Attachment
A:
ODPHP Presidential Youth Fitness Program Screener for
Physical Education Teacher Focus Groups
OMB Control Number: 0990-0281
December 30, 2021
Submitted to:
Sherrette Funn
Office of the Chief Information Officer
U.S. Department of Health and Human Services
Submitted by:
Jennifer Bishop, ScD, MPH
Acting Director, Division of Health Promotion and Communication
Office of Disease Prevention and Health Promotion
U.S. Department of Health and Human Services
Study Summary
Study Format |
75-minute remote focus groups |
Number of Sessions |
3 focus groups
|
Dates of Testing |
January, 2021 |
Participants |
PE teachers |
Inclusion Criteria |
Participants must:
|
Hard Quotas
|
|
Recruiter Script
Hello, I’m [recruiter] and I’m calling from [recruitment firm]. We are a consumer research organization. I’m calling because you expressed interest in participating in a study. This study is funded by the U.S. Department of Health and Human Services and will help inform updates to the Presidential Youth Fitness Program. The session will be for market research purposes only — we are not trying to sell you anything.
If you qualify, you will receive a payment of [$150 (will update based on market rates)] for your participation. The session will be held remotely the week of [month, day] and will be approximately 75 minutes in length.
Does this sound like something you would be interested in?
Yes
No TERMINATE
Great. Let’s find out if you qualify. My questions will only take a few minutes. Any information you provide will be kept private. You can stop at any time or skip any question. I will also ask some questions about you, such as your education level and ethnic background, to make sure we include a variety of people.
Would you like to keep going?
Yes
No TERMINATE
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0281. The time required to complete this information collection is estimated to average 70 to 85 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer
[Employment] What is your current employment status?
Full time employed Must Say
Other_________ TERMINATE
[Occupation] What is your current occupation?
Teacher Must Say
Other: ______ TERMINATE
[Subject] What subject(s) do you primarily teach?
Physical education/gym Must Say
Other: ______ TERMINATE
[Teacher Employment] Are you employed as a teacher?
Full time
Part time TERMINATE
Substitute TERMINATE
Temporary TERMINATE
Other TERMINATE
[Public/Private] What type of school do you teach in? [Recruit a mix]
Public
Private
Other: ______
[Students] What type of children do you teach?
General/Mainstream
Children with a learning disability/ special needs
Other
[School Name] What is the name of the school you teach in? ______________
[Limit 1 PE teacher per school]
[PYFP Familiarity] How familiar are you with the Presidential Youth Fitness Program (PYFP)?
Very familiar
Somewhat familiar
Not familiar at all
[PYFP Implementation] Has your school implemented PYFP? [Recruit a mix]
Yes
No
I don’t know
[PYFP Resources] Has your school received any tools or resources from PYFP?
Yes
No
I don’t know
[PE Grade] What grade or grades do you teach?
Grades K – 3 PUT ON HOLD if this is their only answer
Grades 4 – 12
Other TERMINATE
_________
[Race/Ethnicity] Which of the following best describes you? Select all that apply. [Recruit at least 5 non-white participants]
American Indian or Alaska Native
Asian
Black or African American
Hispanic, Latino or Spanish origin
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
A race or ethnicity not listed
[Gender] What is your gender? _________ {Allow participant to provide response appropriate for them.} [Recruit at least 5 female and at least 5 male participants]
[Geographic Location] What city and state do you live in? _________ [Recruit participants representing at least 5 different regions.]
[Device Access] {Read all, mark all that apply} Which of the following devices do you have access to?
A desktop computer
A laptop computer
A tablet
A smart phone
None of the above TERMINATE
[Video Conference] Are you able and willing to use your [device from Q15] for a Zoom video call?
Yes
No TERMINATE
[Internet Access] Do you have access to high-speed internet for your [device from Q15]?
Yes
No CONTINUE, but put on HOLD
[Webcam] Does your [device from Q15] have a working webcam you could use for the video call?
Yes
No CONTINUE, but put on HOLD
{Use for participants who don’t meet the criteria}
Thank you for taking the time to answer my questions. Unfortunately, the category you fall into is currently full. If it should open up, may we call you back?
{Use for participants who do meet the criteria}
Would any of the following make it hard for you to participate in a session?
{Read list and mark all that apply — then work to accommodate}
Physical challenges
Visual challenges (besides using reading glasses)
Hearing challenges (besides using hearing aids)
Other, please specify: __________________
May I schedule you for one of the sessions — you will receive a payment of [$150 (will update based on market rates)] or your participation? {Share available time slots}
We will contact you a few days before to confirm your scheduled time. If something comes up and you will not be able to participate, please call [name and number] as soon as possible.
Finally, please remember to have the following with you during the session:
Reading glasses
Hearing aids
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | CommunicateHealth |
Author | CommunicateHealth |
File Modified | 0000-00-00 |
File Created | 2024-10-31 |