HMTS Expedited Review Form

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

Crisis Next Door Campaign Assessment

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

The study population is the target audience for the Crisis Next Door Campaign: adults aged 30-50.
Respondents for the online survey will be recruited by a market research firm using a screener with
predetermined criteria.
Respondent characteristics:
Number of subject: 2,600

Number of males:

1300

Age range: 30-50

Number of females: 1300

Racial/ethnic composition: will strive to match national composition for major racial and ethnic groups
Special group status: (e.g., risk group, health care providers)
Type of group(s): not applicable
Geographic location(s): not applicable

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

Respondents the survey panel's e-currency for completing this survey. Estimated value is about $5.00

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):

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.)

This effort seeks to collect information about whether the Crisis Next Door campaign ads are producing
desired outcomes, which ads are perceived more favorably, which stories are most relatable and
motivating, and how ads could be improved.

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 opioid overdose epidemic continues to worsen and evolve because of the continuing deaths involving
synthetic opioids. Over 2 million people struggled with opioid addiction in 2018, and millions more were
impacted by it. Crisis Next Door (CND) is a digital campaign to promote real stories from real people
affected by the opioid crisis featured on www.crisisnextdoor.gov.

8. Number of burden hours requested: 774

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

Adults aged 30-50 - Screener

3,715

2/60

124

Adults aged 30-50 Survey

2,600

15/60

650

Totals
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)
1a, 4a, 5a, 6a, 12a, 13a, 25a, 32e, 39e, 42e, 68e, 69e, 70e, 71e, 72e, 74e, 123d, 113d, 1d, 6d.

*** 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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