group status: (e.g., risk group, health care providers)
Type of group(s): People with diabetes
Health care providers
Geographic location(s): Participants will be geographically dispersed throughout the
United States.
3. Incentives: (State what incentive will be offered and justify proposed incentives to be used in study.)

The study participants will be awarded incentive points from the market research firm providing the panel.
points or money. This is common practice in online panels, and incentives are needed to obtain sufficient
numbers to participate in the survey in a timely manner. Health care providers have multiple
responsibilities and limited time to participate. People with diabetes have competing work and family
responsibilities.

4. Study method: (Please check one below)
Central location intercept interview:
Online Interview:
Telephone interview:

Focus group:
Individual in-depth interview (cognitive interview):

(CATI used: yes or no): No

Other (describe): online survey

5. Purpose of the overall communication effort into which this health message(s) will fit:
(Please provide 2-3 sentences below.)

CDC's Division of Diabetes Translation is collaborating with national diabetes organizations to increase
health care provider referral to evidence-based diabetes self-management education and support services
and greater use of the services by people with diabetes. Effective promotion of these services will include
development of a consistent and compelling brand, messages addressing all relevant audiences, and a
guide for diabetes education organizations to use in promoting the services.
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.)
Health care provider referral to diabetes education, and enrollment and attendance by people with diabetes
remains low, despite evidence of effectiveness. A complicating factor is that the existing diabetes
education program has recently been expanded to include additional support services. This data collection
will identify the key attributes of the new diabetes self-management and support services valued by our
major audiences to ensure that messages are memorable and motivating.

8. Number of burden hours requested: 150

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

People with diabetes and health care providers -- screeners

1000

5 min

83

People with diabetes and health care providers -- survey

400

10 min

67

Totals

150

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: 6433
2. OADC confirmation of time-sensitivity:
Yes:
No:

Dawn B. Griffin
Project Officer
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